Administration, Health Care Roles, Documentation, and Legal Issues Part One Flashcards
what is breach of duty
when there is failure to do what another reasonable practioner would have or would not have done under the same circumstances
examples of utilization review
peer review
audits
what is accounts receivable
amount of money owed by patients or others to the PT practice
what does HIPAA stand for
Health insurance and portability accountability act
how long are most records held on to for
7 years
what is accounts payable
amount of money owed by a practice or rehab service for goods or services purchased to help run the facility or service (durable medical equipment)
can the PTA take measurements? (ROM, MMT, etc)
yes
difference between operating and capital budget
operating - salaries, benefits, supplies, utilities, linen, housekeeping, maintenance, continuing ed, etc.
capital - purchase of new equipment or buildings
what is quality assurance
evaluates the quality of patient care and assures the accountability of those providing care
difference between policy and procedure
policy - what is to be done? who is responsible?
procedure - specific where, when, and how an activity is accomplished
what medical field can discharge an inpatient from a hospital
physician
what is pro bono care
reduced or no fee
examples of malingering
pretends to be ill for sympathy
to continue to receive benefits
how to respect patient autonomy
given patient options and choices regarding treatment
what is a health maintenance organization (HMO)
form of care which an individual or family is provided a broad spectrum of health services by an organization consisting of physicians, nurses, and others
primary reason for keeping records
improvement of patient care
who is covered under Medicaid
poor
elderly
disabled
patient asks PTA about prognosis.. what should PTA do
refer to PT
what is utilization review
written program that assures proper use of a facility’s funds and personnel related to medical necessity
who is covered under Medicare
65 and up
renal disease with dialysis
silicosis
purpose of PT Aide
NONTREATMENT ACTIVITIES
housekeeping, secretarial, patient transport, dressing
what is the problem-oriented medical record
organizes the medical record based upon the patient’s problems
what is secondary gain
faking workers comp
