Final

Question 1

code for therapeutic activities (transfers, bed mobility, lifting carrying)

Answer 1

code 97530

Question 2

code for gait training

Answer 2

code 97116

Question 3

code for neuro-muscular reeducation

Answer 3

code 97112

Question 4

therapeutic exercise

Answer 4

code 97110

Question 5

Functional outcomes report

Answer 5

focuses on patient’s ability to perform meaningful functional activities rather than isolated impairments

Question 6

problem-oriented medical record

Answer 6

the clinician describes a patient’s problem list, subjective and objective data, overall impression, the treatment provided, and the plan for each problem

Question 7

narrative notes

Answer 7

the clinician describes the patient encounter with pertinent information provided in paragraph format

Question 8

what is included in the subjective portion of a SOAP note?

Answer 8

anything the pt. says

Question 9

what is included in the objective portion of a SOAP note?

Answer 9

objective data; results of systems review, interventions provided and billed (including codes), tests and measures

Question 10

systems review

Answer 10

cardiovascular system, integumentary system, musculoskeletal system, etc.

Question 11

what is included in the assessment portion of a SOAP note?

Answer 11

clinical judgement, problem solving, determining PT diagnosis, prognosis, and POC

Question 12

what is included in the plan portion of a SOAP note?

Answer 12

plans for next session(s); plan for reassessment, reevaluation, or discharge

Question 13

code for manual therapy

Answer 13

code 97140

Question 14

what is included in an initial evaluation?

Answer 14

(1) evaluation
(2) diagnosis
(3) prognosis
(4) intervention
(5) outcomes

Question 15

C-modifiers

Answer 15

CH - 0% impaired
CI - <20%
CJ - 20-40%
CK - 40-60%
CL - 60-80%
CM - 80-99%
CN - 100%

Question 16

what codes are used for diagnosis?

Answer 16

ICD-10 codes

Question 17

what codes are used to determine how sick the patient is, and how much better you’re going to get the patient?

Answer 17

G-Codes

Question 18

what codes are used to determine what you’re going to do to help the patient?

Answer 18

CPT codes

Question 19

what does medicare part A cover? (4)

Answer 19

(1) hospitals
(2) SNF
(3) home health
(4) hospice

Question 20

how is a hospital reimbursed?

Answer 20

DRG (Diagnosis related groups) - meaning, you’re paid for a set amount of time regardless of how long the treatment takes

Question 21

how is a SNF reimbursed?

Answer 21

RUG (resource utilization group) - amount of services provided

Question 22

Ultra High RUG

Answer 22

720 minutes, 5 days, 2 disciplines

Question 23

Very High RUG

Answer 23

500 min, 5 days

Question 24

High RUG

Answer 24

325 min, 5 days

Question 25

Medium RUG

Answer 25

150 min, 3 days

Question 26

Low RUG

Answer 26

45 min, 3 days

Question 27

how is hospice reimbursed?

Answer 27

daily rate

Question 28

how is home health reimbursed?

Answer 28

episode of care, based on severity

Question 29

what is the minimum amount of treatment time in a SNF to count?

Answer 29

15 minutes

Question 30

do you include the evaluation in the MDS assessment?

Answer 30

no

Question 31

what does medicare part B include?

Answer 31

(1) OP (primarily) | (2) LTC

Question 32

what are CPT codes?

Answer 32

Current Procedural codes; TIME BASED

Question 33

what is the time required to bill for time based codes?

Answer 33

at least 8 minutes

Question 34

billing for 1 unit

Answer 34

8-22 minutes

Question 35

billing for 2 units

Answer 35

23-37 minutes

Question 36

billing for 3 units

Answer 36

38-52 minutes

Question 37

billing for 4 units

Answer 37

53-67 minutes

Question 38

billing for 5 units

Answer 38

68-82 minutes

Question 39

CCI

Answer 39

National Correct Coding Initiative

Question 40

what is the therapy cap on medicare part B

Answer 40

$1,980

Question 41

CCI modifier indicators

Answer 41

0 - billing these two different codes together on the same day is NOT ALLOWED 1 - billing these two different codes together on the same day is ALLOWED

Question 42

CCI Edit - XE

Answer 42

XE - separate encounter

Question 43

CCI Edit - XS

Answer 43

XS - separate structure

Question 44

CCI Edit - XP

Answer 44

XP - separate practitioner

Question 45

CCI Edit - XU

Answer 45

XU - unusual (non-overlapping service)

Question 46

If the column I and column II codes are billed to the same patient in different 15-minute intervals, what modifier would be used?

Answer 46

59

Question 47

when is functional reporting required?

Answer 47

(1) evaluation (re-eval) (2) once EVERY 10 DAYS (3) discharge

Question 48

G-codes are only used for what?

Answer 48

Medicare Part B

Question 49

G-codes for Mobility

Answer 49

G8978 - current status G8979 - projected goal status G8980 - D/C status

Question 50

G-codes for Changing and Maintaining Body Position

Answer 50

G8981 - current status G8982 - projected goal status G8983 - D/C status

Question 51

G-codes for Moving & Handling Objects

Answer 51

G8984 - current status G8985 - projected goal status G8986 - D/C status

Question 52

how would you complete functional reporting?

Answer 52

combine G-code with C-Modifier examples: Time of Evaluation G8978-CL (Mobility, Current Status Max A) G8979-CJ (Goal for Mobility, become Min A)

Question 53

what is clinical impression?

Answer 53

listing problems that contribute to functional deficits noted in reason for referral

Question 54

what is the ICF model?

Answer 54

International Classification of Functioning, Disability and Health - language that describes how people function in their daily lives rather than focusing exclusively on their medical or disease‐specific diagnosis

Question 55

what are the components of the ICF model? (8)

Answer 55

(1) body functions (2) body structures (3) impairments (4) activity (5) participation (6) activity limitations (7) participation restrictions (8) environmental factors

Question 56

LEARN Model

Answer 56

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