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OTA 235 > for quiz on 11/18 > Flashcards

for quiz on 11/18 Flashcards

1
Q

What was used before we as a profession adopted a code of ethics?

A

The core values

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2
Q

Focuses on compliants/ files against practitioners. Also works on monitoring and updating code of ethics

A

The ethics commission

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3
Q

Guides practitioners to take appropriate ethical action

A

Ethical reasoning

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4
Q

Demonstrate a concern for the safety and well-being of the recipients of their service

A

Beneficence

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5
Q

Intentionally refrain from actions that cause harm

A

Nonmaleficence

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6
Q

Respect the rights of the individual to self-determination

A

Autonomy & confidentiality

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7
Q

Shall provide services in a fair and equitable manner

A

Social justice

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8
Q

Shall provide comprehensive, accurate, and objective information when representing the profession

A

Veracity

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9
Q

Shall treat colleagues and other professionals with respect, fairness, discretion, and integrity

A

Fidelity

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10
Q

The process of assessing and validating qualifications

A

Credentialing

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11
Q

Legal domain of practice for occupational therapy practitioners

A

Scope of practice

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12
Q

Recognition that an OT or an OTA has met professional requirements and is authorized to use certification marks

A

NBCOT certification

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13
Q

Process by which government grants permission to engage in practice

A

Licensure

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14
Q

A law passed by the state or federal government

A

Statute

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15
Q

What protects consumers from unqualified or unscrupulous practitioners

A

The regulation of OT

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16
Q

What are the 4 levels of regulations

A

Licensure, certification, registration, title control

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17
Q

The act of representing yourself exactly as you are

A

Title control

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18
Q

A law that is established by an individual state to regulate health care professionals within that state

A

Practice act

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19
Q

Please note

A

When filing a complaint with AOTA/NBCOT they can only disciple those registered with the organizations

20
Q

Supervision with a mentor, continuing ed, payment of a fine, or suspension or revocation of a license

A

Some possible disciplinary actions

21
Q

Can an OT aide supervise OT practice

A

No

22
Q

Face to face contact between supervisor and supervise

A

Direct supervision

23
Q

Non face to face contact between supervisor and supervise

A

Indirect supervision

24
Q

Which type of supervision requires daily, direct contact at the site of work?

A

Close

25
Q

which type of supervision requires direct contact at least every 2 weeks at the site of work, with interim supervision occurring by other methods such as telephone or written communication

A

routine

26
Q

which type of supervision requires at least monthly direct contact with supervision available as needed by other methods

A

general

27
Q

which type of supervision requires only as needed basis, and may be less than a month

A

minimal

28
Q 
the degree, amount, and pattern of supervision required can vary depending on the practitioners:
competence
service demands
state laws/ third party payers
case characteristics
A

conditions of supervision

29
Q

who determines how much supervision is required in a particular setting?

A

the OTR/L

30
Q

Standardized intervention protocol for specific diagnosis

A

Clinical pathway

31
Q

Centers for Medicare and Medicaid services

A

Cms

32
Q

Code that describes medical reason for condition for services

A

Diagnosis code

33
Q

Cms category that determines level of payment

A

Diagnostic related group (drg)

34
Q

Method of maintaining control over healthcare costs, includes hmo and ppo

A

Managed care

35
Q

Levels of care are classified to be used for reimbursement purposes in snfs

A

Resource utilization group (rug)

36
Q

10 digit code for facility/provider (mainly for Medicare)

A

Npi or national provider information

37
Q

Method of payment for predefined health care services

A

Pps or prospective payment system

38
Q

Companies who are primary reimbursers for healthcare services (bc/bs, hphc, etc)

A

Third party payers

39
Q

Established in 1965 as part of the security act.

For people 65 or older, people with permanent kidney failure, black lung disease or on social security for over 2 years

A

Medicare

40
Q

OT treatment is covered if:
under MD care
prescribed by physician with certified care plan
Provided by qualified otr or cota under supervision of otr
requires skills of an otr or cota
reasonable and necessary for treatment of a persons illness or injury
must show significant improvement in level of function within reasonable period of time

A

Medicare coverage for ot services

41
Q

Inpatient acute care hospitals
snf up to 100 days (first 20 days free IF 3 night stay in hospital)
inpatient rehab facility
long term care hospital
hospice care
home health care (ot, pt, speech)
inpatient psych hospitals (lifetime amount of 190 days)
includes specific time limits, deductibles, and copay of 20% for home health care

A

Medicare Part A

42
Q

Hospital outpatient services (subject to $1900/year cap)
snf (after 100 days part A)
home health care (not covered under part A)
private practice OT
Dme (not adaptive) (splinting or repositioning)
outpatient mental health services
mental health partial hospital programs
includes: no specific time limit, but 20% copay applies

A

Medicare Part B

43
Q

Medicare health plan offered by a private company that contracts with Medicare to provide you with all your part A and B benfits
also known as part C or MA plan
medicare advantage plans include health maintanance organizations, preferred provider organization, private fee-for-services plans, special needs plans, and Medicare medical savings account plans
Medicare services are covered through the plan and aren’t pad for under original Medicare

A

Medicare advantage plans

44
Q

Prescription drug coverage
these plans add drug coverage to original Medicare, some Medicare cost plans, some Medicare private fee-for service plans, and Medicare medical savings account plans
CANNOT HAVE PART C AND PART D COVERAGE AT THE SAME TIME

A

Medicare Part D

45
Q

Provides for “free appropriate public education that includes special education and related services to meet their unique needs”

A

Idea

OTA 235 (1 decks)

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