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PT Practice 4 > Home Health > Flashcards

Home Health Flashcards

1
Q

Home care agencies are certified by…

A

CMS- Centers for medicare & Medicaid

HMOs and private insurance

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2
Q

(For profit/ not for profit) agencies keep any extra money they’ve made and pay taxes.

A

For profit

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3
Q

True or false; you would not find speech therapy in an interdisciplinary home health team

A 
False
– Skilled Nursing 
– Physical/Occupational/Speech Therapy 
– Medical Social Work 
– Registered Dietician 
– Home Health Aide
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4
Q

Who are the major payers of home health care?

A

Medicare/ Medicaid

Private insurance, HMOs

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5
Q

Medicare was established in…

A

1965

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6
Q

What is the largest health insurance in the world?

A

Medicare

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7
Q

Meidcare’s prospective payment system was instituted in…

A

2000

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8
Q

Medicare’s prospective payment system sets a fixed payment for ____ days for episode of care

A

60 days

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9
Q

Home health services that meet the guidelines are covered by Medicare
at ____%.

A

100%

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10
Q

Responses to specific OASIS questions are

organized into 3 domains:

A
  • Clinical and Functional Severity

* Service Utilization (Therapy)

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11
Q

(Greater/lesser) Medical Complexity = More

Reimbursement

A

Greater

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12
Q

True or false; OASIS is part of Medicare COP

A

True

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13
Q

True or false; OASIS is a tool for collection of data but has no role in payments

A

False, Data generated from this instrument will drive reimbursement

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14
Q

What is the Centers for Medicare (CMS) system for measuring patient outcomes?

A

OASIS

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15
Q

What does OASIS stand for?

A

Outcomes Assessment Information Set

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16
Q

True or false; Therapist can become certified specialist in

OASIS

A

True

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17
Q

What are the OASIS functional status domains?

A
  • Dressing upper body
  • Dressing lower body
  • Bathing
  • Toileting
  • Transferring
  • Ambulation/Locomotion
  • Ability To Self Manage Injectable Medications
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18
Q

When is required for a direct meeting between Patient and Physician/Non-Physician Practitioner?

A

60 Days Prior To OR 30 Days Following Home Care Admission

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19
Q

What is a good measure of patient satisfaction?

A

Consumer
Assessment of
Healthcare Providers
and Systems (CAHPS)

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20
Q

Who does medicare cover at home?

A
  • Pts. > 65 years of age
  • Disabled regardless of age
  • Those with end stage renal disease
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21
Q

True or false; medicare will not pay for prevention and screenings

A

False; Medicare has seen the light, and started

paying for prevention and screening

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22
Q

What does Medicare part A cover?

A

– Hospital
– Home Care
– Nursing home *
– Hospice insurance

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23
Q

How many days will medicare part A cover in a rehab facility/ nursing home?

A

100 days. The first 20 are 100% covered, then the next are 80%

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24
Q

What does medicare part B cover?

A

– MD visits
– Ambulance transport
– Home medical equipment
– Outpatient services

25
Q

Medicare part __ has an 80% deductible

A

B

26
Q

True or false; medicare part A has no deductibles

A

False- first day

27
Q

Medicare Part __ is the part of Medicare policy that allows private health insurance companies to provide Medicare benefits.

A

C

28
Q

Medicare private health plans, such as HMOs and PPOs, are known as …

A

Medicare Advantage plans.

29
Q

Medicare part ___ covers prescriptions

A

D

30
Q

Who is eligible for medicare part D?

A

Any medicare beneficiary

31
Q

True or false; in order to receive homecare, a patient must be unable to leave their home at all

A

False

32
Q

What are the criteria for homebound status?

A
  • Considerable and taxing effort to get out
  • Absences from home are of short duration or medical treatment
  • Require the aid of supportive devices, special transport or assistance of another person
33
Q

What are the 6 pillars for Vision 2020?

A 
● Autonomy 
● Professionalism 
● Direct Access 
● The Doctor of Physical Therapy 
● Evidence-Based Practice 
● Practitioner of Choice
34
Q

What is windshield time?

A

Time between visits

35
Q

What are the benefits and uses for effective documentation?

A

• Reflects care provided secondary to this visit specifically
• Serves as a basis for coverage and reimbursement
• Protects the therapist and agency from alleged malpractice or fraud
• Allows for data collection
• Supports quality care and recognizes quality is in the details
• Validates the standardization of care and care practices
• Acts as a basis for reviews related to the quality of care, reimbursement and
documentation

36
Q

Medicare non-coverage notices requires that a patient is given formal
notification of discharge at least _____ before ending.

A

2 days

37
Q

True or false; Patients have a right to appeal a discharge from home health services

A

True

38
Q

Which tests assess strength?

A

– 5 Times Sit to Stand

– 30 Second Sit to Stand

39
Q

What does functional reach assess?

A

Assessing Upper Extremity Gross Function

40
Q

How do you assess cardiovascular endurance?

A

– 2 Minute Step Test

– 2, 4, 6 Minute Walk Test

41
Q

Which test might you use to assess agility?

A

4 square test

42
Q

Which tests assess balance?

A

– Berg Balance Scale
– Dynamic Gait Index
– Tinetti

43
Q

Which test might you use to assess cognition?

A

– Mini-mental status exam

– Montreal Cognitive Assessment (MoCA)

44
Q

Which test might be used to assess functional activities?

A

Barthel Index

45
Q

True or false; PTs come up with goals with thee doctor for the patient

A

False-ish. Develop goals with the PATIENT and with the team

46
Q

What must a good goal be?

A

● Measurable
● Function related
● Achievable

47
Q

When do you start establishing discharge plans for homecare?

A

DAY1

48
Q

True or false; telehealth isn’t efficient and it is expensive, unreliable equiptment

A

False, it saves money

49
Q

___________ is a collection of individuals bringing together varied demographic, cultural, intellectual, and philosophical differences.

A

Diversity

50
Q

Average American reads at an _________ level.

A

8th grade

51
Q

___/5 Americans are functionally illiterate.

A

1/5

52
Q

What is a generation?

A

A group of people of the same age range who tend to hold shared interest and attitudes. These shared values are the product of witnessing historical and cultural events in one’s formative years.

53
Q

When were traditionalists born?

A

1922-1943

54
Q

When were boomers born?

A

1943 and 1965

55
Q

When was generation X born?

A

1965 and 1977

56
Q

Which is the first generation to understand technology?

A

X

57
Q

When was Generation Y born?

A

1977 and 1999

58
Q

Which standards call for the use of a translator to bridge a language gap?

A

CLAS standards

PT Practice 4 (13 decks)

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