Lecture 1

Question 1

Function of documentation

Answer 1

Support intervention
Communication
Measure of quality/effectiveness/discharge Legal documentation

Question 2

Who controls Documentation?

Answer 2

Federal and state law Accreditation standards Company/institution AOTA and state licensure Payers

Question 3

ASBOT

Answer 3

Makes you

Question 4

AOTA

Answer 4

Ideas

Question 5

NBCOT

Answer 5

Testing

Question 6

ACOTE

Answer 6

Have to

Question 7

Documentation Process:

Answer 7

Referral, Evaluation, Int plan, Intervention, Reeval, d/c
USE THE WORD FUNCTION TO MAKE IT OT

Question 8

Be aware of

Answer 8

Tone, slang, First person language, Gender specific pronouns

Question 9

Issues with technology

Answer 9

Must follow HIPAA
Do not use personal email When using text follow

Situation Background Assessment Recommendation

Question 10

Types of insurance

Answer 10

Indemnity insurance
HMO/MCO
Medicare
Cash

Question 11

Indemnity insurance

Answer 11

Private pay insurance. Paid by individual, employer, not govt

Question 12

HMO or MCO

Answer 12

health maintenance, managed care

Question 13

Medicare

Answer 13

Funded by state or federal govt

Question 14

Cost of policy

Answer 14

Premium

Question 15

Amount you have to pay out of pocket before insurance kicks in

Answer 15

Deductible

Question 16

Portion you pay for service despite deductible

Answer 16

Copay

Question 17

Usually provided by employers: Usually paid partially by employer Can be purchased independently
EX: Blue cross, tricare, united health care

Answer 17

Indemnity programs

Question 18

Focused on prevention and health maintenance
Usually less expensive than indemnity plans
Has a “gatekeeper” that has to refer you: Primary Doc or OBGYN Works within a network
Rarely allows you to go out of network
Must have authorization prior to treatment
May have limit on visits or treatment dollars

Answer 18

HMO and MCO

Question 19

Falls under Social Security Act Covers those over 65
SSI disability
End stage renal disease

Answer 19

Medicare

Question 20

Hospitals, SNF, Home health, Hospice. No charge if you work 40 quarters and pay into it.

Answer 20

Part A

Question 21

Outpatient services, long term nursing, adaptive equipment, rehabilitation. Pt pays a premium.

Answer 21

Part B

Question 22

supplemental (patient pays) usually comes from other sources to pick up added cost

Answer 22

Part D

Question 23

Prospective pay system was based on diagnosis related groups

This lead to quicker D/C from inpatient facilities

Answer 23

PPS

Question 24

Passed to decrease the cost of Medical
Instituted a $1500 cap for OT and $1500 for PT/SLP for outpatients. This was changed in 2000, and the cap is now at $2230

Answer 24

BBA of 1997

Question 25

BBA applies to

Answer 25

PT private practice, Offices of physicians, Part B SNFs, Home health, Rehab agencies

Question 26

Developed to provide for the poor and uninsured Federal program, state managed Federal matches, state sets up and runs it. Varies from state to state

Answer 26

Medicaid

Question 27

OT regulations

Answer 27

NBCOT, State licensure, ALOTA/AOTA

Question 28

Commission on accreditation of rehab facilities

Answer 28

CARF

Question 29

national commision for quality assurance

Answer 29

Healthcare organizations NCQA

Question 30

World health organization. ICF (internal classification of function, disability, and health) Basis for ICD-10 (international classification for diseases and health problems)

Answer 30

WHO

Question 31

Current procedural terminology

Answer 31

CPT

Question 32

The efficiency and acceptability of the performance

Answer 32

Adequacy

Question 33

Implies a minimum of effort, usually relates to difficulty Can assess level of independence

Answer 33

Efficiency

Question 34

Functional status index, no difficulty, mild, moderate, severe difficulty

Answer 34

FSI

Question 35

Focus on academic

Answer 35

School

Question 36

SBAR

Answer 36

Situation Background Assessment Recommendation