Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Documentation > Lecture 1 > Flashcards

Lecture 1 Flashcards

1
Q

Function of documentation

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Who controls Documentation?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ASBOT

A

Makes you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

AOTA

A

Ideas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

NBCOT

A

Testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ACOTE

A

Have to

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Documentation Process:

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Be aware of

A

Tone, slang, First person language, Gender specific pronouns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Issues with technology

A

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

Situation Background Assessment Recommendation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Types of insurance

A

Indemnity insurance
HMO/MCO
Medicare
Cash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Indemnity insurance

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HMO or MCO

A

health maintenance, managed care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Medicare

A

Funded by state or federal govt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cost of policy

A

Premium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

A

Deductible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Portion you pay for service despite deductible

A

Copay

17
Q

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

A

Indemnity programs

18
Q

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

A

HMO and MCO

19
Q

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

A

Medicare

20
Q

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

A

Part A

21
Q

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

A

Part B

22
Q

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

A

Part D

23
Q

Prospective pay system was based on diagnosis related groups

This lead to quicker D/C from inpatient facilities

A

PPS

24
Q

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

A

BBA of 1997

25
Q

BBA applies to

A

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

26
Q

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

A

Medicaid

27
Q

OT regulations

A

NBCOT, State licensure, ALOTA/AOTA

28
Q

Commission on accreditation of rehab facilities

A

CARF

29
Q

national commision for quality assurance

A

Healthcare organizations NCQA

30
Q

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

A

WHO

31
Q

Current procedural terminology

A

CPT

32
Q

The efficiency and acceptability of the performance

A

Adequacy

33
Q

Implies a minimum of effort, usually relates to difficulty

Can assess level of independence

A

Efficiency

34
Q

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

A

FSI

35
Q

Focus on academic

A

School

36
Q

SBAR

A

Situation Background Assessment Recommendation

Documentation (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions