Brainscape's Knowledge GenomeTM

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


See full index

Intro to Sublux > Midterm Medicare and Posture Analysis > Flashcards

Midterm Medicare and Posture Analysis Flashcards

1
Q

What are the three components required in order to establish medical necessity for medicare to cover manual manipulation of the spine to correct a subluxation?

A

presence of a subluxation that causes a significant neuromusculoskeletal condition, documentation of the subluxation, and documentation of the initial and subsequent visits

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

If a subluxation is documented by physical examination what 4 component system must be used (for medicare)?

A

PART system

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

What are the meanings behind the letters of the PART acronym?

A

P - pain and tenderness, A - asymmetry/misalignment, R - range of motion abnormality, and T - Tissue, tone changes

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

Other than relevant history of patient’s condition, evaluation by physical exam, and diagnosis, what documentation is required at a patient’s initial visit?

A

treatment plan and date of initial treatment

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

What documentation is required at subsequent visits?

A

History, physical examination, treatment given, and any changes to treatment plan (PHAT)

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

What is included in documenting a patient’s history?

A

review of chief complaint, improvement/regression since last visit, and a system review if relevant

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

When using the PART system, what are the 5 different methods to assess P?

A

observation, percussion/palpation/provocation, visual analog type scale, audio confirmation and/or pain questionnaires

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

When using the PART system, what are the 3 methods to assess A?

A

observation, static/dynamic palpation, and/or diagnostic imaging

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

When using the PART system, what are the 4 methods to assess R?

A

observation, motion palpation, stress diagnostic imaging, and/or range of motion measuring devices

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

When using the PART system, what are the 4 methods to assess T?

A

observation, palpation, use of instrumentation, and/or tests for lengths/strength

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

When documenting the patient’s pain during examination using observation as the method to document P, what 3 aspects of pain should be documented?

A

location, quality, and severity

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

When documenting pain and tenderness, you ask the patient “let me know if any of this causes discomfort.” What method of assessing “P” are you using?

A

Percussion/palpation/provocation

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

When you observe a patient’s posture or gait, what component of the PART system are you assessing?

A

A (asymmetry/misalignment) via observation

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

What 3 methods of imaging are accepted for assessing the A or PART?

A

x-ray, CAT scan, and MRI

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

If you take x-rays of the patient using bending views, what method are you using to assess R of PART?

A

stress diagnostic imaging

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

What are goniometers and inclinometers used for?

A

measuring range of motion

17
Q

What visible changes could be documented when assessing T of PART?

A

signs of spasm, inflammation, swelling, rigidity, etc

18
Q

When documenting leg length, scoliosis contracture, and strength of muscles that relate, what component of PART is being assessed?

A

T (tissue, tone changes) via Tests for length and strength

19
Q

T/F: adjustments for maintenance are covered by Medicare.

A

False; only therapeutic adjustments are covered

20
Q

When performing a postural analysis, what 3 things should be assessed while in an Anterior view?

A

Global List, Head Tilt, and Thoracic Tilt

21
Q

What landmarks should be used when assessing Global Tilt from an anterior view?

A

Sternum-baseline

22
Q

What landmarks should be used when assessing head tilt from an anterior view?

A

glabella-nose-chin

23
Q

What landmarks should be used when assessing a thoracic tilt from an anterior view?

A

AC joints

24
Q

What two assessments of a postural analysis can never be described as neutral but rather NAD/WNL?

A

Thoracic kyphosis and lumbar lordosis

25
Q

What does NAD/WNL mean?

A

no abnormalities detected/within normal limits

26
Q

What 5 things should be assessed from a lateral view during a posture analysis?

A

global list, head carriage, thoracic kyphosis, thoracic rotation, and lumbar lordosis

27
Q

What are the landmarks for Global list from a lateral view?

A

AC-baseline

28
Q

Landmarks for head carriage from a lateral view?

A

EAM-AC

29
Q

Landmarks for thoracic rotation during lateral view?

A

back-chest prominence

30
Q

What 6 assessments should be made from a posterior view during a postural analysis?

A

Head rotation, head translation, scoliosis, scapulae, pelvic tilt, and pelvic rotation (HH SS PP)

31
Q

Landmarks for head rotation from posterior view?

A

facial prominence

32
Q

landmarks for head translation during posterior view?

A

EOP-VP

33
Q

landmarks for scoliosis?

A

spinous processes

34
Q

landmark for pelvic tilt?

A

crests/psis’s

35
Q

landmarks for pelvic rotation?

A

gluteal prominence

Intro to Sublux (3 decks)

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