quiz 3 Flashcards
Payment : NPI
National Provider Info
Payment: PPS
Prospective Payment System- methods of payment for healthcare service
Clinical Pathway
standardized interventions protocol for specific diagnosis
CMS
centers for medicare and medicaid services
Diagnosis Code
code that describes medical reason for conditions for services
DRG
Diagnositic Related Groups- CMS categories that determines level of payment
- Resource Utilization Groups-
levels of care are classified to be used for reimbursement purpose in skilled nursing facilities
DME
Durable medical Equipment
Managed Care-
Method of maintaining control over healthcare costs, include HMO’s and PPO’s
Beneficence
Occupational therapy personnel shall demonstrate a concern
for the safety and well-being of the recipients of their services.
• Includes:
• Providing services in a fair and equitable manner.
• Fair and reasonable fees for services.
• Responsibility to promote public health, well-being, and health
literacy.
• Advocacy efforts to promote for needed services.
Nonmaleficence
Occupational therapy personnel shall intentionally refrain from actions that cause harm.
• Includes:
• Maintain a professional relationship & boundaries.
• Do not exploit the recipient of services
• Financially, physically, emotionally, etc.
• Relationships do not interfere with professional judgment
• Undue influences that may compromise provision of services
• Avoid harm
• Address personal problems that may affect performance
• Bring concerns regarding colleagues to appropriate authorities.
Autonomy & Confidentiality
Occupational therapy personnel shall respect the right of the
individual to self-determination
• Includes:
• Collaboration on goals and interventions with the recipient.
• Informed consent for research
• Respect for recipients right to refuse services, research or
educational activities
• Respect confidential information
Social Justice
Occupational therapy personnel shall provide services in a fair
and equitable manner
• Includes:
• Taking responsibility for educating the public about the value of
OT
• Promote activities that benefit the community
• Advocate for fair and just treatment for all patients, clients,
employees, and colleagues.
• Encourage employees and colleagues to maintain high standards.
• Advocate for needed services.
Procedural Justice
Occupational therapy personnel shall comply with institutional
rules, local, state, federal, and international laws and
Association documents applicable to the profession of
occupational therapy.
• Includes:
• Awareness of local, state, and federal laws
• Be familiar with the Code of Ethics Standards.
• Hold appropriate national, state, and other credentials.
• Work with employers to prevent discrimination and unfair labor
practices.
Veracity
Occupational therapy personnel shall provide comprehensive,
accurate, and objective information when representing the
profession.
• Includes:
• Credentials, competency, education, qualifications should be
represented accurately.
• Conflict of interest shall be disclosed
• Refrain from false statements in communication
• Errors that jeopardize safety shall be disclosed
• Accept responsibility for actions that reduce public trust in OT