quiz 3 Flashcards

1
Q

Payment : NPI

A

National Provider Info

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2
Q

Payment: PPS

A

Prospective Payment System- methods of payment for healthcare service

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3
Q

Clinical Pathway

A

standardized interventions protocol for specific diagnosis

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4
Q

CMS

A

centers for medicare and medicaid services

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5
Q

Diagnosis Code

A

code that describes medical reason for conditions for services

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6
Q

DRG

A

Diagnositic Related Groups- CMS categories that determines level of payment

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7
Q
  • Resource Utilization Groups-
A

levels of care are classified to be used for reimbursement purpose in skilled nursing facilities

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8
Q

DME

A

Durable medical Equipment

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9
Q

Managed Care-

A

Method of maintaining control over healthcare costs, include HMO’s and PPO’s

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10
Q

Beneficence

A

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.

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11
Q

Nonmaleficence

A

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.

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12
Q

Autonomy & Confidentiality

A

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

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13
Q

Social Justice

A

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.

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14
Q

Procedural Justice

A

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.

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15
Q

Veracity

A

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

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16
Q

Fidelity

A

Occupational therapy personnel shall treat colleagues and
other professionals with respect, fairness, discretion, and
integrity.
• Includes:
• Preserve confidential information about colleagues.
• Accurately represent qualifications, contributions and findings to
colleagues.
• Report any breaches of Code of Ethics to authorities.
• Avoid conflict of interest in employment and volunteer roles.
• Resolve interpersonal/organizational conflicts.
• Familiarity with handling ethics complaints, including AOTA,
licensure and certification boards