Study for Quiz 1

Question 1

What is the set amount of money paid out of pocket before using health insurance benefits

Answer 1

deductible

Question 2

Set amount of money a client must pay when they come to health care visit including occupational therapy

Answer 2

co-pay

Question 3

Money a client pays for a health care service including OT, based on a percentage of the cost (often 20%)

Answer 3

coinsurance

Question 4

What is true about ICD-10?

a.
Created by AMA to standardize codes for treatment

b.
Created by WHO to standardize codes for treatment

c.
Created by WHO to standardize codes for diagnosis

d.
Created by AMA to standardize codes for diagnosis

Answer 4

C.

Question 5

What was the purpose of the first private healthcare insurance?

Answer 5

provide care for injured workers

Question 6

What is the purpose of Utilization Guidelines in Workers Compensation Benefits?

Answer 6

To use evidence based practice to reduce disability and time away from work

Question 7

Is providing occupational therapy today to ensure maintenance of function considered “skilled” care according to Medicare?

Answer 7

Yes

Question 8

Vocational Rehabilitation is intended mainly for a person injured on the job and receiving Workers Compensation benefits.

Answer 8

false

Question 9

CHIP

Answer 9

for low income child

Question 10

Commercial

Answer 10

employer funded

Question 11

Medicare

Answer 11

for elderly

Question 12

Medicaid

Answer 12

state and federal government funded

Question 13

in insurance who is the 1st party?, 2nd party? and 3rd party?

Answer 13

1. provider
2. insurance company
3. patient

Question 14

True or False: When using telehealth, if the occupational therapist is licensed in both Massachusetts and New York, then the OT is able to provide OT services where the client is located in Massachusetts.

Answer 14

T