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HCD II > week 6 > Flashcards

week 6 Flashcards

1
Q

who might a PT supervise in practice

A
  • PTA, physical therapist assitant
  • otherwise regulated professionals (massage therapists, ATs)
  • aides
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2
Q

general supervision

A

means the physical therapist is not
required to be on site for direction and supervision, but
must be available at least by telecommunications.

PTA

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3
Q

direct supervision

A

means the physical therapist is
physically present in the same physical building

aides and all otherwise regulated professionals

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4
Q

immediate supervision

A

means the physical therapist is
physically present or immediately available in the same
physical building to support the individual being
supervised.

students

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5
Q

how do we determine which law/rule to follow?

A
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6
Q

who is the only approved support for the PT under medicare part B

A

PTA
no aides

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7
Q

what is non-delegatable that a PT can do that a PTA or others cannot?

A
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8
Q

how many people can a PT supervise at one time?

A

4

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9
Q

what does sunset/sunrise process

A
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10
Q

joint goals of PT and PTA programs

A
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11
Q

what can PTs and PTAs do when it comes to wound care

A
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12
Q

can PTAs perfrom joint mobilizations?

A
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13
Q

what factors are considered when determing delegation to a PTA?

A
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14
Q

what factors would lead to a PTA to consult with a PT earlier than planned ?

A
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15
Q

is the APTA and federation of state board of PT a part of DORA

A

no
they are private non profit organizations

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16
Q

what may occur with disciplinary actions?

A
17
Q

types of dismissals

A
  • complete dismissal
  • dismissal with confidenntial letter of concern
18
Q

types of discipline

A
  • admonishment
  • probation/practice limitayion
  • suspension
  • recovation/surrender of license
19
Q

admonishment

A

aka letter of admonition
- letter admonishes the licensee for their conduct and warns them that repetition could lead to further disciplinaryy matter
- this is a public censure

20
Q

probation/practice limitation

A

a time period where practice is closely monitored during a specific time period.
the length and terms of probation are determined by the Board after review of the complaint/investigation
possible terms of prbations:
- practice monitors
- courses in areas of deficiency
- outside note reviews are all possibilities

21
Q

suspension

A

the license is suspended for a perio of time and terms must be met before the licensee can return to work

22
Q

revocation

A

most severe form of penalty
takes license away completely

23
Q

fraud

A

intential deception or intentional misrepresentation that a provider makes to gain a benefit for which that provider is not entilted

24
Q

abuse

A

payment for items or services when there is no legal entitlement to that payment and the provider has NOT knowingly and/or intentionally misrepresented facts to obtain payment

25
Q

waste

A

overutilization of services or other practices that directly or indirectly result in unnecessary costs to the health care system. not criminally negligent actions but by payment erros (improper payments) or misuse of resources

  • due to the complexity of the system, waste is much more common than fraud of abuse
26
Q

types of fraud and abuse laws (federal)

A
  • false claims act
  • safe harbors
  • anti-kickback statute
  • physician self referral law
  • exclusion statue
  • hipaa
27
Q

false claims act

A
28
Q

safe harbors

A

not subject to statute because they are “unlikely to result in fraud or abuse”

describe conduct that is explicitly permissible - conduct is fully protected from liability under the stature

29
Q

anti-kickback statute

A
ex: Jeff is a physical therapist and is looking for office space. Dr. Hollander offers Jeff rental space in his office for $2,500 a month for 400 square feet under a one year contract. Dr. Hollander often refers patients to Jeff if the rent is normal and not skewed to be cheaper, then this is fine. if the rent would have been lower than market price and the dr would send pts here, then this is kickback
30
Q

when is rental of office space from a physcian ok

A
31
Q

physician lunches

A
32
Q

physical self referral law “STARK”

A
33
Q

in office ancillary services (IOAS) under STARK is an example of what

A

safe harbor

34
Q

exclusion statute

A
35
Q

hipaa

A

HCD II (16 decks)

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