PTHA 1409 Exam 3 Questions with Correct
Detailed Answers | Physical Therapist Assistant
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Define: fee scheduling
CORRECT ANSWER:
A fee schedule is a comprehensive listing of fees that Medicare or
other payers use to reimburse healthcare providers and suppliers
for specific items or services. This listing sets the maximum
Define: diaphoresis
CORRECT ANSWER:
Profuse/excessive perspiration (sweating)
Define: orthostatic hypotension
CORRECT ANSWER:
A fall in blood pressure associated with dizziness, syncope, and
blurred vision that occurs on standing or while standing motionless
in a fixed position
Define: contractures
CORRECT ANSWER:
Shortening or tightening of the skin, muscle, fascia, or joint capsule
that prevents normal movement or flexibility of involved structure
,Define: transfer
CORRECT ANSWER:
The moving of a patient from one surface to another
What are the major classifications of health insurance companies?
CORRECT ANSWER:
HMO (health maintenance organization) - prepaid healthcare
program of a group practice that provides comprehensive medical
care, especially preventative care, whose main goal is to control
healthcare expenditures
PPO (preferred provider organization) - similar to HMO; allows
patients to choose out-of-network providers but will not pay 100% of
those charges
POS (point of service) - allows patients to choose using between in-
network and out-of-network providers; patient pays less for in-
network and may be required to pay more for out-of-network
What are the levels of assist and associated percentages
CORRECT ANSWER:
Minimum (min) assist - patient performs 75% or more of activity
Moderate (mod) assist - patient performs 50% - 74% of activity
Maximal (max) assist - patient performs 25% - 49% of activity
Define: copayment
CORRECT ANSWER:
Fee that the policyholder/patient is required to pay for specific health
services at the time of service
Define: deductible
CORRECT ANSWER:
,Predetermined dollar amount a policyholder must pay out of pocket
before their health insurance coverage begins
Define: productivity
CORRECT ANSWER:
The quality, state, or fact of being able to generate, create, enhance,
or bring forth goods and services; The expectation of clinicians to
produce a given number of billable treatment units per unit of time
worked.
Examples:
Quality / cost + patient experience.
Productivity percentage = Actual billed units (such as hours, visits,
or relative value units) / potential billed units.
Rate of units (such as billable time, patients seen, number of
visits/evals, or revenue) generated per a given amount of time.
Define: diagnostic related group (DRG)
CORRECT ANSWER:
Patient classification system that standardizes prospective
reimbursement for hospital inpatient services by grouping clinically
similar cases that consume similar resources
Define: skilled and medically necessary
CORRECT ANSWER:
Short-term, intensive care treatments ordered by a doctor that must
be performed by licensed professionals (e.g., nurses, therapists) to
treat an illness or injury
How often does equipment need to be inspected?
, CORRECT ANSWER:
At least annually; may be more often depending on clinic policy
What are the 4 factors to consider when purchasing equipment for a
physical therapy department?
CORRECT ANSWER:
Types
Variety
Quantity
Maintenance
Explain the purpose of an organizational chart-what is it and who is
listed?
Describe the process for an employee involved in a grievance
procedure.
When is an incident report needed and what needs to be included on
it?
CORRECT ANSWER:
Filed whenever an accident (medical or
otherwise) occurs; must be completed with in
a set number of days.
Incident Report Must Include:
1. What happened
2. Who was involved
3. Who witnessed it
4. What was done afterwards
List and explain five benefits of the interdisciplinary team approach.
CORRECT ANSWER:
Detailed Answers | Physical Therapist Assistant
Study Guide |100% Guarantee Pass, Updated and
Verified |Latest Exam and Brand new Version|
Newest Version!!!
Define: fee scheduling
CORRECT ANSWER:
A fee schedule is a comprehensive listing of fees that Medicare or
other payers use to reimburse healthcare providers and suppliers
for specific items or services. This listing sets the maximum
Define: diaphoresis
CORRECT ANSWER:
Profuse/excessive perspiration (sweating)
Define: orthostatic hypotension
CORRECT ANSWER:
A fall in blood pressure associated with dizziness, syncope, and
blurred vision that occurs on standing or while standing motionless
in a fixed position
Define: contractures
CORRECT ANSWER:
Shortening or tightening of the skin, muscle, fascia, or joint capsule
that prevents normal movement or flexibility of involved structure
,Define: transfer
CORRECT ANSWER:
The moving of a patient from one surface to another
What are the major classifications of health insurance companies?
CORRECT ANSWER:
HMO (health maintenance organization) - prepaid healthcare
program of a group practice that provides comprehensive medical
care, especially preventative care, whose main goal is to control
healthcare expenditures
PPO (preferred provider organization) - similar to HMO; allows
patients to choose out-of-network providers but will not pay 100% of
those charges
POS (point of service) - allows patients to choose using between in-
network and out-of-network providers; patient pays less for in-
network and may be required to pay more for out-of-network
What are the levels of assist and associated percentages
CORRECT ANSWER:
Minimum (min) assist - patient performs 75% or more of activity
Moderate (mod) assist - patient performs 50% - 74% of activity
Maximal (max) assist - patient performs 25% - 49% of activity
Define: copayment
CORRECT ANSWER:
Fee that the policyholder/patient is required to pay for specific health
services at the time of service
Define: deductible
CORRECT ANSWER:
,Predetermined dollar amount a policyholder must pay out of pocket
before their health insurance coverage begins
Define: productivity
CORRECT ANSWER:
The quality, state, or fact of being able to generate, create, enhance,
or bring forth goods and services; The expectation of clinicians to
produce a given number of billable treatment units per unit of time
worked.
Examples:
Quality / cost + patient experience.
Productivity percentage = Actual billed units (such as hours, visits,
or relative value units) / potential billed units.
Rate of units (such as billable time, patients seen, number of
visits/evals, or revenue) generated per a given amount of time.
Define: diagnostic related group (DRG)
CORRECT ANSWER:
Patient classification system that standardizes prospective
reimbursement for hospital inpatient services by grouping clinically
similar cases that consume similar resources
Define: skilled and medically necessary
CORRECT ANSWER:
Short-term, intensive care treatments ordered by a doctor that must
be performed by licensed professionals (e.g., nurses, therapists) to
treat an illness or injury
How often does equipment need to be inspected?
, CORRECT ANSWER:
At least annually; may be more often depending on clinic policy
What are the 4 factors to consider when purchasing equipment for a
physical therapy department?
CORRECT ANSWER:
Types
Variety
Quantity
Maintenance
Explain the purpose of an organizational chart-what is it and who is
listed?
Describe the process for an employee involved in a grievance
procedure.
When is an incident report needed and what needs to be included on
it?
CORRECT ANSWER:
Filed whenever an accident (medical or
otherwise) occurs; must be completed with in
a set number of days.
Incident Report Must Include:
1. What happened
2. Who was involved
3. Who witnessed it
4. What was done afterwards
List and explain five benefits of the interdisciplinary team approach.
CORRECT ANSWER:
