OT 501 Module 1: Inpatient Acute Care (Adult Physical
Rehab) Exam With Complete Solutions
coding system used in the US - ANSWER ICD-10-CM
Medicare Part A - ANSWER -hospital insurance
-earned benefit
-requires no premium when eligible
-100 day benefit period that can be renewed through entire life
-psychiatric care: 190 day benefit period for entire life
Medicare Part B - ANSWER -medical insurance
-voluntary
-requires paid premium (scaled based on income) and paid deductible
-covers other out-of-pocket costs
-once the deductible for the year has been met, Medicare covers 80% of the cost,
patient covers 20% of cost
Medicare Part C - ANSWER -Medicare advantage plans (e.g., HMO, PPO)
-run by private companies (limited to providers on your plan, depends on the plan you
choose)
-premium will possibly lower co-pays
-covers what's covered in Parts A and B, and possibly other services depending on plan
-to be eligible, must have Parts A and B, and not have end-stage renal disease (ESRD)
Medicare Part D - ANSWER -Medicare prescription drug coverage
-run by contracted private companies (what's covered depends on the plan)
-must register for the plan 3 months before turning 65 to be qualify
,-"donut hole" (coverage gap): after you and the company have paid a certain amount for
covered drugs, you're reponsible for all out-of-pocket costs for drugs (up to a limit)
documentation for Medicare reimbursement - ANSWER -demonstrate progress
-document that client remains weak, sick, has limitations and that care is still needed
-patient is making significant, functional gains
-Medicare does reimburse for skilled service, including maintenance
-service must be reasonable and necessary
list of documentation requirements - ANSWER 1. referral from a qualified source
2. evaluation and re-evaluation
3. intervention plan
4. certifications and re-certifications
5. treatment notes
6. progress reports
7. discharge summary
OT settings for adult physical rehab - ANSWER 1. inpatient (short-term acute hospital,
inpatient rehab facility, skilled nursing facility)
2. outpatient (hospital, outpatient clinic, private outpatient clinic, free-standing clinic,
comprehensive outpatient rehab facility, day treatment programs)
3. home health
4. hospice
cognition - ANSWER -information processing (take in, organize, assimilate, integrate)
-learning
-generalization
, foundational cognitive functions - ANSWER 1. orientation
2. attention
3. memory
orientation - ANSWER -person
-place
-time
-circumstance
-disorientation to time and place is most common
attention - ANSWER -sustained
-selective
-divided
-alternating
memory - ANSWER -sensory registers
-short-term memory
-long-term memory
-declarative vs. procedural memory
foundational visual functions - ANSWER 1. visual acuity
2. visual fields
3. oculomotor control
visual acuity - ANSWER -ability to respond to stimuli on all parts of the retina
-ability for the eyes to to make out what's seen sharp and clear
Rehab) Exam With Complete Solutions
coding system used in the US - ANSWER ICD-10-CM
Medicare Part A - ANSWER -hospital insurance
-earned benefit
-requires no premium when eligible
-100 day benefit period that can be renewed through entire life
-psychiatric care: 190 day benefit period for entire life
Medicare Part B - ANSWER -medical insurance
-voluntary
-requires paid premium (scaled based on income) and paid deductible
-covers other out-of-pocket costs
-once the deductible for the year has been met, Medicare covers 80% of the cost,
patient covers 20% of cost
Medicare Part C - ANSWER -Medicare advantage plans (e.g., HMO, PPO)
-run by private companies (limited to providers on your plan, depends on the plan you
choose)
-premium will possibly lower co-pays
-covers what's covered in Parts A and B, and possibly other services depending on plan
-to be eligible, must have Parts A and B, and not have end-stage renal disease (ESRD)
Medicare Part D - ANSWER -Medicare prescription drug coverage
-run by contracted private companies (what's covered depends on the plan)
-must register for the plan 3 months before turning 65 to be qualify
,-"donut hole" (coverage gap): after you and the company have paid a certain amount for
covered drugs, you're reponsible for all out-of-pocket costs for drugs (up to a limit)
documentation for Medicare reimbursement - ANSWER -demonstrate progress
-document that client remains weak, sick, has limitations and that care is still needed
-patient is making significant, functional gains
-Medicare does reimburse for skilled service, including maintenance
-service must be reasonable and necessary
list of documentation requirements - ANSWER 1. referral from a qualified source
2. evaluation and re-evaluation
3. intervention plan
4. certifications and re-certifications
5. treatment notes
6. progress reports
7. discharge summary
OT settings for adult physical rehab - ANSWER 1. inpatient (short-term acute hospital,
inpatient rehab facility, skilled nursing facility)
2. outpatient (hospital, outpatient clinic, private outpatient clinic, free-standing clinic,
comprehensive outpatient rehab facility, day treatment programs)
3. home health
4. hospice
cognition - ANSWER -information processing (take in, organize, assimilate, integrate)
-learning
-generalization
, foundational cognitive functions - ANSWER 1. orientation
2. attention
3. memory
orientation - ANSWER -person
-place
-time
-circumstance
-disorientation to time and place is most common
attention - ANSWER -sustained
-selective
-divided
-alternating
memory - ANSWER -sensory registers
-short-term memory
-long-term memory
-declarative vs. procedural memory
foundational visual functions - ANSWER 1. visual acuity
2. visual fields
3. oculomotor control
visual acuity - ANSWER -ability to respond to stimuli on all parts of the retina
-ability for the eyes to to make out what's seen sharp and clear
