PTHA 1409 EXAM 3 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Define: diaphoresis
Answer:
Profuse/excessive perspiration (sweating)
Question:
2. Define: orthostatic hypotension
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
Question:
3. Define: contractures
Answer:
Shortening or tightening of the skin, muscle, fascia, or joint capsule that prevents normal movement or
flexibility of involved structure
Question:
4. Define: transfer
Answer:
The moving of a patient from one surface to another
Question:
5. What are the levels of assist and associated percentages?
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
Question:
6. Define: copayment
Answer:
Fee that the policyholder/patient is required to pay for specific health services at the time of service
Question:
7. Define: deductible
Answer:
Predetermined dollar amount a policyholder must pay out of pocket before their health insurance coverage
begins
Question:
8. Define: productivity
, 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.
Question:
9. Define: diagnostic related group (DRG)
Answer:
Patient classification system that standardizes prospective reimbursement for hospital inpatient services by
grouping clinically similar cases that consume similar resources
Question:
10. Define: fee scheduling
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 amount that will be
paid for a particular service or item, ensuring a standardized approach to payments
Question:
11. Define: skilled and medically necessary
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
Question:
12. How often does equipment need to be inspected?
Answer:
At least annually; may be more often depending on clinic policy
Question:
13. What are the major classifications of health insurance companies?
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
Question:
14. What are the 4 factors to consider when purchasing equipment for a physical therapy department?
CORRECT ANSWERS
Question:
1. Define: diaphoresis
Answer:
Profuse/excessive perspiration (sweating)
Question:
2. Define: orthostatic hypotension
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
Question:
3. Define: contractures
Answer:
Shortening or tightening of the skin, muscle, fascia, or joint capsule that prevents normal movement or
flexibility of involved structure
Question:
4. Define: transfer
Answer:
The moving of a patient from one surface to another
Question:
5. What are the levels of assist and associated percentages?
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
Question:
6. Define: copayment
Answer:
Fee that the policyholder/patient is required to pay for specific health services at the time of service
Question:
7. Define: deductible
Answer:
Predetermined dollar amount a policyholder must pay out of pocket before their health insurance coverage
begins
Question:
8. Define: productivity
, 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.
Question:
9. Define: diagnostic related group (DRG)
Answer:
Patient classification system that standardizes prospective reimbursement for hospital inpatient services by
grouping clinically similar cases that consume similar resources
Question:
10. Define: fee scheduling
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 amount that will be
paid for a particular service or item, ensuring a standardized approach to payments
Question:
11. Define: skilled and medically necessary
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
Question:
12. How often does equipment need to be inspected?
Answer:
At least annually; may be more often depending on clinic policy
Question:
13. What are the major classifications of health insurance companies?
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
Question:
14. What are the 4 factors to consider when purchasing equipment for a physical therapy department?
