PTHA 1409 EXAM 3 UPDATED 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
stand-ing or while standing motionless in a fixed posi-tion
Question:
3. Define: contractures
Answer:
Shortening or tightening of the skin, muscle, fas-cia, or joint capsule that prevents normal move-ment
or flexibility of involved structure
Question:
4. Define: transfer
Answer:
The moving of a patient from one surface to an-other
Question:
5. What are the levels of assist and asso-ciated 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 ser-vice
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 gen-erate, 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
pay-ments
Question:
11. Define: skilled and medically necessary
Answer:
Short-term, intensive care treatments ordered by a doctor that must be performed by licensed
pro-fessionals (e.g., nurses, therapists) to treat an ill-ness 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) - pre-paid 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 consid-er when purchasing equipment for a physical therapy
department?
Answer:
Types Variety Quantity Maintenance
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
stand-ing or while standing motionless in a fixed posi-tion
Question:
3. Define: contractures
Answer:
Shortening or tightening of the skin, muscle, fas-cia, or joint capsule that prevents normal move-ment
or flexibility of involved structure
Question:
4. Define: transfer
Answer:
The moving of a patient from one surface to an-other
Question:
5. What are the levels of assist and asso-ciated 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 ser-vice
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 gen-erate, 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
pay-ments
Question:
11. Define: skilled and medically necessary
Answer:
Short-term, intensive care treatments ordered by a doctor that must be performed by licensed
pro-fessionals (e.g., nurses, therapists) to treat an ill-ness 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) - pre-paid 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 consid-er when purchasing equipment for a physical therapy
department?
Answer:
Types Variety Quantity Maintenance
