NBCOT Prep: OT Process question with correct answers 2023

NBCOT Prep: OT Process question with correct answers 2023What are two other terms for referral? - correct answer consultation and an order While anyone can refer themselves or others to occupational therapy services, the ability of the OT to act upon the referral is determined by ________? - correct answer state licensure laws and/or third party reimburses What are the differences between a screening and an evaluation? - correct answer A screening is the acquisition of information to determine the need for an in depth evaluation and to obtain a preliminary understanding of the individual's needs, limitations, assets, and resources. Screening procedures are usually brief and easy to administer. Screening tools include chart review, checklists, structured observations, and brief interviews. An evaluation is the comprehensive process of obtaining and interpreting the data necessary to understand the individual, system, or situation. Procedures include - obtaining PLOF - determining the appropropriate standardized or non-standardized assessments (considering PLOF, environmental context of assessment and of client, temporal context, compatibility with frame of reference, ethical concerns) - administer and score the assessment according to protocols, guidelines - interpret the results in relation to the framework (integrate referral, screening, and diagnostic information) - collaborate with the ct and team to obtain a broader picture - prioritize identified problems in collaboration with ct - document - refer to other professionals, as needed What are the types of interventions? - correct answer 1. prevention: designed to promote wellness, prevent disabilities and illness 2. meeting health needs: designed to satisfy inherent, universal human needs (safety, balance, sexual, mastery, etc.) 3. the change process: designed to achieve behavioral changes and functional outcomes 4. management: designed to reduce or minimize disruptive or undesirable behavior that interfere with therapeutic activities 5. maintenance: designed to support and preserve the individual's current functional level Who is eligible for Medicare? - correct answer - most adults age 65 or older - some people with disabilities younger than 65 - people who have end-stage renal disease What are the general requirements for OT reimbursement under Medicare? - correct answer 1. a physician must provide a referral 2. services are provided following a written care plan that is approved and signed by the physician 3. services are performed by qualified OTs or OTAs 4. Services must be skilled and require the knowledge and expertise of OT practitioners 5. the amount, duration, and intensity of the services must be "reasonable and necessary" for the ct's condition Medicare Part A is considered the "hospital insurance" part. What does it cover? - correct answer expenses for inpatient stays in hospitals, short-term stays in SNFs, hospice, some services in home health Medicare Part B is considered the "supplementary medical insurance" part. What does it cover? - correct answer costs for outpatient care, some home health services, and some supplies and equipment (not the adaptive equipment needed) *generally, most people must pay a premium each month *CPT codes What is Medicare Part C? - correct answer offered by a private company that contracts with Medicare, OTs need to check specific policy requirements to determine coverage What is Medicare Part D? - correct answer prescription drug coverage During the evaluation phase, what are the roles of the OT and COTA? - correct answer - the OT performs the evaluation and directs all parts of the process - the OT interprets the data and creates an intervention plan - the COTA may contribute to the eval process by performing delegated assessments and delivering reports of observations and ct capacities to OT - the OT analyzes the feedback from the COTA and incorporates it