HOSA PHYSICAL THERAPY QUESTIONS AND ANSWERS LATEST UPDATE

HOSA PHYSICAL THERAPY QUESTIONS AND ANSWERS LATEST UPDATE When was the ADA signed into law? July 26th, 1990 What is the term for action requiring significant difficulty or expense taking into consideration direct and net cost of accomodations, the facitilies financial resources, number of persons employed and impact of operations. Undue Hardship What is the term for an employer excluding a qualified individual from employment if they pose a direct threat to the health and safety of others in the work place. Must be supported by objective or medically supportable methods? Direct Threat What government agengies develop rules and regulations for the ADA Equal Employment Opportunity Commission (EEOC) and the Department of Justice (DOJ). What is managed care type of organization; contracts with selected doctors, hosptials and pharmacies to create a network of participating providers. You pay less if you use providers that belong to the plan's network. Preferred Provider Organization Health Maintenance Organization (HMO) A managed care type of insurance plan. Most restrictive. Patient's choose primary physician from within a network of physicians. All care must be coordinated by the primary physician. Either pay physicians a salary or set amount per patient. Must approve treatment you are about to receive. Pre-Authorization The process of obtaining coverage approval for a service or medication from the managed care plan Co-payment The portion of a fee for health care serves that is the responsibility of the patient Medical Necessity Legal term used to determine what services will be provided and paid for. Describes services that are consistent with a diagnosis, meets standards of good medical practice, and are not primarily for the convenience of the patient/provider. The American Physical Therapy Association National professional organization designed to foster advancements in physical therapy practice, research and education. Commission on Accreditation in Physical Therapy Education Serves the public by establishing and applying standards that assure quality and continues improvement in the level preparation of PTs and PTAs. Medicare A hospital visits Medicare B Outpatient Medicare C "medical insurance" Combination of both Medicare D Prescription drugs Medicare level that is; 720 minutes two separate therapists one therapy five days a week one therapy three days a week Ultra High Very High 500 minutes (34 units/8.3hrs) must be given therapy 5 days a week High 325 minutes (22 units/5.4 hrs) must average 4.3 total units/day Medium 325 minutes (22units/5.4hrs) must average 4.3 total units/day must be seen 5 days a week Low 45 minutes of therapy 3 units Patient must be treated 3 days minute 45 minutes of therapy -restorative nursing provides atleast two activties daily during at least 6 days week Standards of Ethical Conduct: Standard #1 Physical therapist assistants shall respect the inherent dignity and rights of all individuals Standards of Ethical Conduct: Standard #2 Physical therapist assistants shall be trustworthly and compassionate in addressing the rights and needs of patients/clients Standards of Ethical Conduct: Standard #3 Physical therapist assistants shall make sound decisions in collaboration with the physical therapist and within the boundaries established by laws and regulations Standards of Ethical Conduct: 4 Physical therapists assistants shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, other health care providers employers, payers, and to the public Standards of Ethical Conduct: #5 Physical therapist assistants shall fulfill their legal and ethical obligations Standards of Ethical Conduct: Standard 6# Physical Therapy assistants shall enhance their competence through the lifelong acquisition and refinement of knowledge, skills and abilities Standards of Ethical Conduct: Standard #7 Physical therapy assistants shall support organizational behaviors and business practices that benefit patients/clients in society Standards of Ethical Conduct: Standard #8 Physical therapist assistants shall participate in efforts to meet the health needs of people locally, nationally, or globally. Standards of Conduct: 4E physical therapist assistant shall not engage in any sexual relationship with any of their patients/clients, supervisees or students Standards of Conduct: 1A Physical therapist assistants shall act in a respectful manner toward each person regardless of age, gender, race, nationality, regligion, ethnicity, social or economic status, sexual orientation, health condition or disability Standards of Conduct: 2A PTA shall act i nthe best interest of patientsclients over the interests of the PTA Standards of Conduct: 3C Physical therapist assistant shall make decisions based upon their level of competence and consistent with patient/client values Standards of Conduct: 3E Physical Therapist Assistant shall provide physical therapy services under the direction and supervision of a physical therapist and shall communicate with the physical therapist when patient/client status requires modification to the established plan of care Standards of Conduct: 6A Physical therpaist assistnat shall achieve and mainatian clinical competence Standards of Conduct: 6B Physical therapist assistant shall engage in lifelong learning consistent with changes in their roles and responsibilities and advances in the practice of physical therapy. Standards of Conduct: 7D Physical therapist assistants shall ensure that documentation for their interventions accurately reflects the nature and extent of services provided Standards of Ethical Conduct #7B Physical Therapist assistants shall not accept gifts or other considerations that influence or give an appearance of influencing their decisions Explanation of Benefits The report you recieve from your health insurer whenever you recieve a medical service from any provider. It expalins for each service how much was paid to the provider and what your responsibility will be for the deductible and co-insurance pre-certificaiton The process of confirming elgibility and collecting information prior to inpatient admissions and selected ambulatory procedures and services Medical Necessity Services or items reasonable for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member development milestones functional goals for a child education of all handicapped children act (EHCA)