Organization & Management Final Exam
Treatment types
- individual
- concurrent
- co-treatment
- group therapy
individual treatment
- minutes not counted if > 1 patient at a time
- one-on-one episodes may occur continuously or in notable episodes (PT
treats pt. for 10 minutes now and 5 minutes later)
concurrent treatment
ONLY APPLICABLE IN SNF, IRF
- minutes may be continuous or in notable episodes
- one clinician, 2 patients
- PT must be in line of sight
SNF, IRF
Concurrent tx is only applicable in what two settings?
co-treatment
Two different disciplines working with a patient together, providing either the
same or different tx/services
*minutes may be accumulated by continuous or notable episodes
each discipline can't bill total minutes, either split or one discipline bills entirety
group therapy
Therapist moves back and forth between the patients in the group, spending a
minute or 2 at at a time, and provides occasional assistance and modifications
as needed (untimed)
, Each member of the group is billed for one unit of untimed group therapy
ICD-10 codes
provides an international system for classifying and coding diseases,
disorders, injuries, and other health conditions
3-7 characters in length
primary medical dx codes
reason the patient will be receiving PT, typically should be a dx code and NOT
a procedural code (i.e. arthroplasty)
secondary tx diagnosis codes
provide more detail for medical necessity of interventions
MSK system and connective tissue
the "M" in an ICD-10 code indicates a disease of what?
CPT (Current Procedural Terminology) coding
used to code procedures and services of healthcare providers (> 10,000
codes)
- consists of 5 digit numbers assigned to a service that is performed on a
patient
- used to determine how much to reimburse the provider
- ensures uniformity and accuracy of billing
CPT categories
Category 1: procedures and services provided by physicans and
non-physicians (PTs!!). REQUIRED if you want to get paid
Category 2: performance (quality) measure reporting; optional
Treatment types
- individual
- concurrent
- co-treatment
- group therapy
individual treatment
- minutes not counted if > 1 patient at a time
- one-on-one episodes may occur continuously or in notable episodes (PT
treats pt. for 10 minutes now and 5 minutes later)
concurrent treatment
ONLY APPLICABLE IN SNF, IRF
- minutes may be continuous or in notable episodes
- one clinician, 2 patients
- PT must be in line of sight
SNF, IRF
Concurrent tx is only applicable in what two settings?
co-treatment
Two different disciplines working with a patient together, providing either the
same or different tx/services
*minutes may be accumulated by continuous or notable episodes
each discipline can't bill total minutes, either split or one discipline bills entirety
group therapy
Therapist moves back and forth between the patients in the group, spending a
minute or 2 at at a time, and provides occasional assistance and modifications
as needed (untimed)
, Each member of the group is billed for one unit of untimed group therapy
ICD-10 codes
provides an international system for classifying and coding diseases,
disorders, injuries, and other health conditions
3-7 characters in length
primary medical dx codes
reason the patient will be receiving PT, typically should be a dx code and NOT
a procedural code (i.e. arthroplasty)
secondary tx diagnosis codes
provide more detail for medical necessity of interventions
MSK system and connective tissue
the "M" in an ICD-10 code indicates a disease of what?
CPT (Current Procedural Terminology) coding
used to code procedures and services of healthcare providers (> 10,000
codes)
- consists of 5 digit numbers assigned to a service that is performed on a
patient
- used to determine how much to reimburse the provider
- ensures uniformity and accuracy of billing
CPT categories
Category 1: procedures and services provided by physicans and
non-physicians (PTs!!). REQUIRED if you want to get paid
Category 2: performance (quality) measure reporting; optional
