ATI CAPSTONE LEADERSHIP EXAM FORM A & B EACH
FORM CONTAINS 70 QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (ACTUAL EXAM)
professional identity - ANSWER: Factors in education, ethical practice, legislation,
employer, and payer
Personal, Professional, and Political values
federal register - ANSWER: Documentation of clinical activity related to ICD-9, clinical
resoning, functional goals and progress, and medical necessity
billable work - ANSWER: Clinician's work, comprised of time it takes to perform the
service, the technical skill and physical effort, the required mental effort and
judgment, stress due to potential risk of patient
billable time - ANSWER: Includes pre-service time prepping the patient, intra-service
time performing the service, and post-service time getting feedback and providing
instruction for future treatment
3 parties of Medicare rates - ANSWER: 1st- patient
2nd- healthcare provider and'/or family
3rd- group that finances healthcare service delivery
Fraud - ANSWER: Billing for services or supplies that were never delivered
Abuse - ANSWER: When providers or suppliers do not follow regulations and policy
False Claims Act - ANSWER: States that what you bill the government for must be
provided; providers have legal duty to familiarize themselves with legal requirement
for payment
Prohibits knowingly submitting a false claim or concealing a payment that was
improperly received
Unskilled Services - ANSWER: Palliative procedures that are repetitive or reinforce
previously learned skills; not covered or payable therapy services
Factors to Determine Value of Service - ANSWER: Nationally uniform relative value
Nationally uniform conversion factor
Geographic adjustment factor (GAF) for each physician fee schedule area
Factors to Determine Relative Value - ANSWER: Professional work
Practice expense
Liability insurance
Role of AOTA - ANSWER: Member organization that guides and develops OT
standards and code of ethics that defines OT scope of practice
, Volunteers serve on association committees to develop and refine AOTA's mission,
education and practice standards, and code of ethics
Role of SIS - ANSWER: Respond to practice needs by focusing on a specific
component of practice
Allows for networking with others in same practice area
Role of Assembly of Student Delegates (ASD)? - ANSWER: Delegate allowed from
each OT/OTA educational program that serve on governing bodies of AOTA
Role of Accreditation Council for OT Education (ACOTE) - ANSWER: Develop and
implement standards for all OT and OTA educational programs, including curriculum,
credentials of faculty and staff, content of courses
Role of State Regulatory Boards - ANSWER: Each state has definitions and guidelines
for practice need to apply for separate licensure to practice in each state
Role of (AOTF) American Occupational Therapy Foundation - ANSWER: Advance the
science of OT and increase public understand of its value
Publishes OTJR; OT Journal of Research
Role of NBCOT - ANSWER: Credentialing body for OT and OTA practicing in the US
DEVELOPS INITIAL CERTIFICATION EXAM
Anti-Kickback Statute - ANSWER: Cannot pay for OR receive remunerations (gifts) for
referrals; failure to observe can lead to Fines, civil monetary penalties, exclusion
from participation in federal health care programs, jail
7 elements of an effective health care compliance program - ANSWER: Education
Policies and Procedures
Risk Based Monitoring
Auditing
Governance and Board Reporting
Sanctions
Help and Reporting
Sunshine Provisions - ANSWER: Mandatory annual reporting of industry payments to
physicians and teaching hospitals that is publicly available and searchable online
Managed Care - ANSWER: Comprehensive health care system that provides a variety
of health services and facilities with a focus on controlling costs
Diagnostic related Groups - ANSWER: Classification system for Medicare Part A
payments based on groups of diagnoses and procedures
HRA/HSA - ANSWER: Health savings account or health reimbursement accounts
allow people to save and apply pretax dollars to health related payments
FORM CONTAINS 70 QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (ACTUAL EXAM)
professional identity - ANSWER: Factors in education, ethical practice, legislation,
employer, and payer
Personal, Professional, and Political values
federal register - ANSWER: Documentation of clinical activity related to ICD-9, clinical
resoning, functional goals and progress, and medical necessity
billable work - ANSWER: Clinician's work, comprised of time it takes to perform the
service, the technical skill and physical effort, the required mental effort and
judgment, stress due to potential risk of patient
billable time - ANSWER: Includes pre-service time prepping the patient, intra-service
time performing the service, and post-service time getting feedback and providing
instruction for future treatment
3 parties of Medicare rates - ANSWER: 1st- patient
2nd- healthcare provider and'/or family
3rd- group that finances healthcare service delivery
Fraud - ANSWER: Billing for services or supplies that were never delivered
Abuse - ANSWER: When providers or suppliers do not follow regulations and policy
False Claims Act - ANSWER: States that what you bill the government for must be
provided; providers have legal duty to familiarize themselves with legal requirement
for payment
Prohibits knowingly submitting a false claim or concealing a payment that was
improperly received
Unskilled Services - ANSWER: Palliative procedures that are repetitive or reinforce
previously learned skills; not covered or payable therapy services
Factors to Determine Value of Service - ANSWER: Nationally uniform relative value
Nationally uniform conversion factor
Geographic adjustment factor (GAF) for each physician fee schedule area
Factors to Determine Relative Value - ANSWER: Professional work
Practice expense
Liability insurance
Role of AOTA - ANSWER: Member organization that guides and develops OT
standards and code of ethics that defines OT scope of practice
, Volunteers serve on association committees to develop and refine AOTA's mission,
education and practice standards, and code of ethics
Role of SIS - ANSWER: Respond to practice needs by focusing on a specific
component of practice
Allows for networking with others in same practice area
Role of Assembly of Student Delegates (ASD)? - ANSWER: Delegate allowed from
each OT/OTA educational program that serve on governing bodies of AOTA
Role of Accreditation Council for OT Education (ACOTE) - ANSWER: Develop and
implement standards for all OT and OTA educational programs, including curriculum,
credentials of faculty and staff, content of courses
Role of State Regulatory Boards - ANSWER: Each state has definitions and guidelines
for practice need to apply for separate licensure to practice in each state
Role of (AOTF) American Occupational Therapy Foundation - ANSWER: Advance the
science of OT and increase public understand of its value
Publishes OTJR; OT Journal of Research
Role of NBCOT - ANSWER: Credentialing body for OT and OTA practicing in the US
DEVELOPS INITIAL CERTIFICATION EXAM
Anti-Kickback Statute - ANSWER: Cannot pay for OR receive remunerations (gifts) for
referrals; failure to observe can lead to Fines, civil monetary penalties, exclusion
from participation in federal health care programs, jail
7 elements of an effective health care compliance program - ANSWER: Education
Policies and Procedures
Risk Based Monitoring
Auditing
Governance and Board Reporting
Sanctions
Help and Reporting
Sunshine Provisions - ANSWER: Mandatory annual reporting of industry payments to
physicians and teaching hospitals that is publicly available and searchable online
Managed Care - ANSWER: Comprehensive health care system that provides a variety
of health services and facilities with a focus on controlling costs
Diagnostic related Groups - ANSWER: Classification system for Medicare Part A
payments based on groups of diagnoses and procedures
HRA/HSA - ANSWER: Health savings account or health reimbursement accounts
allow people to save and apply pretax dollars to health related payments
