question

T/F: Patient satisfaction is an external domain of HCM

answer

False

question

The main difference between direct care and non-direct care settings is:

answer

Provision of care

question

This competency enables a manager to communicate with and work well with other individuals

answer

Interpersonal

question

This competency involves the ability to critically analyze and solve complex problems

answer

Conceptual

question

This function requires the manager to set a direction and determine what needs to be accomplished

answer

Planning

question

From the Leadership styles for HC personnel, which one focuses on personal development and recommended for the top personnel?

answer

Coaching style

question

Which of the following competencies is more leadership oriented than management oriented?

answer

Determining strategies for the future

question

Which one of the EI (Emotional Intelligence) dimensions has the definition of "Social awareness skill, putting yourself in another's shoes?"

answer

Empathy

question

Which statement is true about Followership?

answer

It should be recognized as a necessary component for an effective leader

question

Which theory places its attention on the leader's style and the work situation but also recognize the importance of setting goals for employees?

answer

Path-goal Theory of leadership

question

T/F: All employees are motivated by money

answer

False

question

T/F: Avoidance learning is often referred to as positive reinforcement

answer

False

question

This generation values education, training and growth opportunities, flexibility and is considered risk averse

answer

Generation X

question

This generation is image conscious, team-oriented, values instant gratification, and is achievement-oriented

answer

Millennials

question

What is a good motivational strategy

answer

Tailor rewards

question

T/F: Satisfaction progression refers to the interplay up and down Maslow's continuum of needs

answer

True

question

Alliance is built upon three consensus priorities

answer

-Quality of care and practitioner qualifications -O&P coverage and reimbursements -O&P education and research

question

Two major functions of the American Board for Certification (ABC):

answer

-Practitioner certification -Facility accreditation

question

If a patient with an AFO on one side has started to develop foot ulcers on the sound side, what is the appropriate action (under the Code of Professional Responsibility)?

answer

Notify the physician ASAP

question

If a TT patient came in with a worn SACH foot 1 year after delivery of the Px, what is allowed under the Code of Professional Responsibility?

answer

Replace the SACH foot without a prescription

question

In the Assessment domain the ACB Scope of Practice, the practitioner would not evaluate ______:

answer

Gait training

question

Modification of the model, tracing or CAD data is part of which domain of the ABC Scope of Practice?

answer

Implementation of the treatment plan

question

Participation in continuing education is part of what domain of the ABC Scope of Practice?

answer

Promotion of competency and enhancement of the O&P profession

question

According to the Center of Medicare and Medicaid (CMS) rules, a Qualified O&P supplier is an entity that is...:

answer

Is accredited by the ABC or the BOC

question

Evidence Base Practice definition: Integration of the best scientific research with ______ to make patient care decisions

answer

Clinician's expertise

question

A major goal in EBP is to improve patient outcomes. What are 3 major inputs to help you select the best patient outcome measures?

answer

-Clinical expertise -Patient values and expectations -Best available evidence

question

Research methods have been developed to appraise, describe, and compare the relative value of health services; those methods are called:

answer

Cost effectiveness analyses

question

Name a performance based outcome measure commonly used to evaluate lower limb O&P interventions

answer

The L-Test

question

T/F: The Centers for Medicare & Medicaid Services project that health spending will be 30% of GDO by 2017

answer

False

question

T/F: Risk is a concept in health insurance that involves a group sharing the costs of losses incurred by members of the insurance pool

answer

True

question

T/F: Enrollment in conventional indemnity health insurance plans has increased in the past 15 years

answer

False

question

T/F: The health plans provided for under Part C of Medicare are sometimes referred to as Medicare Advantage (MA) plans

answer

True

question

T/F: Elderly Medicaid beneficiaries account for the majority of the program's spending

answer

True

question

T/F: Medicaid programs are uniform across the states

answer

False

question

Medicare does not include coverage for:

answer

Mental health care under Part E

question

T/F: Capitation shifts the risk of coverage from the insurer to the provider of health care

answer

True

question

What is a DME MAC and how many DME MACs are there in the U.S.?

answer

Durable Medical Equipment Contractor 4

question

In the Medicare system, Part A is ____ insurance and Part B is _____ insurance

answer

A-Hospital B-Medical (outpatient)

question

How many regional DME fee schedules are set by CMS?

answer

10

question

If a patient is a Medicare beneficiary, you may collect a deposit at the start of service up to what amount?

answer

20% of Medicare Allowable fee

question

L-Codes 0100-4999 are what type of codes?

answer

Orthotics

question

The legal statement, _____, allows the O&P provider to bill the patient's primary insurance

answer

Assignment of benefits

question

What does acceptance of Medicare assignment mean?

answer

You will accept Medicare allowable rates consisting of 80% from Medicare and 20% from the patient

question

What do you do if an item is not medically necessary and the patient has Medicare?

answer

Have the patient sign an Advanced Beneficiary Notice (ABN) so that you can collect what the service is delivered

question

T/F: A TT socket replacement for a Medicare beneficiary (not due to damage or change in condition) would be an allowed adjustment with no Rx, as long as the socket conformed to the original Rx

answer

False

question

At the close of the check socket fitting appointment you instruct the patient to return in 1 week for a fitting. What element in the SOAP format is being discussed?

answer

P (plan)

question

A Physician's Certifying Statement is currently mandated by CMS for which type of patient?

answer

Diabetic footwear

question

An HMO collects a fixed amount of money per person per month to manage the HC needs of an enrolled group of individuals, regardless of the volume. What is the name of this rate or concept?

answer

Capitation

question

An amount paid to an insurance company at the beginning of the year, and before the insurance company starts paying a percentage of the medical bill is called:

answer

Deductible

question

In order to justify the purchase of a custom orthotic or prosthetic item by Medicare, the O&P provider must:

answer

Provide medical justification in the practitioner notes and/or initial evaluation that corroborate with the physician justification notes

question

Regarding "Managed Care Organization", what is being managed?

answer

Healthcare delivery Healthcare costs

question

The group or business entity ultimately responsible for medical payment for a procedure (in an HMO, IPA, Medical Group or other Managed Care Organization) is subject to _____?

answer

Risk

question

What is an ICD-9 or ICD-10 code?

answer

Diagnosis code

question

What administrative documentation is required for EVERY Medicare billing?

answer

Detailed Rx with patient's name, description of item(s), physician's signature and date of order

question

What is the best description of a Staff Model HMO?

answer

Almost all service providers including physicians and hospital employees, are hired by the HMO

question

What area of contracting for O&P services is most important to the Managed Care Organization in the current O&P contracting environment?

answer

Low prices

question

What is the role of the Primary Care Physician (PCP) in an HMO?

answer

Acts as a gatekeeper to other medical specialties; responsible for overall care of HMO members

question

What definition most closely describes a Group Model HMO?

answer

Sub-contracts with Medical Groups/IPA's to provide services in one or more locations

question

You have conducted your initial interview and evaluation of a new TT client. They have Blue Shield HMO insurance, and their actual medical provider is the Yorba Linda Medical Group. You decide to go ahead and take a cast. The next step is ___

answer

Obtain a pre-authorization

question

A Utilization Review department of a large MCO has what influence on payment of O&P services?

answer

Can deny L-codes for certain components

question

Of the various types of Managed Care Organizations (MCO Plans), which have now become the dominant form of coverage in the U.S.?

answer

PPO

question

What is NOT a hallmark of a Managed Care Organization?

answer

Does the outpatient provider have a Medicare provider number?

question

Noting the pain at the fibular head during midstance while the patient walks would be what component in a SOAP note?

answer

A (assessment)

question

If you make a mistake in a clinical entry, the proper way to correct it is:

answer

Put a line through it, and initial or sign name

question

T/F: A Physician's order for O&P service in a hospital patient's chart is the same as a prescription

answer

True

question

Is is acceptable to skip lines when making clinical entries, when necessary

answer

No

question

T/F: When entering chart notes for an initial patient interview for a custom (ambulatory) AFO in a Medicare beneficiary's record, you must state that the patient has the desire to ambulate

answer

True

question

When you are making notes about the patient's concerns, attitudes, and expectations, you enter the information under:

answer

S (subjective)

question

To justify that a Medicare patient is to receive a foot with a dynamic response carbon fiber keel, what is the minimum information that must be present in the patient's progress note?

answer

The patient has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to traverse most environmental barriers

question

A _____ is a mental representation that contains what one knows about an event or thing

answer

Schema

question

A Theory Y manager would believe the following about employee behavior

answer

Most employees seek the opportunity to contribute to the organization

question

Because human capacity to accurately process large amounts of information is limited, people compensate ___

answer

With simplifying rules called heuristics

question

In cognition, ___ refers to the tendency to perceive what we anticipate seeing

answer

Expectancy

question

The purpose of studying of organization behavior is to:

answer

Improve the management of people in the workplace

question

Work behaviors can be studied at these three levels in an organization

answer

-Group -Organizational Individual

question

How do the Mission, Vision and Value statements tie to the strategic plan?

answer

They are reaffirmed during the planning process to ensure they are aligned with future strategic directions

question

What is the main purpose of strategic planning?

answer

To identify how market forces may affect the organization

question

What aspects of the SWOT analysis aims to identify external market forces?

answer

Market Assessment

question

What is not part of the market assessment model?

answer

Power of Hospitals

question

T/F: Resource availability should be considered when selecting strategies

answer

True

question

Why is it important to consider Innovations in Technology in development of the strategic plan?

answer

They may represent a threat of substitute products

question

The right service is provided badly and an avoidable complication reduces the benefit the patient receives is _____

answer

Misuse

question

During the early 1980s, the Hospital Corporation of American (HCA) created the most commonly used quality improvement framework in the health care industry; it is called the _____

answer

FOCUS-PDCA Model

question

The failure to provide a service whose benefit is greater than its risk is _____

answer

Underuse

question

The definition of quality provided by the Institute of Medicine is the most widely accepted definition of health care quality. What is NOT part of the definition?

answer

They should provide value consistent with the cost structure of the health care organization

question

Which aspect of quality does CQI focus upon to improve quality?

answer

Process

question

By placing the capacity aspects of disability on a continuum with health, which disability model makes it possible to measure health and disability with the same domains of functioning?

answer

ICF

question

As ICF developed as the newest model of disability, what concept was defined as the ultimate goal of rehabilitation?

answer

Participation

question

T/F: The ICF classification incorporates a biopsychosocial model that views disability and functioning as interactions between health conditions, such as disease and trauma, and contextual factors including environmental and personal factors

answer

True

question

The ICF level is based on three levels of functioning:

answer

-Body functions and structures -Activities -Participation

question

The Institute of Medicine (IOM) defined disability as the interaction between impairments and functional limitations and the surrounding environment; this model is considered a:

answer

Social model

Quizzes – Leadership – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards