pt 101 > PT Final > Flashcards

PT Final Flashcards

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1
Q

Body of rules of action or conduct prescribed by the controlling authority, has
binding legal force. May vary from state to state or program to program

A

law (statutes)

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2
Q

laws can be enacted by

A

congress, state legislators

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3
Q

Apply across state lines and supersede state laws

Apply to all citizens

A

federal law

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4
Q

American with Disabilities Act
Individual with Disabilities Education Act
Social Security Act are examples of blank law

A

federal

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5
Q

Regulations of education, professional licensure/certification/registration and insurance apply to
state

A

state law

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6
Q

Health Care Insurance Industry

The State Practice Act: New York State Physical Therapy Law Article 136 are examples of blank law

A

state

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7
Q

A rule the governs the action of individuals or organizations under the authority of a
particular agency

A

regulations

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8
Q

blank are Developed by governmental agencies, not legislature
Regulate a particular industry or program

A

regulations

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9
Q

example of blank regulation is Medicare and Medicaid CMS Regulations as part of the Dept. of Health and
Human Services

A

federal

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10
Q

example of blank regulation is State Physical Therapy Board regulates licensure procedures and prosecutes
professional misconduct

A

state

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11
Q

law created by court discussions (precedents

A

common law

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12
Q

Crimes that are considered to be infractions committed against society
The state prosecutes these actions on behalf of the public

A

criminal law

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13
Q

PT insurance fraud

Sexual abuse of a pt. are examples of blank law

A

criminal

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14
Q

Is concerned with wrongs committed among private parties

A

civil law

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15
Q

Negligence

Malpractice are examples of blank law in pt

A

civil law

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16
Q

Failure to act as a reasonably prudent person

A

negligence

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17
Q

Failure to mop up water on floor and someone slips and falls in your clinic is an example of blank in pt

A

negligence

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18
Q 
Considered Professional Negligence
The failure to do something (not do something) that a member in good standing in a profession
would do (or not do) that caused subsequent injury
A

malpractice

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19
Q

Did not put towels under HP because she was too lazy to get them from front of clinic. is an example of blank in pt

A

malpractice

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20
Q

deals with delegation and supervision and states that you are responsible for the
treatments that you delegated, or clinic that you supervise. (different from negligence)

A

vicarious liability

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21
Q

Acts by licensed professional demonstrating their inability to competently perform the duties of a
licensed professional

A

professional misconduct

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22
Q

Physical or sexual abuse of a pt.
Patient abandonment
Improper delegation or supervision of treatment activities
Provision of unnecessary treatment
Fraud
Incompetence
Practicing while intoxicated are examples of blank in pt

A

professional misconduct

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23
Q

Not laws but statements which guide actions of a private organization

A

policies

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24
Q

APTA Code of Ethics

Standards of the Practice of Physical Therapy are examples of blank in pt

A

policies

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25
One major effect of not having health insurance
bankruptcy
26
Performs an important social purpose in protecting individuals and organizations against unforeseen and severe financial loss is the purpose of blank
health insurance
27
Three ways healthcare is financed in U.S.
individual, employer, state or federal gov
28
employee benefit is an example of blank health insurance
private
29
blank is an example of state and local gov health insurance
medicaid
30
blank is an example of federal gov health insurance
medicare
31
blank is another way to pay for health insurance as an individual
out of pocket
32
``` Established in 1965 ◦ Federally funded ◦ Coverage for  Elderly  Persons with end stage renal disease  Permanently disabled ```
medicare
33
year medicare was estblished
1965
34
``` Indigent population ◦ Jointly funded by state and federal ◦ Covered over 45 million people in 2010 ```
medicaid
35
what percentage of uninsured did not attend college
60
36
most uninsured people work or don't work?
work
37
percentage of uninsured people coming from working families
80
38
The patient was free to see the provider of their choice ◦ After the medical visit, the patient or PT clinic would file their claim to the insurance company, outlining services rendered and associated fees ◦ The insurance company would send payment based on the usual and customary charges
indemnity (traditional insurance)
39
the years before the healthcare crisis
1990s
40
what the U.S. did to combat escalating healthcare costs
managed care organizations (MCO) such as Health maintenance organization (HMO)
41
many pts lost their job because of this act and in what year?
Balanced Budget Act 1997
42
the portion ofmedical costs to be paid by the patient before insurance benefits begin, usually expressed in dollars
deductible
43
The monetary amount to be paid by the patient, each time a | service is provided usually expressed in terms of dollars
co payment
44
In traditional health insurance, the monetary amount to be | paid by the patient, usually expressed as a % of charges
co insurance (cost sharing)
45
Other name for "Obamacare"
Patient Protection and Affordable Care Act
46
How PTs responded to changes in reimbursement
focused on evidence based practice
47
direct access allows you to see a patient blank visits or blank days
10, 30
48
These are the two reasons someone can be on Medicare other than age
End stage renal disease or a permanent disability
49
Three healthcare workers that can refer patients to a PT
MD, DO, NP, PA
50
work to restore or improve physical abilities, perform tasks and make behavior changes within their living and working environments.
OT
51
minimum OT degree
bachelor's
52
is a RN who earned a separate license through additional education, usually in a distinct specialty.
NP
53
education of LPN
Practical Nursing 9 month program
54
education of RN
bachelor's
55
work to enhance well-being, reduce the physical and mental effects of stress and tension, prevent disease, and restore health.
massage therapist (LMT)
56
LMT stands for
massage therapist`
57
education of LMT
complete a massage training program and pass state licensure exam
58
``` independent health care professionals who treat many conditions as they relate to the spine, emphasizing the dependency of health on the correct functioning of the central nerve system ```
Chiropractor (DC)
59
education of DC
2 + 4 from a chiropractic college
60
Under the supervision of licensed physicians ATCs provide services to individuals who have suffered athletic injuries
athletic trainer (ATC)
61
education of ATC
bachelor's or master's
62
Licensed health care professional responsible for diagnosing, evaluating, and treating disorders of speech, voice, swallowing, and/or language
speech-language pathologist (SLP)
63
education of SLP
master's
64
helps individuals, families, and groups/communities change behaviors, emotions, attitudes, relationships, and social conditions to prevent and resolve problems caused by social and emotional stress.
social worker (LMSW/LCSW)
65
education of LMSW/LCSW
LMSW = master's, LCSW = earned MSW +3 years of supervised experience
66
social worker abbreviations
LMSW/LCSW
pt 101
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