COC Business Operations & Practice Management

Question 1

Which federal act establishes the foundation for protection against discrimination for patients with disabilities seeking O&P services?

Accepted Answer

Americans with Disabilities Act (ADA)

Answer

Health Insurance Portability and Accountability Act (HIPAA)

Answer

Affordable Care Act (ACA)

Answer

Social Security Act

Question 2

The ABC (American Board for Certification in Orthotics, Prosthetics & Pedorthics) requires practitioners to earn continuing education units (CEUs) to:

Accepted Answer

Maintain board certification and ensure ongoing competency

Answer

Qualify for Medicare billing privileges only

Answer

Meet state licensure requirements exclusively

Answer

Obtain malpractice insurance coverage

Question 3

Prior authorization for a prosthetic device from Medicare is required primarily to:

Accepted Answer

Verify medical necessity and ensure reimbursement eligibility before fabrication

Answer

Set the retail price of the device for the patient

Answer

Determine which manufacturer the practitioner must use

Answer

Approve the color and cosmetic finish of the device

Question 4

Which document must be obtained from the prescribing physician before an orthosis or prosthesis can be billed to Medicare?

Accepted Answer

Written order or prescription (Certificate of Medical Necessity)

Answer

Patient satisfaction survey

Answer

Insurance pre-qualification form only

Answer

Lab results from the hospital

Question 5

HIPAA regulations in an O&P practice primarily govern:

Accepted Answer

Protection and confidential handling of patient health information (PHI)

Answer

Billing codes for prosthetic devices

Answer

Employee wage and hour requirements

Answer

Marketing and advertising of O&P services

Question 6

In O&P practice, the 'ABC Scope of Practice' defines:

Accepted Answer

The range of services and devices an ABC-certified practitioner is competent to provide

Answer

The maximum number of patients a practitioner can treat per day

Answer

The geographic area in which a practitioner may operate

Answer

The financial limits on device costs for Medicare billing