DPT Professional Ethics & Healthcare Management 3

Question 1

A PT employed by a physician-owned clinic suspects the physician is self-referring patients inappropriately. Which federal law most directly governs this concern?

Accepted Answer

The Stark Law (Physician Self-Referral Law)

Answer

The Stark Law prohibits physician self-referrals for designated health services, including physical therapy, to entities in which the physician has a financial relationship.

Question 2

Which reimbursement model incentivizes providers to deliver the highest volume of services regardless of patient outcomes?

Accepted Answer

Fee-for-service

Answer

Fee-for-service reimburses per unit of service delivered, creating financial incentives to increase volume rather than optimize outcomes.

Question 3

A PT is treating a Medicare patient and determines that further skilled PT is no longer medically necessary. The patient requests to continue. The PT must:

Accepted Answer

Continue services as long as the patient pays out-of-pocket after issuing an ABN

Answer

When Medicare coverage ends, PTs may continue treating if they issue an Advance Beneficiary Notice (ABN) and the patient agrees to self-pay.

Question 4

A PT ethically discloses a financial relationship with a durable medical equipment company to patients. This practice reflects which ethical principle?

Accepted Answer

Veracity

Answer

Veracity, the duty to be truthful, requires PTs to disclose potential conflicts of interest, including financial relationships that could bias recommendations.

Question 5

In a value-based care model, which metric would BEST measure a physical therapy department's contribution to organizational goals?

Accepted Answer

Patient functional outcome scores and readmission rates

Answer

Value-based care emphasizes patient outcomes and reduced hospitalizations over volume metrics, making functional outcomes and readmission rates the most relevant measures.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Professional Ethics & Healthcare Management 3