Documentation and Service Management Flashcards
6 cards from real NBCOT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Documentation and Service Management flashcards as text
A therapist in an outpatient hand clinic must complete an 'Outcome Measure' at defined intervals for Medicare billing. Which requirement governs this?
Answer: G-code functional limitation reporting / MIPS
Medicare requires functional outcome measurement reporting through G-codes or MIPS (Merit-based Incentive Payment System) to track therapy outcomes and quality.
During an IEP meeting, the OT's role is to:
Answer: Provide occupational therapy evaluation data and recommendations to support the child's educational goals
OTs contribute assessment data and intervention recommendations to the IEP team to support the child's educational participation and goal attainment.
Which component of the FIM instrument is used to assess communication and social cognition?
Answer: Cognitive subscale
The FIM cognitive subscale assesses comprehension, expression, social interaction, problem-solving, and memory across 5 items.
A therapist writes: 'Client will transfer from sit to stand with contact guard assistance in 4 weeks.' The measurable criterion in this goal is:
Answer: Contact guard assistance
The measurable criterion specifies the level of assistance — contact guard — that defines the target performance standard to be achieved.
Under HIPAA's minimum necessary standard, an OT should:
Answer: Share only the information necessary for the specific purpose of the request
HIPAA's minimum necessary standard requires that only the PHI needed for the specific purpose be disclosed, limiting unnecessary exposure of protected information.
Which payer system uses Diagnostic Related Groups (DRGs) to reimburse inpatient hospital OT services?
Answer: Medicare Part A (Prospective Payment System)
Medicare Part A uses the Prospective Payment System with DRGs to reimburse acute inpatient hospital services, including OT, as a bundled rate per diagnosis.