Healthcare Settings, Reimbursement, and Regulatory Compliance Flashcards

Which organization accredits rehabilitation programs and is widely recognized for standards in physical rehab, behavioral health, and aging services?

Answer: CARF

CARF (Commission on Accreditation of Rehabilitation Facilities) accredits rehab and human service programs.

The Joint Commission primarily accredits:

Answer: Hospitals and other healthcare organizations

The Joint Commission accredits hospitals and many other healthcare organizations; individuals are credentialed by bodies like NCTRC.

The 1999 Olmstead v. L.C. Supreme Court decision held that, under the ADA, people with disabilities:

Answer: Have a right to services in the most integrated setting appropriate to their needs

Olmstead held that unjustified institutional segregation is discrimination under the ADA, supporting community-based services.

Under IDEA, recreation (including therapeutic recreation) for students with disabilities is classified as a:

Answer: Related service

IDEA lists recreation, including therapeutic recreation, as a related service that may be included in an IEP.

Medicare home health services require that the patient be:

Answer: Homebound and in need of intermittent skilled care

Medicare home health eligibility requires homebound status and a need for intermittent skilled services under a plan of care.

A CTRS notices a coworker discussing a patient's diagnosis in a public elevator. This is most directly a violation of:

Answer: HIPAA privacy protections

Discussing identifiable patient health information in public breaches the HIPAA Privacy Rule.

Many states fund community-based services that help Medicaid recipients avoid institutional placement through:

Answer: Home and Community-Based Services (HCBS) waivers

Medicaid HCBS waivers fund services such as adult day programs to keep people in community settings.