OT Analysis & Practice Management 4

Question 1

Under Medicare Part B, an OT working in an outpatient setting must demonstrate 'skilled care' in documentation. Which statement BEST supports medical necessity?

Accepted Answer

The patient's condition requires the expertise of a licensed therapist to achieve measurable functional goals

Answer

Medicare requires documentation showing that the patient's condition necessitates skilled OT to achieve specific, measurable functional outcomes.

Question 2

An OT is analyzing a client's ability to perform IADLs and notices the client has difficulty with money management due to cognitive deficits. Which analysis approach provides the MOST comprehensive understanding?

Accepted Answer

Top-down occupational analysis starting with the role and context, then identifying performance barriers

Answer

A top-down approach begins with the client's meaningful roles and occupations, then identifies specific performance barriers, providing a comprehensive occupational picture.

Question 3

A pediatric OT clinic receives a grant to study sensory processing interventions. Which study design provides the HIGHEST level of evidence?

Accepted Answer

Randomized controlled trial (RCT)

Answer

Randomized controlled trials are at the top of the evidence hierarchy because randomization controls for confounding variables and reduces bias.

Question 4

A patient declines a recommended adaptive equipment recommendation. The OT documents the refusal and proceeds without the equipment. This reflects which ethical principle?

Accepted Answer

Autonomy

Answer

Respecting the patient's right to make informed decisions about their own care reflects the ethical principle of autonomy.

Question 5

An OT manager notices that referrals to the department have declined. Which business management strategy is MOST appropriate as an initial response?

Accepted Answer

Conduct a root cause analysis to identify barriers to referral

Answer

Root cause analysis identifies underlying reasons for the decline before committing resources to a solution, preventing ineffective interventions.

OT - Master of Occupational Therapy Practice Test

OT - Master of Occupational Therapy Practice Test

OT Analysis & Practice Management 4