PCE Industry Regulations 5

Question 1

A physical therapist is asked by a supervising physician to perform a procedure outside the PT's scope of practice. The therapist should:

Accepted Answer

Decline and explain that performing the procedure would violate the state practice act

Answer

A physician's order does not override the legal scope of practice defined by the state PT practice act; the therapist bears personal liability.

Question 2

Medicare's '8-minute rule' applies to which category of physical therapy billing?

Accepted Answer

Timed therapeutic procedure codes that require a minimum of 8 minutes to bill one unit

Answer

The 8-minute rule governs how timed CPT codes are billed: at least 8 minutes of direct one-on-one contact is required to bill one unit of a timed service.

Question 3

Which of the following actions would MOST likely trigger a Medicare audit of a physical therapy clinic?

Accepted Answer

Consistently billing at the highest complexity evaluation code for nearly all new patients

Answer

Statistically abnormal billing patterns, such as nearly exclusive use of the highest-level codes, are a primary trigger for Medicare fraud audits.

Question 4

A physical therapy clinic implements a social media policy prohibiting staff from posting patient information online. This policy is PRIMARILY grounded in:

Accepted Answer

HIPAA requirements to protect patient PHI from unauthorized disclosure

Answer

HIPAA prohibits the disclosure of protected health information without patient authorization, including through social media platforms.

Question 5

What is the primary purpose of credentialing a physical therapist at a hospital or health system?

Accepted Answer

To verify that the therapist's education, licensure, and competencies meet the organization's standards before granting clinical privileges

Answer

Credentialing is the formal process of verifying a clinician's qualifications, licensure, and competence before granting privileges to practice at a facility.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Industry Regulations 5