Rehab Exam 1 (lecture power points) Questions With Complete Solutions What is the primary role of an OT in acute care - Correct Answers ✅discharge planning What are the roles of OT in acute care setting? - Correct Answers ✅initiation of rehab process, consultation (discharge environment, client needs after discharge), education What are challenges that can arise in acute care for OT? - Correct Answers ✅hospital room is not natural environment for ADLs, medical equipment can interfere, medical tx is priority Good supports in acute care for OT? - Correct Answers ✅hospital bed can be raised, lowered and moved. Access to bedside commonde, w/c and walker
Payment in acute care - Correct Answers ✅DRG: diagnosis
related grouping. Insurance pays for stroke diagnosis out of "one bucket" for example and the payment is divided among all of the services they recieve OT gets a lumpsum and PT gets some etc.Post acute care settings? - Correct Answers ✅inpatient rehabilitation setting, skilled nursing facilities, home health, long term care hospitals 1 / 3
Rehab Exam 1 (lecture power points) Questions With Complete Solutions Inpatient Rehabilitation setting criteria - Correct Answers ✅medically complex population, insurance coverage, threshold of therapy time MUST tolerate three hours of therapy 5-6 days of the week what is the typical length of stay in IRF and where discharged to? - Correct Answers ✅2-3 weeks, discharged to home health or SNF typically supports for patients in IRF - Correct Answers ✅can bring personal items (wear regular clothes), simulated living environments (kitchen, laundry), interdisciplinary approach (care plan meetings), reimbursement (recent change to pt driven payment model)
Qualifying characteristics for Medicare part A coverage SNF:,
goal for medicare part A in SNF - Correct Answers ✅must have three day qualifying stay for skilled medicare part A coverage, goal is transition to home and prevent readmission what is medicare part b in SNF and goal for them? - Correct Answers ✅for clients who are permanent residents of facility. goal is independence in meaningful occupational pursuits Criteria for HHC - Correct Answers ✅client is home bound (allowed to leave for Dr appt, hair appt, church services) 2 / 3
Rehab Exam 1 (lecture power points) Questions With Complete Solutions Frequenc and duration of OT in HHC - Correct Answers ✅1- 2x/week, if they need to be seen for over two months you have to re-eval Outpatient client population, frequency, payment - Correct Answers ✅medically stable patients, frequency varies dependingo n clients needs and insurance. payment based on CPT codes (common procedural terminology codes) OT process three steps - Correct Answers ✅evaluation, intervention, outcome domains from OTPF - Correct Answers ✅occupation, performance skills, performance patterns, client factors, context do you need a referral to do a screening? what do you do in screening? - Correct Answers ✅no, you are seeing if they need services it is not billable. You review data, observe patient, use screening tools, hands off
Evaluation end results should be: - Correct Answers
✅determine need for skilled OT services, rehab potential of the client, setting of goals
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