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Module 2: Adult Rehab Settings

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The Continuum of Care

1 Quiz
- 2.0 Continuum of Care
Acute

1 Quiz
- 2.1 Acute
Long-Term Care Hospital (LTCH)

1 Quiz
- 2.2 Long-Term Care Hospital (LTCH)
Inpatient Rehab Facility (IRF)

1 Quiz
- 2.3 Inpatient Rehab Facility (IRF)
Skilled Nursing Facility (SNF)

1 Quiz
- 2.4 Skilled Nursing Facility (SNF)
Home Health

1 Quiz
- 2.5 Home Health
Outpatient

1 Quiz
- 2.6 Outpatient
Hospice and Palliative Care

1 Quiz
- 2.7 Hospice/Palliative Care

Quiz 7 of 8

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2.6 Outpatient

Module 2: Adult Rehab Settings Outpatient 2.6 Outpatient

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Question 1 of 5

1. Question
What is the value-based incentive system in Medicare Part B private practice?
- OASIS
- Value-Based Purchasing Model
- Merit-Based Incentive Payment (MIPS)
- Accountable Care Organization (ACO)
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Question 2 of 5

2. Question
What type of supervision is required in private practice by Medicare Part B?
- General: The OT has to be available in person or via telecommunications
- Direct: The OT has to be physically on site with the OTA
- Whatever is required by the state
- Direct: The OT has to be in the same room as the OTA
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Question 3 of 5

3. Question
What distinguishes mobile outpatient therapy from home health services?
- Mobile outpatient therapy is billed under Medicare Part B
- Mobile outpatient therapy is provided by home health agencies
- Home health services require a higher level of supervision
- Home health services are covered by private insurance only
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Question 4 of 5

4. Question
How are outpatient therapy services typically billed under Medicare Part B?
- Through CPT codes and units in a fee-for-service model
- Through bundled payments based on the patient’s diagnosis
- Through a capitated payment system for all therapy services
- Through a monthly premium paid by patients
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Question 5 of 5

5. Question
Under the therapy threshold system, what happens once a patient reaches the initial therapy threshold for occupational therapy services?
- All therapy services become fully covered by Medicare
- The patient is responsible for the full cost of therapy services
- The patient’s claims require the KX modifier for continued coverage
- Medicare automatically approves an extended therapy plan
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2.6 Outpatient

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