Mastering OT Policy & Medicare Quiz for CEU Credit

1. Question

Which of the options is an example of everyday advocacy?

Educating a patient or physician on the role of OT

Correct Incorrect Correct answer

Advocating for an automatic door to the bathrooms

Correct Incorrect Correct answer

Advocating for intake forms to have inclusive language

Correct Incorrect Correct answer

Contacting legislators about Telehealth legislation

Correct Incorrect Correct answer

2. Question

Who is responsible for advocating for OT at the state level? (Select all that apply)

AOTA’s State Affairs Team

Correct Incorrect Correct answer

AOTA’s Federal Affairs Team

Correct Incorrect Correct answer

State OT associations

Correct Incorrect Correct answer

OT practitioners and students in that state

Correct Incorrect Correct answer

3. Question

True or False: to be an effective advocate you need to make a grand gesture and be comfortable with public speaking.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

4. Question

Which of the options below is not a reason why we advocate?

Professional pride

Correct Incorrect Correct answer

Eliminate licensing for OT

Correct Incorrect Correct answer

Jobs & Reimbursement

Correct Incorrect Correct answer

Patient access to service

Correct Incorrect Correct answer

5. Question

What is the first key step when advocating?

Establishing a goal

Correct Incorrect Correct answer

Identifying barriers and supports

Correct Incorrect Correct answer

Identifying allies

Correct Incorrect Correct answer

6. Question

What differentiates a profession from a job? (select all that apply)

Long-term commitment

Correct Incorrect Correct answer

Sense of community

Correct Incorrect Correct answer

Means to an end

Correct Incorrect Correct answer

Advanced training

Correct Incorrect Correct answer

7. Question

Which of the following is true about Medicaid coverage

Every state pays for OT services for adults under Medicaid

Correct Incorrect Correct answer

The federal government sets most of Medicaid’s policy

Correct Incorrect Correct answer

Each state has different coverage for OT services

Correct Incorrect Correct answer

Medicaid never covers services provided by OTAs

Correct Incorrect Correct answer

8. Question

True/False: Occupational therapy practitioners must engage in additional training and be in a leadership position to be effective advocates

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

9. Question

Which of the bellow is not included in a state’s practice act?

CEU requirements

Correct Incorrect Correct answer

Scope of Practice

Correct Incorrect Correct answer

Supervision requirements

Correct Incorrect Correct answer

Medicaid reimbursement

Correct Incorrect Correct answer

10. Question

What issues do we advocate for at the state level? (Select all that apply)

Supervision laws

Correct Incorrect Correct answer

Scope of practice

Correct Incorrect Correct answer

Medicare reimbursement

Correct Incorrect Correct answer

Licensure Laws

Correct Incorrect Correct answer

11. Question

Why is telehealth legislation needed?

To permanently expand Medicare coverage of telehealth for OT services

Correct Incorrect Correct answer

To expand coverage of telehealth services provided by OTAs since Medicare already covers telehealth provided by OTs.

Correct Incorrect Correct answer

To increase Medicare reimbursement for telehealth services provided by OTPs

Correct Incorrect Correct answer

To change supervision requirements to allow OTAs to provide telehealth.

Correct Incorrect Correct answer

12. Question

What is the purpose of the Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act? (Select all that apply)

Change Medicare Part B private practice supervision requirements

Correct Incorrect Correct answer

Provide exemptions for the OTA payment differential in rural and medically underserved areas

Correct Incorrect Correct answer

Provide exemptions for the OTA payment differential for minority-owned businesses

Correct Incorrect Correct answer

To increase access to telehealth services under Medicare

Correct Incorrect Correct answer

13. Question

What is the goal of the Allied Health Workforce Diversity Act?

To expand coverage of OT services under Medicare

Correct Incorrect Correct answer

To provide funding to increase diversity in OT, PT, SLP, and RT

Correct Incorrect Correct answer

To create loan forgiveness for individuals from diverse backgrounds

Correct Incorrect Correct answer

To create funding for OT, SLP, RT, and PT research on the benefits of diversity

Correct Incorrect Correct answer

14. Question

Which AOTA teams are primarily responsible for advocating for occupational therapy in Congress? (Select all that apply)

AOTA Federal Affairs Team

Correct Incorrect Correct answer

AOTA Quality Team

Correct Incorrect Correct answer

American Occupational Therapy Political Action Committee (AOTPAC)

Correct Incorrect Correct answer

AOTA State Affairs Team

Correct Incorrect Correct answer

15. Question

What issues do we advocate for at the federal level? (Select all that apply)

Medicare policy

Correct Incorrect Correct answer

Student loans

Correct Incorrect Correct answer

Licensure

Correct Incorrect Correct answer

Higher education requirements

Correct Incorrect Correct answer

16. Question

When is there an opportunity to advocate for OT during the process of creating Medicare law? (Select all that apply)

Before any legislation is introduced

Correct Incorrect Correct answer

During the CMS rule-making process

Correct Incorrect Correct answer

Only after the final rule is published

Correct Incorrect Correct answer

While legislation is being considered in the House and Senate

Correct Incorrect Correct answer

17. Question

The House of Representatives serves ____ year terms and the Senate serves ___ year terms.

6, 2

Correct Incorrect Correct answer

4, 2

Correct Incorrect Correct answer

2, 6

Correct Incorrect Correct answer

2, 4

Correct Incorrect Correct answer

18. Question

How often do we have a new Congress start?

2 years

Correct Incorrect Correct answer

6 years

Correct Incorrect Correct answer

4 years

Correct Incorrect Correct answer

1 year

Correct Incorrect Correct answer

19. Question

What happens to Medicare legislation after it passes through Congress and is signed into law?

It is always immediately implemented

Correct Incorrect Correct answer

It typically undergoes a rule-making process

Correct Incorrect Correct answer

It goes to the state to be interpreted

Correct Incorrect Correct answer

The President writes a letter telling CMS what to do.

Correct Incorrect Correct answer

20. Question

What is the 60% rule in Inpatient Rehab Facility?

60% of patients admitted to the IRF must have a certain diagnosis as determined by Medicare

Correct Incorrect Correct answer

60% of patients must have both OT and PT services

Correct Incorrect Correct answer

There is no 60% rule in IRF. That is for skilled nursing facilities.

Correct Incorrect Correct answer

60% of patients must stay at least 24 days

Correct Incorrect Correct answer

21. Question

Fill in the blank: Acute inpatient stays are reimbursed under ________ and Acute outpatient/observation stays are reimbursed under ________.

Medicare Part A, Medicare Part B

Correct Incorrect Correct answer

Medicare Part B, Medicare Part A

Correct Incorrect Correct answer

Medicare Part A, Medicare Advantage

Correct Incorrect Correct answer

Medicare Part B, Private Pay

Correct Incorrect Correct answer

22. Question

What is the admission assessment for inpatient rehab facilities?

Inpatient Rehab Facility Patient Assessment Instrument (IRF-PAI)

Correct Incorrect Correct answer

Minimum Data Set

Correct Incorrect Correct answer

Inpatient Rehab Facility CARE Data Set (IRFCDS)

Correct Incorrect Correct answer

Diagnostic Related Groups (DRGs)

Correct Incorrect Correct answer

23. Question

What major role does the American Medical Association play in the US healthcare system?

They develop current procedural terminology (CPT) codes

Correct Incorrect Correct answer

They develop the international classification of diseases for diagnosis

Correct Incorrect Correct answer

They lobby Congress on behalf of hospitals and nurses

Correct Incorrect Correct answer

They help develop vaccines with the CDC

Correct Incorrect Correct answer

24. Question

What tab should you go to on AOTA’s page to find information on what AOTA is lobbying/ advocating for?

Events

Correct Incorrect Correct answer

Advocacy

Correct Incorrect Correct answer

Practice

Correct Incorrect Correct answer

About

Correct Incorrect Correct answer

25. Question

Who is responsible for defining and maintaining CPT Codes?

The Centers for Medicare & Medicaid Services

Correct Incorrect Correct answer

American Medical Association

Correct Incorrect Correct answer

World Health Organization

Correct Incorrect Correct answer

American Occupational Therapy Association

Correct Incorrect Correct answer

26. Question

What tab would you go to on AOTA’s page to find coding and billing information?

Practice

Correct Incorrect Correct answer

Education

Correct Incorrect Correct answer

Community

Correct Incorrect Correct answer

Events

Correct Incorrect Correct answer

27. Question

Where should you go on AOTA’s website when you want to find information on salary or tips for applying for a job?

Career

Correct Incorrect Correct answer

Advocacy

Correct Incorrect Correct answer

Education

Correct Incorrect Correct answer

Publications

Correct Incorrect Correct answer

28. Question

Where should you go on AOTA’s page to find open volunteer opportunities?

Community

Correct Incorrect Correct answer

Practice

Correct Incorrect Correct answer

About

Correct Incorrect Correct answer

Events

Correct Incorrect Correct answer

29. Question

The occupational therapist completed an initial evaluation of the patient after their total knee replacement. They spent 24 minutes completing the assessment and evaluation. The patient then completed a bed transfer, practiced lower-body dressing, and completed grooming and toileting, all while receiving education from the practitioner. This took 35 minutes. How would the therapist bill in this scenario?

1 unit of OT Eval for 24 minutes. 2 units under self-care for 35 minutes.

Correct Incorrect Correct answer

2 units of OT Eval for 24 minutes. 3 units under self-care for 35 minutes.

Correct Incorrect Correct answer

1 unit of OT Eval for 59 minutes.

Correct Incorrect Correct answer

2 units of OT eval for 24 minutes and 2 units under therapeutic exercise.

Correct Incorrect Correct answer

30. Question

31. Question

What is the role of the Centers for Medicare & Medicaid Innovation (CMMI)/ the Innovation Center?

Develop and test new value-based payment models or alternative payment models

Correct Incorrect Correct answer

Develop new eligibility criteria for Medicare beneficiaires

Correct Incorrect Correct answer

Develop protocols for healthcare interoperability

Correct Incorrect Correct answer

Develop innovative interventions for physicians

Correct Incorrect Correct answer

32. Question

What modifier does Medicare require when an occupational therapy assistant provides a service to a Medicare Part B beneficiary?

CO

Correct Incorrect Correct answer

CQ

Correct Incorrect Correct answer

GO

Correct Incorrect Correct answer

KX

Correct Incorrect Correct answer

33. Question

How are outpatient therapy services typically billed under Medicare Part B?

Through CPT codes and units in a fee-for-service model

Correct Incorrect Correct answer

Through bundled payments based on the patient’s diagnosis

Correct Incorrect Correct answer

Through a capitated payment system for all therapy services

Correct Incorrect Correct answer

Through a monthly premium paid by patients

Correct Incorrect Correct answer

34. Question

What is the name of AOTA’s Member forum where members can post questions and interact with each other?

AOTA’s Members Only

Correct Incorrect Correct answer

CommunOT

Correct Incorrect Correct answer

AOTA’s Facebook Page

Correct Incorrect Correct answer

CommunAOTA

Correct Incorrect Correct answer

35. Question

What is the fixed amount payment made by the patient in addition to the payment from the insurer?

Copay

Correct Incorrect Correct answer

Deductible

Correct Incorrect Correct answer

Premium

Correct Incorrect Correct answer

Coinsurance

Correct Incorrect Correct answer

36. Question

Who is responsible for defining and maintaining ICD-10 codes?

Centers for Medicare and Medicaid Services

Correct Incorrect Correct answer

World Health Organization

Correct Incorrect Correct answer

American Medical Association

Correct Incorrect Correct answer

American Occupational Therapy Association

Correct Incorrect Correct answer

37. Question

Under the Inpatient Prospective Payment System, how is acute care paid for by Medicare?

Through a Diagnosis Related Group based on the patient's admitting diagnosis

Correct Incorrect Correct answer

Through a Resource Utilization Group based on therapy and diagnosis

Correct Incorrect Correct answer

Through the number of services provided such as lab tests and medications

Correct Incorrect Correct answer

Through the Patient Driven Groupings Model

Correct Incorrect Correct answer

38. Question

What are the 3 components used in selecting the appropriate evaluation code? (select all that apply)

Profile and History

Correct Incorrect Correct answer

The amount of time spent on the eval

Correct Incorrect Correct answer

Assessment of occupational performance and identification of deficits

Correct Incorrect Correct answer

Clinical Decision making

Correct Incorrect Correct answer

39. Question

Typically, when a document refers to “Section XXXX” it is referring to the ______. When a document refers to “XX FR XXXX” it is referring to the ______________.

Social Security Act, Federal Register

Correct Incorrect Correct answer

Federal Register, Social Security Act

Correct Incorrect Correct answer

CMS proposed rule, CMS final rule

Correct Incorrect Correct answer

Medicare policy, HHS policy

Correct Incorrect Correct answer

40. Question

What government agency does not fall under the Department of Health and Human Services?

Centers for Disease Control and Prevention

Correct Incorrect Correct answer

Centers for Medicare and Medicaid Innovation

Correct Incorrect Correct answer

Food and Drug Administration

Correct Incorrect Correct answer

World Health Organization

Correct Incorrect Correct answer

41. Question

What is the name of the Medicare Home Health Assessment that is part of the initial and comprehensive start of care?

Outcome Assessment and Information Set (OASIS)

Correct Incorrect Correct answer

Minimum Data Set (MDS)

Correct Incorrect Correct answer

Functional Independence Measure (FIM)

Correct Incorrect Correct answer

Home Health CARE Data Set (HH-CDS)

Correct Incorrect Correct answer

42. Question

True/False: A Health Maintenance Organization (HMO) requires a referral in order for a patient to see a specialist.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

43. Question

What type of Medicare pays for care received in a long-term care hospital (LTCH)?

Medicare Part A

Correct Incorrect Correct answer

Medicare Part B

Correct Incorrect Correct answer

Medicare Part D

Correct Incorrect Correct answer

Medicare Part G

Correct Incorrect Correct answer

44. Question

What CMS document would you use to look for detailed and comprehensive information on what is included as part of the Medicare benefit (i.e., what services are covered under Home Health or outpatient services)

The Medicare Benefit Manuals

Correct Incorrect Correct answer

The Federal Register

Correct Incorrect Correct answer

Medicare.gov

Correct Incorrect Correct answer

Medicare Learning Network

Correct Incorrect Correct answer

45. Question

Which website is best to use for general information on Medicare or as a resource for patients?

CMS.gov

Correct Incorrect Correct answer

AOTA.org

Correct Incorrect Correct answer

Medicare.gov

Correct Incorrect Correct answer

The Federal Register

Correct Incorrect Correct answer

46. Question

What is the minimum number of minutes you have to provide to bill a timed code?

15 miniutes

Correct Incorrect Correct answer

8 minutes

Correct Incorrect Correct answer

23 minutes

Correct Incorrect Correct answer

There is no minimum

Correct Incorrect Correct answer

47. Question

What is the value-based incentive system in Medicare Part B private practice?

OASIS

Correct Incorrect Correct answer

Value-Based Purchasing Model

Correct Incorrect Correct answer

Merit-Based Incentive Payment (MIPS)

Correct Incorrect Correct answer

Accountable Care Organization (ACO)

Correct Incorrect Correct answer

48. Question

What is the National Quality Forum?

They develop quality measures that are considered the gold standard of quality measurement

Correct Incorrect Correct answer

They develop best practices for clinicians and physicians

Correct Incorrect Correct answer

It is a government agency focused exclusively on quality and new wasy to measure care

Correct Incorrect Correct answer

They certify hospitals based on the quality of care provided

Correct Incorrect Correct answer

49. Question

How is occupational therapy paid for by Medicare during an acute inpatient hospital stay?

In units of CPT® Codes and patients owe a 20% co-insurance

Correct Incorrect Correct answer

Patients pay out-of-pocket because therapy isn't covered under the Inpatient Prospective Payment System

Correct Incorrect Correct answer

Therapy is covered as part of the Diagnosis Related Group (DRG)

Correct Incorrect Correct answer

OT is only fully covered when the patient is in the ICU

Correct Incorrect Correct answer

50. Question

In which scenario is an OT able to initiate and complete the comprehensive start of care in home health?

Only when a nurse is unavailable to perform the assessment

Correct Incorrect Correct answer

Only if the patient is receiving speech therapy services

Correct Incorrect Correct answer

Only when the patient’s condition requires both nursing and therapy services

Correct Incorrect Correct answer

In therapy-only cases without nursing involvement

Correct Incorrect Correct answer

51. Question

Which of the following are special OTA considerations in private practice? (select all that apply)

Servies provided by an OTA require the use of a “CO” modifier

Correct Incorrect Correct answer

Services provided by an OTA have a 15% payment reduction

Correct Incorrect Correct answer

OTAs require general supervision in private practice

Correct Incorrect Correct answer

OTAs require direct supervision in private practice

Correct Incorrect Correct answer

52. 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

Correct Incorrect Correct answer

Direct: The OT has to be physically on site with the OTA

Correct Incorrect Correct answer

Whatever is required by the state

Correct Incorrect Correct answer

Direct: The OT has to be in the same room as the OTA

Correct Incorrect Correct answer

53. Question

What type of health insurance plan generally has the best coverage for out-of-network providers?

Health Maintenance Organization (HMO)

Correct Incorrect Correct answer

Preferred Provider Organization (PPO)

Correct Incorrect Correct answer

Accountable Care Organization (ACO)

Correct Incorrect Correct answer

Exclusive Provider Organization (EPO)

Correct Incorrect Correct answer

54. Question

What type of Medicare pays for service under hospice?

Medicare Part A

Correct Incorrect Correct answer

Medicare Part B

Correct Incorrect Correct answer

Hospice care isn’t covered by Medicare

Correct Incorrect Correct answer

Only Medicaid covers hospice

Correct Incorrect Correct answer

55. Question

What is another name for the Home Health Prospective Payment System?

The Patient-Driven Groupings Model

Correct Incorrect Correct answer

The Patient-Driven Payment Model

Correct Incorrect Correct answer

The Patient-Determined Payment Model

Correct Incorrect Correct answer

Resource Utilization Groups (RUGs)

Correct Incorrect Correct answer

56. Question

What does “homebound” mean in the context of home health eligibility criteria?

The patient is unable to leave their home under any circumstances

Correct Incorrect Correct answer

The patient must be bedridden and unable to move

Correct Incorrect Correct answer

The patient must have difficulty leaving their home due to medical reasons or extensive effort is required

Correct Incorrect Correct answer

The patient must not leave their home for any reason, medical or non-medical

Correct Incorrect Correct answer

57. Question

Preferred Provider Organizations typically have a higher ______ in exchange for _________ flexibility and coverage.

premium, more

Correct Incorrect Correct answer

savings, less

Correct Incorrect Correct answer

premium, complete

Correct Incorrect Correct answer

deductible, full

Correct Incorrect Correct answer

58. Question

What is the primary role of occupational therapy practitioners in patient rehab facilities?

To assist with pre-admission screenings and determine eligibility

Correct Incorrect Correct answer

To provide direct medical care and medication management

Correct Incorrect Correct answer

To conduct research studies on patient outcomes

Correct Incorrect Correct answer

To maximize the patient’s functional abilities, promote independence, and ensure safe discharge

Correct Incorrect Correct answer

59. Question

In order to be eligible for admission to an inpatient rehab facility, a patient must meet which of the following requirements?

Spent three midnights in the hospital

Correct Incorrect Correct answer

Require specialized surgical procedures

Correct Incorrect Correct answer

Tolerate a minimum of three hours of therapy per day

Correct Incorrect Correct answer

Have a history of frequent hospitalizations

Correct Incorrect Correct answer

60. Question

What characteristics/care needs make a patient potentially eligible for admission to a Long-Term Care Hospital? (Select all that apply)

Requires 24-hour oversight by nurses and physicians

Correct Incorrect Correct answer

Are stable enough to leave the hospital

Correct Incorrect Correct answer

Spent at least three days in the ICU

Correct Incorrect Correct answer

Have a complicated course of recovery requiring an extended stay

Correct Incorrect Correct answer

Is able to tolerate three hours of therapy a day

Correct Incorrect Correct answer

61. Question

Under what conditions can OT be considered a qualifying discipline for services?

When the patient has acute medical conditions requiring constant care

Correct Incorrect Correct answer

Always: OT can be the only discipline at the start of care

Correct Incorrect Correct answer

When the patient has acute medical conditions requiring constant care

Correct Incorrect Correct answer

When OT services are provided alongside another discipline

Correct Incorrect Correct answer

62. Question

When is it appropriate to utilize the re-evaluation CPT Code?

When the patient has had a change in functional or medical status that requires a revised plan of care.

Correct Incorrect Correct answer

When the patient is due for their reassessment on the 10th visit.

Correct Incorrect Correct answer

When the patient experiences a new symptom that is related to the original diagnosis.

Correct Incorrect Correct answer

Anytime the patient’s goals need to be updated.

Correct Incorrect Correct answer

63. Question

What does Medicare use as part of their equation when deciding how much to pay for services under the Medicare Physician Fee Schedule?

Relative Value Units

Correct Incorrect Correct answer

Timed Codes

Correct Incorrect Correct answer

CPT Codes

Correct Incorrect Correct answer

8-minute rule

Correct Incorrect Correct answer

64. Question

How does an OT practitioner select the correct CPT Code?

Make a guess based on the name of the code

Correct Incorrect Correct answer

OTPs can only bill self-care codes and therapeutic exercise codes

Correct Incorrect Correct answer

Carefully consider the definition of each CPT code and pick whichever one best matches the intervention

Correct Incorrect Correct answer

Pick whatever one your boss tells you to bill. It doesn’t really matter

Correct Incorrect Correct answer

65. Question

If the therapist provides 10 minutes of self-care and 8 minutes of therapeutic exercise for a total of 18 minutes of therapy, how many units can be billed and will be reimbursed under the Substantial Portion Methodology?

1 of self-care and 1 of therapeutic exercise, and both are reimbursed

Correct Incorrect Correct answer

1 unit of self-care and 1 of therapeutic exercise, but only one code is reimbursed

Correct Incorrect Correct answer

1 unit of self-care and only that code will be reimbursed

Correct Incorrect Correct answer

1 unit of therapeutic activity and only that code will be reimbursed

Correct Incorrect Correct answer

66. Question

True or False: Evaluation codes are scored based on the lowest scored complexity level out of the 3 components.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

67. Question

What is the primary purpose of inpatient rehab facilities?

To provide short-term acute care services

Correct Incorrect Correct answer

To offer long-term care for chronic conditions

Correct Incorrect Correct answer

To serve as an intensive rehabilitation service for complex patients

Correct Incorrect Correct answer

To provide hospice care for terminally ill patients

Correct Incorrect Correct answer

68. Question

True or False: PDGM’s Functional Impairment Score is determined by Section GG Scores?

False

Correct Incorrect Correct answer

True

Correct Incorrect Correct answer

69. Question

True or False: Long-Term Care Hospitals use a shortened version of Section GG.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

70. Question

Who is eligible for Medicaid?

Children, families, and some adults who are below a certain income level

Correct Incorrect Correct answer

Anyone can register for Medicaid

Correct Incorrect Correct answer

Adults over the age of 65

Correct Incorrect Correct answer

Adults over the age of 65, individuals with end-stage renal disease, ALS, or individuals with a disability

Correct Incorrect Correct answer

71. Question

What may terminate coverage for hospice care?

Going to the hospital

Correct Incorrect Correct answer

Leaving the house daily

Correct Incorrect Correct answer

Caregiver training

Correct Incorrect Correct answer

Getting durable medical equipment (DME)

Correct Incorrect Correct answer

72. Question

Why did the Centers for Medicare & Medicaid Services (CMS) aim to phase out fee-for-service plans?

They were not profitable for providers.

Correct Incorrect Correct answer

They did not provide adequate coverage for patients.

Correct Incorrect Correct answer

They incentivized over-utilization of services.

Correct Incorrect Correct answer

They were too complicated for consumers to understand.

Correct Incorrect Correct answer

73. Question

True or False, Medicare Part B has a hard cap on therapy services in a calendar year.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

74. Question

True or False: Untimed codes follow the 8-minute rule.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

75. Question

What is often the primary goal of occupational therapy services in the acute care setting?

To maximize therapy revenue through direct reimbursement

Correct Incorrect Correct answer

To reduce hospital length of stay and improve discharge safety

Correct Incorrect Correct answer

To provide long-term rehabilitation services

Correct Incorrect Correct answer

To focus on preventive care for chronic conditions

Correct Incorrect Correct answer

76. Question

True or False: When looking for information on Medicare final rules, it is important to look in the comments section as well as the main text of the final rule.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

77. Question

True or False: Editing the AOTA Form Letters to share your story will make the letters less impactful.

True

Correct Incorrect Correct answer

False

Correct Incorrect Correct answer

78. Question

How does the MPPR policy affect reimbursement for subsequent “always therapy” CPT codes billed on the same patient during the same day?

Reimbursement is increased for subsequent CPT codes.

Correct Incorrect Correct answer

Reimbursement remains unchanged for subsequent CPT codes.

Correct Incorrect Correct answer

Reimbursement is reduced for subsequent CPT codes.

Correct Incorrect Correct answer

Reimbursement is completely denied for subsequent CPT codes.

Correct Incorrect Correct answer

79. Question

On the take action page, what address should you use when sending letters? (select the most correct answer)

The address where you currently live

Correct Incorrect Correct answer

The address where you are registered to vote

Correct Incorrect Correct answer

An address in the district of the person you want to contact

Correct Incorrect Correct answer

Your school/jobs address

Correct Incorrect Correct answer

80. Question

What is a key term to add to your Google search when looking for documents directly from Medicare vs. blog posts/ CEUs?

“CMS”

Correct Incorrect Correct answer

“HHS”

Correct Incorrect Correct answer

“Medicare”

Correct Incorrect Correct answer

“AOTA”

Correct Incorrect Correct answer

81. Question

When is therapy covered under hospice care?

It isn’t covered

Correct Incorrect Correct answer

When therapy is required for symptom control and to maintain basic function

Correct Incorrect Correct answer

For caregiver training only

Correct Incorrect Correct answer

To complete a home evaluation and then discharge

Correct Incorrect Correct answer

82. Question

Which type of care model has been historically the primary payment model and incentivized a more reactive care approach?

Value-based care

Correct Incorrect Correct answer

Capitated payment model

Correct Incorrect Correct answer

Bundled payment model

Correct Incorrect Correct answer

Volume-based care

Correct Incorrect Correct answer

83. Question

What are the main ways someone can obtain a health insurance plan? (select all that apply)

Through their employer

Correct Incorrect Correct answer

Through the state or federal Marketplace

Correct Incorrect Correct answer

Through the federal or state government

Correct Incorrect Correct answer

Through a friend

Correct Incorrect Correct answer

Through their car insurance

Correct Incorrect Correct answer

84. Question

What determines payment for OT and PT under the SNF Prospective Payment System?

Mostly M1800 Scores

Correct Incorrect Correct answer

Select Section GG questions

Correct Incorrect Correct answer

The number of minutes provided by each discipline

Correct Incorrect Correct answer

All Section GG questions

Correct Incorrect Correct answer

85. Question

What is another name for the SNF Prospective Payment System as of 2019?

The Patient-Driven Payment Model

Correct Incorrect Correct answer

The Patient-Driven Groupings Model

Correct Incorrect Correct answer

The Patient-Determined Payment Model

Correct Incorrect Correct answer

Resource Utilization Groups (RUG)

Correct Incorrect Correct answer

86. Question

What does CMS stand for?

Centers for Medicare and Medicaid Services

Correct Incorrect Correct answer

Center for Medical Services

Correct Incorrect Correct answer

Center or Maternal & Mother Services

Correct Incorrect Correct answer

Center for Medicare Services

Correct Incorrect Correct answer

87. Question

What is Medicare Part A?

State-based insurance that provides health care coverage for low-income children and families

Correct Incorrect Correct answer

Federal-based insurance for adults over 65 that covers primary care services, outpatient services, and some drugs

Correct Incorrect Correct answer

Federal-based insurance that is available to military families

Correct Incorrect Correct answer

Federal-based insurance for adults over 65 that covers inpatient hospital services and post-acute care

Correct Incorrect Correct answer

88. Question

What is Medicare Part C?

Medicare supplemental insurance

Correct Incorrect Correct answer

Medicare replacement also called Medicare Advantage

Correct Incorrect Correct answer

Covers prescription drugs only

Correct Incorrect Correct answer

Covers dental and eye care

Correct Incorrect Correct answer

89. Question

What is the name of the SNF admission assessment required by Medicare?

Minimum Data Set (MDS)

Correct Incorrect Correct answer

Outcomes and Assessment Information Set (OASIS)

Correct Incorrect Correct answer

Skilled Nursing Facility – Patient Assessment Information (SNF-PAI)

Correct Incorrect Correct answer

Section GG

Correct Incorrect Correct answer

90. Question

Which of the following is true about a timed code?

You can only bill one unit of each timed code regardless of time spent under that code

Correct Incorrect Correct answer

Occupational therapy evaluation codes are examples of timed codes

Correct Incorrect Correct answer

You can’t bill an untimed and timed code in the same session

Correct Incorrect Correct answer

You can bill multiple units under one timed code depending on the time spent

Correct Incorrect Correct answer

91. Question

What is the primary coverage criteria for Skilled Nursing Facilities under Medicare?

3 midnights in the hospital as inpatient status and daily skilled care

Correct Incorrect Correct answer

3 midnights in the hospital as an outpatient status and intermittent skilled care

Correct Incorrect Correct answer

3 midnights in the hospital as an inpatient

Correct Incorrect Correct answer

3 hours of therapy 5 days a week

Correct Incorrect Correct answer

92. Question

What is typically required for a Medicare patient to be admitted to the hospital as an inpatient?

Requires 24-hour oversight by nursing and physicians

Correct Incorrect Correct answer

Medical complexity that requires two midnights in the hospital

Correct Incorrect Correct answer

Has a certain diagnosis as determined by Medicare

Correct Incorrect Correct answer

Requires intensive therapy

Correct Incorrect Correct answer

93. Question

Where can you easily find AOTA’s Take Action Page? (select all that apply)

www.aota.org/takeaction

Correct Incorrect Correct answer

AOTA’s Advocacy Tab

Correct Incorrect Correct answer

Facebook only

Correct Incorrect Correct answer

CommunOT

Correct Incorrect Correct answer

94. Question

Who is eligible for Medicare?

Adults over the age of 65, individuals with end-stage renal disease, ALS, and individuals with a disability

Correct Incorrect Correct answer

Adults over the age of 65 only

Correct Incorrect Correct answer

Children and families who are below the federal poverty level

Correct Incorrect Correct answer

Anyone can register for Medicare

Correct Incorrect Correct answer

95. Question

Who is responsible for most Medicaid policy?

The federal government

Correct Incorrect Correct answer

Mostly the federal government with some input from state governments

Correct Incorrect Correct answer

Only the Centers for Medicare & Medicaid Services

Correct Incorrect Correct answer

Mostly the state governments with some input from the federal government

Correct Incorrect Correct answer

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Mastering OT Policy & Medicare Quiz for CEU Credit

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