Deck 14: Management Issues in Out-Patient Settings

Question 1

What word describes receiving payment for medically unnecessary services?

A) Abuse
B) Negligence
C) Fraud
D) Malpractice

Answer 1

Abuse

Question 2

Which of the following characteristics sets outpatient practice apart the most from other practice settings?

A) The relationship with physicians
B) Need for specialization
C) Predictable reimbursement
D) Reduced productivity demands

Answer 2

The relationship with physicians

Question 3

Where should managers look for information about reimbursement and authorization to provide services to a patient with a workers' compensation claim?

A) The National Board of Workers' Compensation
B) US Department of Labor
C) Office of Equal Opportunity
D) State statutes governing workers' compensation

Answer 3

State statutes governing workers' compensation

Question 4

Offering a physician rent-free office space in return for referrals to physical therapy is a violation of which law?

A) Stark Law Phase III
B) Health Insurance Portability and Accountability Act
C) Medicare/Medicaid Patient Protection Act
D) Affordable Care Act

Question 5

What does "out of network" mean?

A) The practice is not included in an accountable care organization
B) The medical documentation is not electronic
C) The patient does not have internet services for communication
D) The patient's insurance does not include the provider's services

Question 6

Who is currently able to use the term "physical therapy" in their healthcare practices?

A) Only physical therapists
B) Any provider licensed to use physical therapy interventions
C) Anyone submitting a charge using a physical medicine code
D) Only health professionals certified in physical medicine

Question 7

Outpatient satisfaction has been found to be most highly related to which of the following factors?

A) Location of the practice
B) Time spent with the physical therapist
C) Interaction with a variety of personnel
D) Waiting time to begin a treatment session