PP chapter 22 and 25

1.

1 point

Per diem payment refers to:

An amount paid per diagnostic test given

An amount paid for group of services provided in a single day

An amount paid per episode of illness

An amount paid for group of services provided in a week

2.

1 point

If a participant receives another form of treatment at the same time as the research investigation, a _________ bias has been introduced in favor of the _________ .

Contamination/control group

Cointervention/ treatment group

Contamination/treatment group

Cointervention/ either group

3.

1 point

The American Medical Association has which committee that annually advises the CPT editorial panel on codes and issues affecting non-physician practitioner services?

American Association of Non-physicians (AANP)

Non-physician Health Care Advisory Committee (NPHCAC)

Health Care Professionals Advisory Committee (HCPAC)

Physicians for Non-Physicians Health Care Committee (PFNPHCC)

4.

1 point

Which of the following is true about EBP:

EBP provides support to establish the effectiveness of OT services

EBP is the responsibility of every practitioner

EBP provides support that OT services are cost effective

All of the above

5.

1 point

What is the role of qualitative evidence in EBP?

It looks beyond statistics exploring and describing social phenomenon

There is a lack of agreement on how to assess its methodological rigor

There is a lack of agreement on its usefullness

All of the above

6.

1 point

How does Medicare pay for All-Inclusive Care For Elderly (PACE) programs

fee-for-service payments

per-diem payments

capitated monthly payments

PACE is not covered by Medicare

7.

1 point

All of the following have mandatory Medicaid covered services except:

pregnancy related services

inpatient and outpatient hospital services

orthotics and prosthetics

lab work and X-ray

8.

1 point

In 2007, most personal health care spending (spending for clinical and professional services received by patients) was paid for by:

Private health insurance

Out-of-pocket expenses

Medicare

Medicaid and SCHIP

9.

1 point

Phase IV randomized clinical trials include which of the following:

Preliminary and exploratory studies

Well-controlled efficacy studies

High treatment fidelity, blinding of evaluators, and statistical power

Evaluation of generalization to other populations and settinga

10.

1 point

Which of these describes IDEA:

A free public program that emphasizes children being placed in the same classrooms and learning the same lessons, regardless of disability

ensures that all children with disability have available to them a free appropriate public education that emphasizes special ed. and related services designed to meet their individual needs

ensures that all children with disability have special ed. and related services provided to them for minimal fee

Mandates that all children with disability attend school year-round until they are 22-years of age

11.

1 point

What government agency is a single largest payer of health care services in the US?

Veterans Administration

Center for Medicare and Medicaid Services

FDA

Office of Personnel Managment

12.

1 point

The mental Health Parity and Addiction Equity Act of 2008 requires a large self-funded group health plans and large employment-related health plans

Include mental health benefits for additional cost of no more than $100

Include mental health benefits for children who have experienced trauma

Provide mental health benefits that are no more restrictive in terms of dollar limitations and treatment limitations than benefits for medical and surgical coverage

Offer add-on packages that pay for mental health services

13.

1 point

The term secondary publication refers to:

Report of an original research study

Original opinion article

Meta-analysis

Original handout

14.

1 point

According to ACOTE (2006) which of the following persons or entities is responsible for addressing changes in service delivery policies and effecting changes in the system?

Program director

Grantor

Managed care delivery service

OT

15.

1 point

Which of the following is true of random clinical trails?

RCT's are studies comparing value and effect of an OT intervention against control group not receiving treatment

RCT's may present the ethical issue of withholding treatments from clients in the study

RCT's may not control for selection bias

A and B

16.

1 point

Clinical significance means:

Random assignment

A statistic related to the size of probability of treatment effect

The degree of practical meaning in the data

Type I error

17.

1 point

Clients would purchase a Medigap Policy to:

Insure them from the time they retire to when they turn 65 years of age

cover the out-of-pocket deductible and coinsurance amounts required by the traditional Medicare plan

Cover dental and vision

Insure them when they travel out of state

18.

1 point

Effectiveness studies answer which of the following questions?

Did the client receiving OT improved

How much did the client improve

Which treatments made the client better

A and B

19.

1 point

Recruiting participants for a research study by asking for volunteers is an example a _______________ bias and tends to favor ____________ .

Measurement/the treatment group

Selection/treatment group

Measurement/the control group

Selection/control group

20.

1 point

Most workers' compensations programs are jointly financed by:

Employers and state government

Employers and federal government

State government and federal government

Employers and private insurance companies

21.

1 point

Which degrees of evidence are the strongest ?

Level I; Grade A

Level V; Grade E

Cohort studies

Case control studies

22.

1 point

People who are underinsured:

Acquire their health insurance under their parents or spouses

Have insurance but coverage does not adequately protect against high medical expenses or pay for all services

Do not pay much for their insurance plan

Have insurance that covers all medical expenses but does not cover dental or vision

23.

1 point

To claim causality, a research study must have which of the following?

Manipulation of a variable

Control group

Randomization

All of the above

24.

1 point

The most rigorous research design is which of the following?

Cohort design

Case control study

Random Control Trial

Single case design

25.

1 point

An EBP system includes which of the following steps?

Formulate question, and search and sort for evidence

Critically appraise the evidence and apply to practice

Self-assess regarding the EBP process

All of the above

26.

1 point

What is Cochrane Library?

A collection database published quarterly and distributed on a subscription basis

a commercial database that focuses primarily on allied health topics

A bibliographic database that contains health care literature

None of the above

27.

1 point

A managers role in EBP requires which of the following:

Having some research knowledge

Guarding against minimizing practitioners' and centers' expertise over research evidence

Ensuring transfer of research knowledge to clinical practice

All of the above

28.

1 point

Using interviews, self-report tools, or surveys that require participants to recall past events in an example of which kind of bias?

Measurement

Intervention

Attention

Timing

29.

1 point

OT should apply for a NPI- National Provider Identification, under which of the following conditions:

They plan to bill Medicare

They plan to bill any government health care payer

They plan to bill private insurance companies

All of the above

30.

1 point

A database search should be reproducible by another therapist unless:

The search is done 3 months later

The search is done in different database

The key words are different

All of the above

31.

1 point

A type I error in a study refers to:

falsely concluded that OT treatment had positive effect

falsely concluded that there was no OT treatment effect

falsely concluded that the treatment effect was due to chance

All of the above

32.

1 point

Evaluation of OT services is important in which of the following efforts?

Marketing OT skills

Identifying program improvements

Securing grants

All of the above

33.

1 point

Which of the following Medicare programs does NOT pay for OT services?

Hospital Insurance Program (Part A)

Supplementary Medical Insurance Program (Part B)

Medicare Advantage Program (Part C)

Prescription Drug Program (Part D)

34.

1 point

The third EBP step includes:

A formal evaluation of the evidence

An analysis of research flaws

Relevancy to clients and centers beyond the study

All of the above

35.

1 point

OT should understand federal, state and private health policy requirements to:

Be able to help patients choose health insurance plans

Be able to provide patients with options for therapy within the structure of their insurance policy coverage

Be able to limit therapy so the patient never pays out-of-pocket

Ensure they get paid fr everything they do

36.

1 point

Best OT practice means which of the following ?

Better Client care

Optimal program evaluation

Quality Improvement system

All of the above

37.

1 point

An OT wants to measure the efficacy of her stress management group for psychiatric clients at her long-term outpatient clinic. Her ongoing stress management group runs for 10 sessions and then repeats with different clients, as most of her clients could benefit from stress management training . The best design for her would be which of the following:

RCT

Cohort design

Before-After design

Cross-sectional design

38.

1 point

Which of the following describes the HIPPA?

It contains requirements relating to national health care reform

It contains requirements relating to privacy and electronic health care transactions and codes

It requires health care professionals to report Medicare fraud

It is a Medicare-only law

39.

1 point

Who is covered by TRICARE programs

Active -duty service members; national guard memebers and reserve members

people who live in Tricity area

families with 3 or more children

anyone 65 and older

40.

1 point

Which of the following health care programs is publicly funded (either state or federal)

Medicare health care programs

State children' health insurance programs

IDEA

All of the above

41.

1 point

Treatment efficacy studies answer which of the following questions?

Did the client receiving OT improve

How much did the client improve

Which treatment made the client better

A and B

42.

1 point

If a participant in a control group inadvertently receives treatment, a _________ bias has been introduced in favor of the _________ .

Contamination/control group

Cointervention/ treatment group

Contamination/treatment group

Cointervention/ control group

43.

1 point

The American Medical Association has which committee that annually advises the CPT editorial panel on codes and issues affecting non-physician practitioner services?

American Association of Non-physicians (AANP)

Non-physician Health Care Advisory Committee (NPHCAC)

Health Care Professionals Advisory Committee (HCPAC)

Physicians for Non-Physicians Health Care Committee (PFNPHCC)

44.

1 point

Three Criteria for randomized clinical trail are:

Random sample, comparison group, and controls to internal validity

Random sample, large number of participants, and signed consent form

Random sample, same age, and heteroginity of sample

None of the above

45.

1 point

The term primary publication refers to:

Report of an original research study

Textbook

Meta-analysis

Systematic Review Study

46.

1 point

Which of the following patients would not be covered by Medicare

DJ, a 75-year old male with heart disease

Justin, a 20year old male with SCI

Daniel, a 50-year old male with end stage renal disease

Alexandra, a 30 year old female who is pregnant

47.

1 point

The term meta-analysis refers to:

a quantitative study that summarizes a group of studies

a qualitative study that summarizes a group of studies

a quantitative study that summarizes a group of studies and does statistical analysis and synthesis

All of the above

48.

1 point

Under the point of service (POS) option to HMO's, a member:

Pays the same co-pay amount for in-network and out-of -network providers

Pays nothing to see an out-of-network provider

Pays the entire cost of visit for an out-of-network provider

May see an out-of-network provider but will pay an increased copay amount

49.

1 point

EBP refers to:

The use of knowledge from research findings to guide competent clinical practice

The use of information from txtbooks to guide competent clinical practice

elimination of clinical expertise and clients' values and preferences

Elimination of clinical mentorship

50.

1 point

Psychometric integrity cannot be evaluated without knowledge of which of the following factors?

Validity and reliability

Demographics

Sample size

All of the above