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Organizational and Professional Health and Well-being Pt. 1 Flashcards | StudBud
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Organizational and Professional Health and Well-being Pt. 1
Organizational and Professional Health and Well-being Pt. 1
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1
In a high school setting, who is responsible for maintaining accurate medical records? (select all that apply)
school nurse
athletic trainer
team physician
athletic director
2
The series of codes used by insurance agencies & providers to identify a patient's diagnosis for reimbursement purposes
Third-party payer codes
International Procedure and Diagnoses or IPD-10 Codes
Interclinician Code of Diagnoses or ICD-5 codes
International Classification of Diseases or ICD-10 Codes
3
Select the topics that should be addressed in a policies and procedures manual.
Chains of command and supervision
Who the athletic training program will serve
Facility use and maintenance
Risk management plans
4
All are reasons why good documentation skills are an absolute necessity for the athletic trainer except:
To protect legal rights of patient and AT
To improve the AT's position for financial gain through reimbursement
To improve the communication between the AT and other health care providers
To exchange the care given by the AT
5
Which is not an error when planning the design of a sports medicine facility?
The use of wood for the main flooring material
Having only one entrance and exit
Concentrating on function rather than style
Having adaptive access on the other side of the building
6
What form should the AT fill out to gain the quickest reimbursement from an insurance company?
CPT 1-A form
UCR Form
HCFA-1500 Form
An incident report form
7
All are important steps in avoiding legal problems when administering care to the patient except:
Allowing the coach to decide when athlete should RTP
Staying familiar with health history of the patient
Following orders of team physician
Keeping accurate records
8
Maintaining up-to-date records is extremely important. How often should the AT document?
Weekly
Monthly
Every 2 weeks
Daily
9
What is not a type of insurance policy that is offered to organizations seeking to purchase insurance for athletic teams
Accident insurance
Group insurance
Indemnity policy
Capitation
10
__, __, and __ must be taken into consideration when developing a risk management plan. (select 3 answers)
Liability
Security
Management of emergency injuries
Fire Safety
11
What piece of information is not part of the AT's daily documentation?
Rehabilitation progression
Patient's insurance information
Playing status
Daily injury log
12
Which best describes a copayment?
An occasional payment made by a policyholder to an insurance comapny
The amount owed yearly by the policyholder before insurance will pay
A % of the total amount the policyholder is required to pay for services
The amount that both an employee & employer share when paying for benefits
13
Fixed payments made on a monthly basis to a managed care provider are known as what type of reimbursement?
Point-of-service plan
Capitation
Fee for service
Third-party reimbursement
14
The physician appointed to oversee the medical care of a patient and assign any specialty and ancillary services
the participating provider
the third-party administrator
the gatekeeper
the policyholder
15
What guidelines does the AT have to follow regarding maintaining proper hygiene and sanitation in the facility?
AMA
CARF
JCAHO
OSHA
16
__ supplies include such items as adhesive tape, gauze pads, and bandages.
Nonexpendable
Permanent
Capital
Expendable
17
An athletic trainer may use any of the following to treat an injured or ill patient except:
Electrotherapy
Hydrotherapy
Cryotherapy
Prescription drug
18
Which of the following are supervision models used by a head athletic trainer when managing a staff? (Select 2)
Developmental
Transitional
Clinical
Sovereign
19
What is a growing concept in the insurance industry stressing cost control through coordination of medical services?
Exclusive provider organization
Managed care
A primary care provider
Health maintenance organization
20
All are components of a well-written SOAP note except:
It is legible, clear, and concise
It contains many objective measurements
It is written with the intent to mislead an insurance company
Progress is expressed in functional terms
21
Which is not a characteristic of a managed care organization?
The require provider accountability
They utilize various strategies
They promote the use of a physician as a gatekeeper
They are based on a fee-for-service model
22
In AT, database software has been primarily used to perform what function?
Store and retrieve information regarding athletic injury and treatment
Write letters and produce forms
Perform calculations and integrate text with graphics
Merge lists and develop spreadsheets
23
How would you define a policy?
A specific plan for members of an organization to follow
A broad statement of an intended action
A vision statement of an organization
An organizational plan that provides program direction for 1 or 2 years
24
Based on the scenario below, __ and __ are 2 major elements that must be addressed in these schematic drawings. Select 2
Electrical layouts
Space needs
Plumbing
Traffic needs
25
An athletic trainer can release a patient's medical records to which of the following?
Professional athletic team organizations
The media
Insurance companies
No organization or individual without consent from patient or guardian
26
Which organization must certify facemasks that are used in ice hockey helmets?
CSA
ASTM
HECC
NOCSAE
27
A charge that represents the maximum amount that an insurance company will pay a provider
NCR
HCFA
UCR
CPT
28
Large purchases for an educational institution are usually done through a process known as what?
Soliciting
Bid process
Indirect purchase
Direct purchase
29
What is an insurance "rider?"
A policy that pays for medical expenses only after all limits are met
A supplementary clause that covers expenses that extend beyond the policy
A universally accepted insurance claim form used by hospitals
The usual fee charged by a health care provider for a particular service
30
Which level of the law mandates the hiring and firing of employees?
District
Federal
State
Local
31
Which organization establishes standards of quality for organizations that provide rehabilitative services?
CARF
TJC
OSHA
APTA
32
What is the biggest budgetary obstacle that many high school ATs must face?
Lack of a budget plan
Lack of tape, wraps, kits, and a table
Lack of a room and equipment necessary to operate
Location of facility
33
You are assisting in hiring a new team doctor. What agreement should be drawn up between the school and the physician?
School emergency systems agreement
A physician's letter of agreement
A noncompete agreement
A medical consent agreement
34
Which of the following is not one of the three phases of the needs assessment as it is related to budget planning?
Negotiation
Information gathering
Decision making
Exploration
35
In this situation, who is legally responsible for the athlete's immediate care?
The head coach
The high school
The athletic trainer
The assistant coach/parent
36
What type of analysis is a useful tool in the strategic planning of an existing athletic training program?
The WOTS UP analysis
The Samson analysis
The HCFA analysis
The strengths/weaknesses analysis
37
What is a prudent action that the AT should take prior to an emergency arising?
Know all emergency routes of the campus and have directions to hospital
Meet with rescue squad, team doctor, and coaches to practice procedures
Make sure all golf carts are fully charged
make sure AD and school nurse are on campus
38
The process in which health care practitioners are reimbursed by a policyholder's insurance?
Secondary-party reimbursement
Primary-party reimbursement
Third-party reimbursement
Tertiary-party reimbursement
39
Which best describes an athletic trainer in a nontraditional athletic training setting?
Controller
Organizer
Manager
Director
40
What form of record-keeping is being described?
SOAP notes
Charting by exception
Focus charting
Computerized documentation
41
What document would most likely be subpoenaed during a civil litigation suit against an athletic trainer?
Budget reports
Equipment inventory
Sporting even schedules
Treatment log
42
What is one of the most important steps an AT should take when starting a new high school AT program?
Have uniforms made for AT staff
Make an emergency plan
Make sure there is enough tape
Meet with school's booster club to being fundraising
43
All are reasons why an insurance claim might be denied except:
Improper coding
The duration of care is considered excessive
The goals are based on functional outcomes
Lack of patient progress
44
All are methods of enhancing a budget plan except:
Figure out how much disposable supplies have been used
Keep an accurate inventory
Consult with CPA for direction regarding the development of a budget plan
Determine how many athletes will be receiving care
45
When developing an emergency plan, all should be established except:
The AT should be familiar with the community emergency medical system
The AT and coaches should have keys to important gates and locks
There should be a phone accessible for immediate use
Make sure student AT can accompany athlete to the hospital if necessary
46
What is not a responsibility of the athletic trainer?
Supervise proper equipment fitting
Counsel and advise the athlete about health care
Diagnose and treat illnesses
Administer first aid as necessary
47
What form is not a critical part of a patient's medical record and does not need to be completed before practicing?
Coach's injury report form
Please form for high risk patients
Permission-to-treat form
Preparticipation physical examination form
48
What might be a possible advantage in leasing vs. purchasing capital equipment for your AT facility?
Outright ownership of the equipment
Lower overall cost
Purchases equipment has little resale value
Less risk that the equipment will become obsolete
49
A nongovernmental, nonprofit organization that gathers injury data from a number of sources including educational places
NOCSAE
ISS
NSC
ACSM
50
All should be included in an employee's personnel record except:
Employee contract
Salary and promotion records
Time-off request sheets
Performance evaluation records
