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OTD 417 Exam 2 Information Part 1 Questions and Answers
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OTD 417 Exam 2 Information Part 1 Questions and Answers
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OTD 417 Exam 2 Information: Part 1Questions and Answers
What iiis iiincluded iiin iidocumentation iiof iiinitial iievaluation? ii- iiAnswers ii-- iiAssessment
- iiPlan iiof iicare
- iigoals
- iievaluation iicodes
re-evaluation iidocumentation ii- iiAnswers ii-- iinot iia iiroutine iiservice
- iirequire iire-certification iiby iiphysician
- iiassessment iiof iichange iiin iifunctional iior iimedical iistatus
- iiupdate iiinitial iiprofile iito iireflect iichange
- iirevised iiPOC
- iinew iiclinical iifindings
- iisignificant iichanges iito iicondition
- iifailure iito iirespond iito iiintervention
Coverage iibased iicriteria iifor iiMedicare ii- iiAnswers ii-- iineed iibased iiservice
- iiestablished iiplan iiof iicare
- iicare iiof iiphysician ii
- iiphysician iicertification
need iibased iiservice ii- iiAnswers ii-- iireasonable iiand iinecessary iiin iiterms iiof iitype,
iiamount, iifrequency iiand iiduration ii
- iilevel iiof iicomplexity iiand iisophistication iionly iisafely iiand iieffectively iiperformed iiby iior
iiunder iisupervision iiof iiqualified iitherapist
Medical iinecessity ii- iiAnswers ii-- iireasonable iito iiachieve iidesired iilevel iiof
iirelief/functional iiimprovement
- iinecessary iito iireduce iirisk iiof iideterioration iior iisuffering iiif iileft iiuntreated
- iirequires iiskills iiof iilicensed iitherapist
Jimmo iivs. iiSebelius ii- iiAnswers ii-- iino iinew iiregulations- iiclarified iiexisting
- iinot iidependent iion iipotential iiimprovement iibut iineed
- iihomebound iicoverage, iinot iibed iiconfined
- iiskilled iiservices iito iimaintain, iiprevent iior iislow iideterioration
- iireimbursement iifor iiestablishment iiof iimaintenance
- iidoes iinot iiapply iito iiIRF's iior iicomprehensive iioutpatient iirehabilitation iifacilities
What iiMedicare iiwill iinot iipay iifor/common iiclaim iidenials ii- iiAnswers ii-- iinon-skilled
- iiextending iito iieducate
, - iimissing iicertification
- iitoo iimany iiunits
- iino iiminutes
- iiactivities iito iipromote iiwellness
- iimissing/incomplete iiPOC
- iimissing/incomplete iiprogress iinotes
Plan iiof iicare ii- iiAnswers ii-- iiestablished iibefore iitreatment iibegins
- iisignature iiand iiprofessional iiidentity
- iidate
- iimay iirender iibillable iiservices iion iidate iiestablished
- iicertified iiby iiphysician/NPP
- iiindividualized- iiservices iidirectly iirelated ii
- iievaluation iiand iitreatment iimay iioccur iion iisame iiday
- iiappropriate iito iibegin iitreatment iionce iiestablished
- iisignificant iichanges
Progress iinotes ii- iiAnswers ii-- iitherapist iimust iicomplete iiat iileast iievery ii10th iivisit
- iiprovide iievaluation iiof iigoals
- iireport iiany iichanges iito iiPOC
- iimust iibe iideveloped iiby iitherapist ii(NOT iiOTA)
- iidates iifor iirecertification iido iinot iieffect
- iisent iito iiphysician iifor iirecertification
Services iifurnished iiby iia iitherapy iiassistant ii- iiAnswers ii-- iitherapist iineeds iito iiapply
iipatient iimodifiers iito iiclaims iifor iiall iiOP iiservices
- iiassistance iiprovided iiat iileast ii10% iiof iiservice iiindependently iifrom iitherapist
- iiactivate iia ii15% iipayment iireduction
Medicare iipayment iithresholds iifor ii2020 ii- iiAnswers ii-- iipermitted iito iiexceed iiwith iiKX
iimodifier
- iiTier ii1: ii$2080 iifor iiOT iiOP
- iiTier ii2: ii$3000
What iiis iiconsidered iifor iiMedicare iiPayment iithreshold ii- iiAnswers ii-- iipatient's
iicondition- iidiagnosis, iicomplexity, iiseverity
- iiservice iiprovided: iitype, iifrequency, iiduration
- iiinteractions iiof iicurrent iiactive iiconditions iiand iicomplexities
Purpose iiof iia iimedicare iireview ii- iiAnswers ii-- iiidentify iiand iicorrect iiproviders iiwith iihigh
iidenials/unusual iibilling
- iihelp iiproviders iiquickly iiimprove iiand iicorrect iierrors
Process iiof iimedicare iireviews ii- iiAnswers ii-- iiprovider iiselected iifor iiTPE iiand
iicontacted iiby iiMAC
- iiADR iirequests
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