In documentation following a new patient assessment, which section of the clinical note typically includes statements of pain level and cognitive abilities?

In documentation following a new patient assessment, in which section of the clinical note would you write about the speed at which the patient is able to walk, as demonstrated in the clinic?

In documentation following a new patient assessment, in which section of the clinical note would you write about the poor pulse felt at the dorsalis pedis artery?

In what section of the clinical note should you write the following information: Without an ankle foot orthosis, the patient will continue to trip, posing a risk for more frequent and more serious injury than he has already sustained.

In documentation following a new patient assessment, which section of the clinical note typically includes past medical history?

In what section of the clinical note should you write the following information: The patient appeared very irritable today, saying that his new medication was making his head "foggy."

In documentation following a new patient assessment, which section of the clinical note typically includes lengths and circumferences measurements of the limb?

In what section of the clinical note should you write the following information: Range of motion at all joints was measured to be WNL (within normal limits).

In documentation following a new patient assessment, in which section of the clinical note would you write about ligament laxity observed at the knee?

In documentation following a new patient assessment, in which section of the clinical note would you discuss all the steps involved in completing the prosthetic or orthotic device as well as expectations of how long everything will take?

In what section of the clinical note should you write the following information: Prosthetic design will include a fluid-controlled knee unit, to meet the patient's potential to walk with variable cadence.

In documentation following a new patient assessment, in which section of the clinical note would you write a summary of the overall problems and limitations and discuss how this contributes to decreased function and biomechanical inefficiency?

In documentation following a new patient assessment, which section of the clinical note typically includes notes about what the patient does at their job?

In documentation following a new patient assessment, in which section of the clinical note would you write about the detailed prosthetic or orthotic prescription proposed based on observation and interview?

In documentation following a new patient assessment, which section of the clinical note typically includes details about the patient's home?

In what section of the clinical note should you write the following information: A cast was taken today for a custom prosthetic gel liner. As soon as the liner is received, we will have the patient back in to cast for the check socket.

In documentation following a new patient assessment, in which section of the clinical note would you write about the patient's inability to balance on one foot for more than two seconds?

In documentation following a new patient assessment, in which section of the clinical note would you write about weakness of the left dorsiflexor muscles?

In what section of the clinical note should you write the following information: Patient's son currently acts as her caregiver.

In documentation following a new patient assessment, which section of the clinical note typically includes a description of their current condition?

In documentation following a new patient assessment, which section of the clinical note typically includes notes about their psychological support system?

Which of the following establishes national standards that require the privacy and security of a patient's health information?

Measurements taken during a P&O evaluation can provide a useful reference in the immediate short term as well as in the extreme long term.

With use of CAD/CAM technology, which of the following is the most common business decision?

Which document identifies specific hazards of chemicals that are important to know for proper handling and storage?

Generally, which type of patient is often scheduled for more routine follow-up appointments?

Which organization is particularly concerned about safety in the P&O lab?

Is there any reason to record circumference measurements of a limb if you are not planning on casting during that appointment?

For two different states within the same PDAC jurisdiction, reimbursement values for United Healthcare for a given L-code are the same.

A "NOS" code can be used to describe a whole device or just a component of a device.

For two different states within different PDAC jurisdictions, reimbursement values for United Healthcare for a given L-code are the same.

If your purchase cost of an item is more than its associated reimbursement allowable (based on its assigned L-code), then you can utilize a secondary or alternative L-code for that item.

It is common practice for P&O administrators to review physician notes and request from the physician office that addendums be made prior to claim submission.

If a patient asks for a copy of their medical record (including the clinical notes you have written about them), you are required by law to produce that for them.

A new P&O device to be provided to a patient can be defined by two base codes if necessary.

A single L-code is reimbursed at the same Medicare rate for all states within Jurisdiction D.

The purpose of (the) _____ is to protect the privacy/security of protected health information, including proper disposal.

In order to determine a patient's out of pocket cost for a device, all of the following information is needed EXCEPT:

How long can a dispensing order be used after a physician signs it?

Which documentation element confirms physician agreement with the specific treatment plan?

You receive a prescription from your physiatrist. How long is the prescription good for?

Which documentation element identifies the underlying cause or need for treatment?

Which documentation element is used in conjunction with written justifications to describe a specific treatment plan in insurance language?

Where can you find Medicare coverage guidance for specific L-codes?

Which insurance payer is utilized with patients involved in the military health system?

Medicare fee schedules for each jurisdiction are updated once...

If Medicare denies a claim, a patient can only be billed if an ABN had previously been signed.

Though the actual amounts are state-dependent, which insurance coverage is known for having the lowest reimbursement values compared to other payers?

Which of the following parts of Medicare is not relevant to P&O?

In a P&O clinic, L-codes are primarily used, but others are sometimes used as well. Which would be LEAST likely to be used?

Which insurance company/organization is the biggest payer of P&O claims?

Which insurance situation is utilized in place of suing or similar legal action against an employer?

Which documentation element confirms beneficiary understanding of potential non-coverage of a device or item?

Good Manufacturing Practices (GMPs) are produced by which organization?

Which organization works to ensure that Materials Safety Data Sheets (MSDS) are followed for handling and storage of chemicals?

(The) _____ may inspect a P&O facility at any time. Among other things, they may look at the availability of personal protective equipment for employees.

Willful negligence of the Health Insurance Portability and Accountability Act can result in jail time.

It is suggested that published instructions for device use that are provided to patients…

Your prosthetic patient's spouse has just informed you that he passed away over the weekend. You were just about to deliver their replacement socket on Tuesday, and fabrication is already completed. You should immediately submit a claim to their insurance including the L-codes that describe the device.

Modifiers on proof of delivery paperwork can serve to distinguish between repair and replacement services.

A Medicare patient was discharged from the hospital this morning after his stay for shoulder surgery. Due to his tight schedule, he really wants to come to your clinic for delivery of his AFO, which was approved for delivery last week. Given this scenario, who would be on the hook to pay or reimburse for this device?

Which documentation element confirms beneficiary receipt of the treatment device?

Following denial of a claim, which point of the appeals process is known as being the step during which you are given the best opportunity to make a case for yourself – and is associated with your best opportunity to get the denial reversed?

You would expect to see functional modifiers listed with L-codes on proof of delivery paperwork for all of the following components EXCEPT:

For follow-up coding situations for device repair, which of the following is true?

A patient has been seeing you for a new prosthesis in your clinic for multiple appointments. Just before delivery, your administrative assistant double-checks their insurance to find that their coverage has lapsed. The delivery appointment is today. Given this scenario, who would be on the hook to pay or reimburse for this device?

A Medicare patient with transtibial amputation has knee surgery on his contralateral side. Unfortunately this occurred just as you were finishing fabrication of his new transtibial replacement socket (you were trying to finish it before his surgery but it didn't work out). His inpatient therapist wants to have him do some weightbearing exercises on his contralateral knee, so she says that his new socket is really needed today. No discharge date has been set. Given this scenario, who would be on the hook to pay or reimburse for this device?

You receive an order for a custom AFO while a Medicare patient is in inpatient rehab. During her two week stay, you cast for the device, fabricate, bring the device in for fitting three days before discharge, and ultimately deliver the device on the day of discharge, as she is packing up. Given this scenario, who would be on the hook to pay or reimburse for this device?

You see a Medicare patient for a KO at outpatient gait clinic at a rehabilitation hospital. She has appointments there three times a week, and she prefers that all your visits with her take place during those appointments, including delivery of the device. The therapist is fine with it but says he knows nothing about payment for the device. Given this scenario, who would be on the hook to pay or reimburse for this device?

Medicare will cover prosthetic replacement if it can be shown that repair costs are _____ of the cost of a new item.

A Medicare patient has an unscheduled appointment for a walking boot. She has a prescription written by her primary care physician, and you have an appropriately sized boot to deliver, but your company is not Medicare enrolled. Given this scenario, who would be on the hook to pay or reimburse for this device?

You have been seeing a Medicare stroke patient during their inpatient rehab stay to provide an AFO. Staff has decided that he will not be discharged until he demonstrates significantly improved stability and independence. His PT is asking that you deliver the device so that it may be used for therapy purposes for this improvement. The PT says that the doctor agrees that maximal use of the AFO will help in establishing enough progress to set a discharge date. Given this scenario, who would be on the hook to pay or reimburse for this device?

Labor codes represent _____ increments of time spent on a repair or adjustment after device warranty expiration.

A KO is required for a Medicare patient immediately following hamstring release surgery in the hospital, delivered in the hospital room five days before discharge. Given this scenario, who would be on the hook to pay or reimburse for this device?

During the holidays, a clinic sends fruit and chocolate baskets to their referral sources from that year: a $10 basket for 1-20 referrals, a $25 basket for 21-50 referrals, or a $50 basket for over 50 referrals.

Willful negligence of the Health Insurance Portability and Accountability Act can result in jail time.

Your patient's prescribed device was not covered by his insurance, but he still opted to proceed with the treatment plan with the intention of paying out of pocket. At delivery, he immediately pays in full, so your company gives him a 10% discount on the total.

Which of the following describes the correct chronology of billing documentation?