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Question | Answer |
---|---|
Define a policy | Broad statement of intended action. |
Define a procedure | Outlines a specific strategy for members of an organization to follow when following a policy |
General topics that should be addressed in an AT education program, policies, and procedures manual? | Who the AT staff will see Facility use and maintenance risk management plans chains of command |
How often should an AT document | Daily |
An AT can release an ath's medical records to whom? | No one, not without the consent of the ath or legal guardian |
_ is a form of record keeping that allows the AT to list the injury info, actions taken by AT, and response of ath to AT treatment in column form. | Focus charting |
What type of agreement should be drawn up between the school and the physician when hiring a new doc? | A physician's letter of agreement |
What best describes an AT in a nontraditional AT setting? | Manager |
What guidelines does the AT have to follow regarding maintaining proper hygiene and sanitation in the AT room? | OSHA - occupational safety and health administration |
What organization establish standards of quality for organizations that provide rehabilitation services? | CARF - Commission on accreditation of rehabilitation facilities |
What document should be subpoenaed during a civil litigation suit against an AT? | Treatment log |
Fixed payments made on a monthly basis to a managed care provider are known as _ reimbursement | Capitation |
What form should the AT fill out to gain the quickest reimbursement from an insurance company? | HCFA-1500 form - standard insurance claim accepted by most carriers |
Maintaining accurate medical records is the responsibility of? | AT, school nurse, team physician |
What type of analysis is considered a useful tool in strategic planning of an existing AT program? | WOTS -UP analysis weaknesses, opportunities, threats, and strengths |
A _ is appointed by an insurance company to oversee the medical care given to an ath | A gatekeeper- and is usually a primary care physician |
The _ is a charge that represents the maximum amount that an insurance company will pay a provider | UCR - Usual, customary, reasonable |
The _ is a nongovernmental, nonprofit organization that gathers injury data from a number of sources including educational institutions | National safety council |
Which organization must certify face masks that are used in ice hockey helmets? | Hockey equipment certification council HECC |
_ supplies include items like adhesive tape, gauze pads, and bandages | Expendible |
_, _, and _ must be taken into consideration when developing a risk management plan | Security, fire safety, and management of emergency injuries |
Large purchases for an educational institution are usually done through _ | Bid process - competing vendors give quotes, and the lowest bidder is usually used to purchase an order |
What is a copayment? | A percentage of the total amount the policy holder is required to pay for medical services rendered |
Any AT who is in position to hired a new staff member is governed by _ laws. | Federal |
What should be included in the AT daily treatment log? | Any treatments administered and how, rehab progression, current playing status, and daily injury log |
Important steps to avoid legal problems when administering care to an ath | Keeping accurate records, staying familiar with the health history of ath, following orders from physician |
Characteristic of managed car organization | Requires provider accountability, promote the use of 'gatekeeper' physician, utilized various strategies, utilize specific providers |
An insurance claim might be denied if | Lack of patient progress, duration of care is excessive, improper coding, treating beyond the number of approved visits |
What is the series of codes used by insurance agencies and providers alike to identify a patients diagnosis for reimbursement purposes? | ICD-9 - international classification of diseases |
In designing a new AT room _ and _ just must be addressed in schematic drawings | Space needs an traffic patterns |
What is a possible advantage in leasing equipment over purchasing? | Less risk that the equipment will become obsolete |
In AT, database software has been primarily used to perform what function? | Store and retrieve information regarding athletic injury and treatment |
Describe an insurance 'rider'? | Supplementary clause to an insurance contract that covers the cost of conditions that extend beyond those associated with the standard policy |
Methods to enhance budget plan | Keeping an accurate inventory of disposable and nondisposable supplies, find out cost of disposable, use bidding process to get best cost, determine the amount of ath's that will be needing care |
What is the biggest budgetary obstacle that many high school AT's must face? | Lack of room and special facilities, equipment |
Types of supervisory models used by AT's | Clinical Developmental Inspection Production |
What is clinical supervision | Direct supervision of employees work and the subsequent development of an action plan to improve and deficiencies in his or her performance |
What is developmental supervision | Involves participation management, the employees discuss common problems and develop solutions with supervisors |
What is inspection and productive supervision | Originally developed and implemented in industrial settings. Emphasizes authoritative managerial efficiency. Strict observance of policies and procedures. Least utilized in AT setting |
The main models of supervision used in the AT setting is _ and _ | Developmental and clinical |
Phases of budget planning | Exploration, information gathering, decision making |
_ reimbursement is the process by which healthcare providers arereimbursed | Third party reimbursement |
What is a growing concept in the insurance industry stressing cost control through coordination of medical services? | Managed care |
What is capitation | A form of reimbursement used by managed care organizations to determine the amount of money that will be paid to the provider for services in a predetermined period of time |
What is a mission statement | A written expression of an organizations philosophy, purpose, and characteristics |
What is a type of organizational culture characterized by autonomy in decision making and problem solving? | Paternalistic culture |
Basic steps in purchasing process | Requesting quote, negotiation, bid requests, purchase order |
What is not a type of managed care organization | HMO health maintenance organization, point of service, exclusive, and preferred provider organization |
What is the state law that gives an individual the length of time to file a claim? | Statue of limitations |
If an ath has HMO and needs to be seen by a specialist, who makes the referral | The PCP primary care physician |
According to program management theory, which of the following is defined as a decision making process in which a course of action is determined in order to bring about a future state of affairs? | Planning |
_ is a person or organization that supports a program but has a history of untrusting behavior and can be manipulative? | Bedfellow |
The process by which something is done in a sport medicine program is defined as_ | Procedure |
What are cost based providers contracted by the federal government and charged with reviewing Medicare claims made by hospitals called? | An insurance 'carrier' |
What is the potential to influence the behavior of a superior called? | Personal power |
Types of budgets | Fixed, variable, lump sum, line item |
What is a fixed budget | The fixed budget allocates a set amount of money towards essentials |
What is a variable budget | A budget that adjusts automatically over the course of the year depending on needs |
What is a lump sum budget | Very general, non-specific approach to budgeting |
What is a line item budget | The individual items are grouped by category. AT must anticipate specific expenses for supplies and services |
Primary coverage is defined as | A coverage that begins to pay for covered expenses after a deductible is met |
_ is a contract between a policy holder and an insurance company to reimburse a percent of the cost of policyholders medical bills | Medical insurance |
Rule of confidentiality | PHI -protected health information. Privacy rule |
Advantage to leasing equipment? | Lower initial cost |
What type of organizational culture is characterized by consensus, teamwork, and participatory decision making? | Collegial culture |
What type of budget allocated fixed amount of money for an entire program without specifying how the money will be spent? | Lump-sum budgeting |
What type of budget requires justification for every budget line item without reference to previous spending patterns? | Zero-based |
What type of tort is where an AT fails to act | Negligence |
What standards are performance evaluation standards intended to help foster practicality in the employee appraisal process? | Feasibility standards |
An 'operational plan' is a plan that defines organizational activities in the short term and should be no longer than _ years | 2 years - short periods of time allows organizations to change as needed |
What kind of documentation must ath's have if they have a disability? | Medical documentation |
In building a new AT room, what type of construction model is the use of one firm to both design and construct the new building? | Design/build model |
What is a vital step in determining space needs with designing a new AT facility? | Traffic pattern chart |
_ is used for funding public sector sports medicine facilities with assets in cash and investments not used for operational purposes | Endowments- usually used for scholarly endeavors |
Catastrophic insurance begins coverage after the first _ of medical bills have been reached | 25,000 |
What type of medical insurance pays for coverage after the ath's other insurance policies have been met? | Secondary insurance |
What organization publishes CPT codes on an annual basis? | AMA - american medical association sets codes to standardize CPT (common procedural terminology |
What would be included in the capital expenses of an AT program? | Major costs - building and room construction |
How high should electrical outlets be placed above the floor in the AT room? | 4-5 ft to prevent possibility of electrical shock |
How far away should the face mask of a football helmet be from the nose? | 3 finger widths |
Thermomoldable plastics, such as Orthoplast/ Aquaplast is indicated for may different injury situations like..? | Contusions |
Which organization has identified the domains of AT as defined by the Role Delineation Study? | BOC |
What type of budget allocated a fixed amount of money for specific program functions and activities? | Line-item budget |
What is the most restrictive form of regulation for the profession of AT? | Licensure |
What describes the function of a high school nurse in the sports medicine program? | As a liaison between te AT and school health services |
What organization was formed in 1950 creating a code of ethics and standards for AT? | NATA - national athletic trainers association |