Wk 2 Adult Eval & Intervention: Documentation Quiz

What is the primary purpose of documentation in occupational therapy?

• To entertain patients

• To record patient observations and healthcare services

• To replace medical professionals

• To advertise healthcare services

What does HIPAA stand for?

• Health Information Privacy and Accountability Act

• Health Insurance Portability and Accountability Act

• Health Information Protection and Assurance Act

• Health Insurance Privacy and Assurance Act

Which of the following is NOT a purpose of OT documentation?

• To provide a timeline of services

• To facilitate patient safety and continuity of care

• To entertain healthcare providers

• To provide a legal record of care

What is meant by "Fraudulent Billing" in the context of OT documentation?

• Billing for services not provided or overbilling

• Billing for services at a discounted rate

• Billing for services provided by another therapist

• Billing for services in advance

What is the role of "Third-Party Payer" in healthcare?

• To provide direct patient care

• To manage and reimburse healthcare expenses

• To diagnose patient conditions

• To prescribe medication

What is the main advantage of using a narrative format for documenting therapy events?

• It is the quickest method for documentation.

• It allows for storytelling of the patient's experience.

• It ensures efficiency and completeness of information.

• It uses standardized forms for data entry.

What does the acronym SOAP in SOAP Notes stand for?

• Subjective, Objective, Analysis, Plan

• Subjective, Objective, Assessment, Plan

• Summary, Objective, Assessment, Plan

• Subjective, Observation, Assessment, Plan

Which phase of documentation reports involves a brief assessment to determine the need for a full evaluation?

• Evaluation Phase: Screening

• Revaluation Phase

• Intervention Phase: Intervention Plan

• Discharge Phase: Discharge/Discontinuation Note

What is the purpose of digital signatures in Electronic Medical Records (EMRs)?

• To reduce costs

• To authenticate entries

• To improve patient care

• To avoid shortcuts

What is a potential barrier to efficient data sharing in EMRs?

• Use of digital signatures

• Interoperability issues

• Avoiding shortcuts

• Point-of-service documentation