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23 Cards in this Set
- Front
- Back
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Medicare covers who?
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people age 65 and over, receiving social security disability payment for more than 2 years, end stage renal disease
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Medicare Part A
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home health services, approximately 100 days of inpatient hospital and skilled nursing facility care, hospice care
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Medicare Part B
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ancillary services after first 100 days of Part A has been exhausted, outpatient services
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Medicare covers dysphagia for?
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motivated and moderately alert patients
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Give ex. of Medicare fraud charges
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bill for services not provided
bill for services not covered waiving of a co-payment midcoding soliciting, offering, or receiving a kickback |
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Medicaid
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joint federal/state reimbursement program that offers health care to low income families
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HIPAA (Health Insurance Portability and Accountability Act of 1996)
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addresses privacy of patient data, enacted to streamline and standardize administration of health care insurance, full access to their medical records, more control over how their personal information is used and disclosed, and provide a clear avenue of recourse if their medical privacy is compromised.
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ASHA purpose
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To protect the public by maintaining high standards for members, certificate holders, accredited professional services programs, & accredited graduate education, program, to promote investigation and prevention of disorders of comm.
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Scope of practice
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areas of service are speech, voice, language, communication, swallowing, assistive technology
educates healthcare, education and others regarding treatment, services, and supports provided by SLP |
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What does an SLP need for scope of practice?
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hold a masters or doctorate, CCC and other required credentials(state licensure, teaching certificate etc.), work with other professionals, to prevent communication problems, screen assess, diagnose, refer
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Licensure
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it is state based, not voluntary, protects the consumer from incompetent practice and that services are provided in manner that meets professional standards
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Certification
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granted to an individual who has successfully fulfilled certain requirements, use a particular professional title, ASHA grants certification to indiv. who meet requirements relating to academic degree, type
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Certificate of Clinical Competence
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master's or doctoral degree
Education completed in accredited program 400 clock hrs of supervised observation and practicum Passing of Praxis completion of full time supervised professional experience |
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Clinical Fellowship
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supervised professional experience after completion of required course work
provide direct patient contact 80% of work week verify current certification status of supervisor no less than 36 weeks of full time professional employment |
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1973 Section 504 of Rehabilitation Act PL 93-112
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eliminates discrimination against individuals with disabilities by agencies receiving federal financial assistance
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1975 Education for All Handicapped Children Act of 1975 (EHA) PL 94-142
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mandates free, appropriate education for all handicapped students between 3 and 21. Provides for IEP, due process, protection in evaluation procedures, and education in the least-restrictive environment
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1986 Education for All Handicapped Children Act (Part H/Part C) PL 99-457
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extends protection of the EHA to infants and toddlers (birth through age 2). Important to remember includes an IFSP
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1990 Individuals with Disabilities Education Act PL 101-476
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Expands the discretionary programs, includes the additional categories of autism & TBI as separate disability categories. Includes language relative to assistive technology. Expands transition requirements.
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IDEA 97
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Services must be comprehensive, multidisciplinary, culturally unbiased, family directed, community based
Must have IFSP Must recognize role of parents/family |
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IEP must include
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referral, informed consent for evaluation, formation of multidisciplinary eval team
Comprehensive assessment report with recommendations IEP meeting Parental consent for placement Implementation- Annual Review-3yr eval |
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Supervision
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should assist in clinical/professional tasks including:formation of goals/objectives, clinical management skills, writing, professional conduct
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Minimum suggested supervision
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25% of therapy
50% of each diagnostic 36 supervisory visits during CFY |
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Hours requirements do's and dont's
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meeting with supervisors are not clinical hours
Preparation hours are not counted as clinical hours 25 hours must be in the area of observation Discussion of dx recommendations can be included as dx hours |