CSD 311 Quiz 2

when is evaluation document completed

at the first visit

what is the purpose of evaluation document

determines the need for skilled services and sets goals

When is a daily note completed

after each teratment session

what is the purpose of a daily note

a brief record to track what was done and how the patient responded that day

When is recertification document completed

when care needs to continue beyond the original plan of care

what is the purpose of recertification goal

includes updated goals and assessments for care that continues beyond original plan of care

when is discharge summary compelted

written when services end

purpose of discharge summary ?

summarizes progress and recommendations for follow up

what are skilled services

require clinical decision-making and can be billed to insurance (e.g.,

therapy sessions, caregiver training with patient present).

what are non-skilled tasks

are important but not billable (e.g., documenting without the patient

present, preparing materials, walking between rooms)

what is a screen

a quick, informal check to see if a full assessment is needed. It does not result

in a diagnosis and is typically not billable.

what is an evaluation

a formal, in-depth process that gathers detailed information and justifies

the need for skilled services.

what is reimbursement

payment that a healthcare provider receives from an insurance

company for services delivered to a patient.

what is Medicare

• insurance for older adults 65+ or those with disabilities

what is medicaid

for individuals with low income

what is private insurance

often provided by employers or purchased individually

what coding describes why services are needed

ICD-10 (international classification of diseases)

what is a diagnostic code

explains the patient’s medical condition (e.g., Parkinson’s

disease)

what is treatment code

describes the specific impairment being addressed (e.g.,

dysphagia).

what codes describe what service was provided (e.g., speech-language evaluation)

CPT codes (current procedural terminology)

Examples of codes

If I had to work in a healthcare setting, what kind of environment would you choose

home health

If I had to work in a healthcare setting, what types of patients would you enjoy serving

pediatrics

What kind of interactions with coworkers and healthcare teams would suit you?

• err idk

What code is this, 92507

CPT code (speech therapy session)

What code is this I69.321

ICD-10 Codes (aphasia after stroke)

What code describes what was done

CPT

what code describes why it was done

ICD-10

what is the ICD-10 code for parkinsons

G20

treatment code fo dysphagia

92526

what is CPT code for speech language evaluation

92523