CTRS CTRS Documentation & Reimbursement

Question 1

SOAP note format in TR documentation stands for:

Accepted Answer

Subjective, Objective, Assessment, Plan

Answer

Summary, Objective, Assessment, Plan

Answer

Status, Outcomes, Actions, Progress

Answer

Schedule, Observation, Attendance, Performance

Question 2

Under HIPAA, a CTRS may share a client's protected health information (PHI) without written authorization for:

Accepted Answer

Treatment, payment, and healthcare operations (TPO)

Answer

Marketing purposes

Answer

Research without an IRB waiver

Answer

Staff meeting case discussions open to non-clinical personnel

Question 3

The primary purpose of a functional outcome statement in TR documentation is to:

Accepted Answer

Specify a measurable, client-centered goal linked to functional independence or quality of life

Answer

Describe the therapist's credentials

Answer

List the activities offered in a program

Answer

Record group attendance numbers

Question 4

Medicare Part A covers therapeutic recreation services primarily in which setting?

Accepted Answer

Inpatient rehabilitation facilities and skilled nursing facilities

Answer

Outpatient clinics

Answer

Private practice offices

Answer

Community recreation centers

Question 5

A 'medical necessity' justification for TR services must demonstrate that services are:

Accepted Answer

Reasonable and necessary for the diagnosis or treatment of the client's condition

Answer

Enjoyable and preferred by the client

Answer

Less expensive than alternative therapies

Answer

Delivered in a group format to maximize efficiency

Question 6

In TR documentation, a 'measurable behavioral objective' must include:

Accepted Answer

Who, will do what, under what conditions, to what level of performance, and by when

Answer

The therapist's professional opinion only

Answer

A description of the activity setting

Answer

The client's insurance plan number