1) Which payer source most commonly reimburses for occupational therapy services in public schools? a) Medicaid b) Private insurance c) Medicare d) Out-of-pocket payments 2) What is the key feature of value-based reimbursement in occupational therapy? a) Emphasis on frequent service provision b) Emphasis on high-quality and cost-effective services c) Focus on reducing therapy duration d) Reimbursement based on the number of sessions provided 3) Which billing code would be appropriate for a therapeutic activity involving handwriting with an adapted pencil? a) 97110 Therapeutic Exercise b) 97112 Neuromuscular Reeducation c) 97530 Therapeutic Activities d) 97535 Self Care 4) In which setting are progress reports typically completed every 9 weeks? a) Hospital-based services b) Outpatient therapy c) School-based services d) Home health services 5) Which strategy helps regulate a child’s arousal level during sensory modulation interventions? a) Firm, rhythmic rocking b) Quick, abrupt changes in movement c) Light, tickling touch d) Fast-paced auditory input 6) Which type of assistive technology is commonly used for sensory integration in children? a) Weighted blankets b) Hand splints c) Gait trainers d) Electric wheelchairs 7) When documenting occupational therapy services, which of the following best demonstrates the need for skilled intervention? a) The OTA assisted the child with putting on shoes. b) The OTA provided verbal cues during dressing tasks. c) The OTA gradually reduced tactile cues while the child practiced buttoning. d) The child completed dressing activities independently. 8) Which of the following is an example of a “low-tech” sensory intervention for the classroom? a) Providing an electric swing b) Using noise-canceling headphones c) Installing weighted vests d) Modifying seating with therapy balls 9) What type of study collects numerical data to measure the outcomes of an occupational therapy intervention? a) Qualitative b) Quantitative c) Mixed-method d) Observational 10) Which intervention would best support a child struggling with proprioceptive processing? a) Providing auditory input through music therapy b) Engaging the child in heavy work activities, like pushing and pulling c) Using bright, visual stimuli to maintain attention d) Encouraging tactile exploration through messy play 11) Which billing code should be used for teaching a child to use adaptive scissors during a craft activity? a) 97110 Therapeutic Exercise b) 97530 Therapeutic Activities c) 97127 Cognitive Therapeutic Intervention d) 97537 Community Training 12) Which principle is emphasized in the “Every Moment Counts” initiative? a) Limiting sensory input in the classroom b) Promoting mental health through everyday moments c) Maximizing time spent on academic goals d) Reducing the number of therapeutic sessions 13) What is the role of the IEP in school-based occupational therapy? a) To document progress for insurance purposes b) To create a legal contract between parents and the school c) To establish long-term and short-term educational goals for the student d) To bill for occupational therapy services 14) What strategy is commonly used in sensory diets to help children regulate behavior? a) Using proprioceptive input through joint compression b) Avoiding all sensory input c) Increasing visual stimulation with bright colors d) Introducing auditory input through loud noises 15) Which billing code is used for training a child in donning and doffing a coat using forward chaining? a) 97530 Therapeutic Activities b) 97112 Neuromuscular Reeducation c) 97535 Self Care d) 97127 Cognitive Therapeutic Intervention 16) What is the typical increment for billing timed codes in occupational therapy? a) 5-minute intervals b) 15-minute intervals c) 30-minute intervals d) Hourly 17) Which sensory processing challenge is indicated when a child avoids textures such as glue or sand? a) Sensory modulation b) Sensory registration c) Sensory discrimination d) Proprioception 18) Which reimbursement source requires services to be deemed medically necessary? a) Medicaid b) Private insurance c) School district funding d) Out-of-pocket payments 19) Which therapeutic approach involves teaching both parents and children strategies to improve play and communication skills? a) Sensory diet b) Cognitive-behavioral therapy c) The PLAY Project d) Zones of Regulation 20) Which intervention strategy might be used to support a child with sensory defensiveness to tactile stimuli? a) Light touch during activities b) Deep pressure input and firm touch c) Encouraging auditory exploration d) Gradual introduction of bright lights 21) What is a key element of value-based reimbursement in pediatric occupational therapy? a) Delivering therapy for a minimum of 30 minutes per session b) Prioritizing cost reduction over quality c) Demonstrating functional outcomes and progress in documentation d) Providing services for a larger number of children 22) What type of intervention focuses on improving a child’s self-regulation by helping them identify their emotions and behavior? a) Zones of Regulation b) Sensory integration c) Handwriting Without Tears d) Cognitive-behavioral intervention 23) Which document is used to track a student’s progress toward occupational therapy goals in a school setting? a) CPT code report b) Individualized Education Program (IEP) c) Medicaid billing report d) Daily therapy notes 24) Which billing code is appropriate for playing a structured game like bowling to improve range of motion? a) 97110 Therapeutic Exercise b) 97112 Neuromuscular Reeducation c) 97530 Therapeutic Activities d) 97535 Self Care 25) Which of the following is an untimed code in pediatric occupational therapy? a) 97110 Therapeutic Exercise b) 97535 Self Care c) 97112 Neuromuscular Reeducation d) 97127 Cognitive Therapeutic Intervention 26) What principle is central to the "Zones of Regulation" intervention? a) Increasing academic achievement b) Teaching self-awareness and emotional regulation c) Maximizing sensory input d) Promoting fine motor skills 27) Which strategy is most effective for a child with vestibular processing difficulties? a) Avoiding any movement-based activities b) Introducing slow, rhythmic movement activities c) Using visual stimuli to promote engagemen d) Providing loud auditory input 28) Which intervention involves teaching breathing techniques and mindfulness to support self-regulation in the classroom? a) Cognitive-behavioral intervention b) Children’s Yoga c) PLAY Project d) Handwriting Without Tears 29) What is an important feature of “therapeutic alliance” during pediatric occupational therapy interventions? a) The therapist creates a fun, play-based environment. b) The therapist establishes trust so the child feels safe to take risks. c) The therapist completes all activities independently. d) The therapist limits family involvement in treatment. 30) What billing code would be used for training a child in adaptive community participation, such as using a public bus a) 97530 Therapeutic Activities b) 97535 Self Care c) 97537 Community Training d) 97127 Cognitive Therapeutic Intervention 31) You are using cognitive problem-solving strategies, such as teaching a child to plan and organize steps to complete a multi-step task, like packing a school bag. Which billing code would you use for this intervention? a) 97110 Therapeutic Exercise b) 97535 Self Care c) 97127 Cognitive Therapeutic Intervention d) 97530 Therapeutic Activities 32) What is the primary purpose of an Individualized Education Program (IEP)? a) To provide therapy services outside of the school setting b) To document a student's medical treatment plan c) To establish educational goals and outline special education services for eligible students d) To create a behavior management plan for students 33) How does the Individuals with Disabilities Education Act (IDEA) support children in schools? a) It provides funding for private therapy services b) It guarantees that children with disabilities have access to free and appropriate public education (FAPE) c) It ensures that only medical needs are addressed in schools d) It covers the costs of community-based therapy services 34) Which collaboration model involves professionals from different disciplines working together while maintaining distinct roles? a) Transdisciplinary model b) Interdisciplinary model c) Multidisciplinary model d) Parallel model 35) What is the focus of Tier 1 in a Response to Intervention (RtI) model? a) Intensive, individualized intervention b) Targeted group intervention for students at risk c) Universal strategies and supports for all students d) Specialized therapy services outside the classroom 36) In a Response to Intervention (RtI) model, what type of support is provided in Tier 2? a) Universal support for all students b) Targeted intervention for students at risk c) Intensive, individualized support for students with significant challengesIntensive, individualized support for students with significant challenges d) Transition planning for postsecondary education 37) Which level of intervention in an RtI model focuses on intensive, individualized services for students with severe needs? a) Tier 1 b) Tier 2 c) Tier 3 d) General education 38) Which collaboration model allows team members to share roles and cross-disciplinary boundaries during intervention? a) Multidisciplinary model b) Transdisciplinary model c) Interdisciplinary model d) Integrated model 39) Which of the following best describes the Individuals with Disabilities Education Act (IDEA)? a) A law that provides healthcare funding for children with disabilities b) A law ensuring students with disabilities have access to free and appropriate public education (FAPE) c) A guideline for how to develop occupational therapy intervention plans d) A framework for teachers to manage behavior in classrooms 40) Which component is essential in developing an Individualized Education Program (IEP) for a child with disabilities? a) A plan for providing community-based therapy services b) Educational goals tailored to the child’s specific needs c) A list of extracurricular activities for the child d) A recommendation for medical treatment outside of school 41) What distinguishes a transdisciplinary collaboration model from other models? a) Each team member performs their own tasks with minimal collaboration. b) Team members share roles and responsibilities, often crossing disciplines to provide intervention. c) Professionals from different disciplines meet regularly but maintain separate roles. d) Each professional focuses only on their area of expertise with no shared responsibilities 42) Which of the following interventions would be appropriate for a child receiving Tier 2 support in the RtI model? a) School-wide behavior management program b) One-on-one academic tutoring for a child with significant learning disabilities c) Small group reading intervention for students at risk of falling behind in literacy skills d) Individualized therapy sessions for a child with a physical disability 43) Which type of therapy might be billed under CPT code 97530 (Therapeutic Activities)? a) Teaching a child to tie their shoes during a functional activity b) Providing cognitive-behavioral therapy to improve emotional regulation c) Administering sensory integration therapy using swings d) Strengthening a child’s fine motor skills using theraputty 44) Which law ensures that all children with disabilities receive a free and appropriate public education (FAPE)? a) Section 504 of the Rehabilitation Act b) Americans with Disabilities Act (ADA) c) Individuals with Disabilities Education Act (IDEA) d) Medicare 45) Which law ensures that students with disabilities receive accommodations and modifications in a general education setting, even if they do not qualify for special education services? a) Americans with Disabilities Act (ADA) b) Individuals with Disabilities Education Act (IDEA) c) Section 504 of the Rehabilitation Act d) Medicaid 46) What does the Americans with Disabilities Act (ADA) ensure for individuals with disabilities? a) Access to special education services in schools b) Protection against discrimination in public spaces, employment, and government services c) Free public education for children with disabilities d) Medical services covered by Medicaid for children with disabilities

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