Melissa is a third-year doctor of physical therapy (DPT) student on her last clinical affiliation. She is interested in geriatrics and is working at skilled nursing facility (SNF). Melissa has enjoyed the experience but has found the documentation aspect to be different in some respects from anything she encountered in her previous clinical experiences. She remembers having heard in school, for example, the acronyms MDS, PPS, and PDPM (for Minimum Data Set, Prospective Payment System, and Patient Driven Payment Model, respectively), but never had really thought about how they apply to patient care until she started this experience.  Melissa completes an initial evaluation on a 73-year-old man named Walt and determines that he would benefit from physical therapy but has limited rehabilitation potential. Walt barely could participate in the full evaluation even though it only took about 30 minutes. Melissa is concerned over his ability to participate and tolerate rehabilitation at this stage.  The next day, Melissa reviews the chart and sees that Walt has been assigned to a PDPM category that she feels is not appropriate for his current level of function. Melissa is certain this is an error, so she approaches her clinical instructor, Wendy, and asks her how to correct it. Wendy responds that the category most likely isn’t an error. Rather, Wendy tells Melissa, many individuals Walt’s age, with his diagnosis, are placed in this category and are documented as having received individual therapy when the patient really is receiving group therapy. The facility, Wendy adds, seeks to do this on some patients because such designations increase reimbursements to make up for the lack of reimbursement on other patient cases. “It all kind of balances out” says Wendy because “Medicare doesn’t pay much anyway”. Wendy then suggests that Melissa speak with the department supervisor, who establishes the clinical categories for the patients.  Melissa is deeply concerned about this situation and Walt’s rehabilitation, however, on the other hand she doesn’t want to do or say anything that will jeopardize her successful completion of this final clinical affiliation. Should she simply do as she’s told and rationalize that as a student she may not fully understand what has happened or should she follow Wendy’s recommendation to speak with a supervisor to advocate for changing the coding culture in the SNF? Considering the ethical decision-making model discussed in class, identify the cardinal realm in which this situation is occurring.

At high altitudes where the atmospheric pressure is low, how does a variable bypass vaporizer behave?

​Recently, Hale Corporation announced the sale of 2.5 million newly issued shares of its stock at a price of $21 per share. Hale sold the stock to an investment banker, who in turn sold it to individual and institutional investors. This is a primary market transaction.

Identifying a cause, presenting and researching relevant facts, identifying stakeholders and taking action for change with like-minded is called 

Which of the following activities is allowed by Florida Law regarding a physical therapist’s ability to delegate to an individual who is not a physical therapist?       

Anadhi Company had accounts receivable of $750,000 and an allowance for doubtful accounts of $21,500 just prior to writing off as worthless a customer’s $5,000 account receivable. What is the net realizable value of accounts receivable that Anadhi would report on its Balance Sheet before  the write off? Write the value in the box below. (Note: please do not include commas or dollar signs in your response)

What is one of the greatest risk factors when treating a child with osteogenesis imperfecta?  

What is the classification of the drug  Heparin?

XYZ Inc. uses LIFO. In its notes to financial statements, the company reported the following: LIFO reserve at the end of 2024 as $50,000. LIFO reserve at the end of 2023 as $30,000.   If the tax rate for XYZ Inc. was 21%, how much taxes have been saved or lost by the company by using LIFO during 2024? Specify whether saved or lost and the $ amount.

Which of the following has NOT yet been used to test the predictions of Einstein’s theory of general relativity?