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Course 2B_L1 - Quiz 1

 

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1)
The purpose of this lesson is to teach the administrative procedures for obtaining and keeping an authorization for treatment.
 
True False
 
2)
This lesson makes the comment that. . . _________________
 
'The documentation required is very similar to social services documentation, with medical terminology.'
'We can think of this healthcare movement as enhanced social services.'
'Like it or not, it's disease management - not social service.'
 
3)
Which item below was not said in this lesson?
 
HMOs place a great deal of emphasis upon whether or not the client will benefit from additional treatment.
Managed Care companies are purchasing 'problem and disease management' - not 'strengths identification' (although we utilize strengths of our clients in everything we do).
When the Managed Care company denies a request for treatment, they are instructing you to not deliver the treatment.
Standardized Level of Care protocols . . . are believed by many to result in questionable clinical outcomes for chemically dependant consumers.
 
4)
This lesson tells us that HMOs are not trying to change how we document treatment.
 
True False
 
5)
This lesson tells us that the managed care company's Care Management (Utilization Review) decisions may contradict _________________
 
the Medical Practices Act.
the psychiatrist's orders.
the State's mandate related to Level of Care.
the provider's own professional beliefs.
 
6)
Because of Federal non-discrimination and disability statutes, HMOs must prioritize treatment based on who has requested services first.
 
True False
 
7)
This lesson says that the HMO may _________________ long before the provider (in the past) would have done so.
 
move the patient into an inpatient unit
discharge the patient
move the client into a 'step-down' program
 
8)
The Managed Care company does not look at whether or not your billings correspond with what is documented in the chart. Rather, they make an assumption that most providers will make a 5% error, and they deduct accordingly.
 
True False
 

 

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