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Ethics_3D_L2_Quiz2

 

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1)
Learning how to ‘DOCUMENT EFFECTIVELY’ regarding the client's needs and treatment is the key to obtaining appropriate ‘levels of care’ . . . and to keeping your money when you are audited!
 
True False
 
2)
How many CORE CONCEPTS were identified in this lesson, which drive the insurance company's decision to approve or deny treatment?
 
3
7
5
4
 
3)
The primary purpose of this course is to show providers how to _________________
 
memorize the Level of Care (LOC) criteria.
comply with documentation expectations, within ETHICAL BOUNDARIES.
improve your relationship with the insurance company's Care Manager
 
4)
This course tells us that a major factor in the managed care company's decision to approve or deny a request for treatment is . . .
 
whether or not the client is expected to move out of the Service Area during the timeframe covered by the authorization.
whether or not the client is expected to file a grievance if the treatment request is denied.
whether or not the client is making progress.
whether or not the client has had a change in diagnosis during the past 90 days.
 
5)
This lesson tells us that there is NO connection between the current ETHICAL STANDARDS for behavioral health professionals, and the ETHICS that we must utilize under an insurance contract.
 
True False
 
6)
It is UNETHICAL to be specific about the functional deficits of the client, or the basis for his diagnosis, when we write in the treatment record.
 
True False
 
7)
This course tells us that providers and their clients are directly affected by _________________ of who receives services – which can present an ETHICAL DILEMMA for providers.
 
'publication'
'prioritization'
'randomization'
 
8)
Some documentation techniques discussed in this lesson can protect providers LEGALLY, in the event of a professional liability lawsuit.
 
True False
 
9)
Which item below is NOT one of the 'Core Concepts' which shape how we DOCUMENT TREATMENT, in this new health care environment?
 
Medical necessity - Is the treatment needed to improve, maintain, or prevent deterioration?
What was the age of the client when he or she was first diagnosed with a behavioral health disorder?
What's the current level of functionality?
Do the treatment goals and interventions match the diagnosis and functionality?
Is the client responding to treatment?
 
10)
When DOCUMENTING a recidivistic client’s treatment, be clear (verbally AND in writing) about the SERIOUSNESS of his or her issues – BUT AVOID mention of ‘backslides’ in progress.
 
True False
 
11)
There will be times when services are simply denied or reduced in intensity by the MCO – regardless of how well you document the need for continued treatment. When this occurs, it's our ETHICAL responsibility to REFER him or her to another provider who can provide the services (or we may continue to see the client pro bono - free of charge - if we choose).
 
True False
 
12)
It must be clear in the client’s record that the treatment you provided (e.g., intervention, role play, feedback, skills development, ‘homework’ assignment, cognitive restructuring, 12 step work, etc.) was . . .
 
something NEW that has not been tried with this client before.
RELEVANT to his major functional issues.
the only feasible option.
 

 

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