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FREE Course 1B - Quiz 2

 

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1)
Which statement was NOT made in this lesson?
 
Like it or not, it's 'Disease Management.' - not social service.
Disease Management is the new term for 'Enhanced Social Services'.
Your client's treatment record must support the Level of Care for which the insurance company is paying you.
How we DOCUMENT the need for treatment makes all the difference in obtaining an appropriate Level of Care.
 
2)
Which issue below is NOT a factor, when making Level of Care (LOC) decisions?
 
What KIND of treatment is medically necessary
How INTENSIVE the service needs to be (less restrictive to more restrictive)
Whether or not the parents had similar mental health or AOD issues
How OFTEN the treatment is to be provided
How LONG the treatment is to continue
 
3)
Based upon Federal law, the managed care company’s decisions must not contradict a provider’s own CLINICAL BELIEFS about ‘how much’ of ‘what’ is needed at any given point in time.
 
True False
 
4)
According to this lesson, which may happen, when Care Managers consider treatment requests for Chemically Dependent individuals who have had multiple relapses?
 
They typically re-approve the last Level of Care that appeared to be successful before the most recent relapse.
They may begin to question whether additional treatment beyond detox and basic services is really justified.
The primary consideration is whether or not the client is having an alcohol or drug related 'crisis'.
They tend to approve whatever level of care has been historically used within that community, for this type of client.
 
5)
HOW you DOCUMENT the client’s needs and his treatment progress must not affect the Care Manager's decision about AUTHORIZATION for treatment.
 
True False
 
6)
Which documentation 'syndrome' was NOT listed in this course?
 
The Passive Reporter Syndrome
The Any-Patient ITP Syndrome
The Three Monkeys Syndrome
The Perpetual Care Syndrome
The Zombie Client Syndrome
 

 

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