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1)
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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!
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True
False
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2)
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How many CORE CONCEPTS were identified in this lesson, which drive the insurance company's decision to approve or deny treatment?
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3)
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The primary purpose of this course is to show providers how to
_________________
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4)
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This course tells us that a major factor in the managed care company's decision to approve or deny a request for treatment is . . .
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5)
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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.
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True
False
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6)
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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.
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True
False
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7)
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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.
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8)
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Some documentation techniques discussed in this lesson can protect providers LEGALLY, in the event of a professional liability lawsuit.
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True
False
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9)
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Which item below is NOT one of the 'Core Concepts' which shape how we DOCUMENT TREATMENT, in this new health care environment?
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10)
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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.
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True
False
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11)
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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).
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True
False
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12)
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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 . . .
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