Quiz

1. Question

Adherence to legal and ethical standards is called

Medical necessity
Standard of care
Compliance
Evidence-based practice

2. Question

_____ is a documentation format used to communicate patient treatment.

DAP
SOC
BIP
Medical necessity

3. Question

______ is how regulatory bodies determine whether patient care is needed and effective.

Compliance
Standard of care
Medical necessity
Clinical documentation

4. Question

Standard of Care needs to reflect that your actions were similar to what reasonable clinicians would do under the same or similar circumstances.

True
False

5. Question

Progress Notes must include all of the following except:

Date and time of sessions
Clinicians area of expertise
Clinician signature
Plan and interventions

6. Question

We utilize a three-prong approach to compliance, this approach includes all of the following except

A technical component
Thorough documentation
Standard of Care
Medical necessity

7. Question

Insurance companies require that treatment plan is signed

True
False

8. Question

Insurance companies prefer experiential treatment methods

True
False

9. Question

Insurance companies can request recoupment for the following reasons:

Failing to obtain patient signature on the treatment plan
Failing to document medical necessity
Failure to document clinician specialty areas
Failure to complete documentation within 24 hours
All of the above

10. Question

Integrated care involves which of the following: (please select all that apply)

Coordination with other providers
Developing evidenced based treatment plans
Alignment of treatment goals and ongoing sessions
Continuity of care across documentation

11. Question

The Response portion of DA(R)P includes: (choose all that apply)

Interventions
Evidence-based practices
Objective assessment
Next steps for treatment
All of the above

12. Question

The patient record is a living document, which means that: (pick all that apply)

The document should reflect up to date treatment goals
The patient record should reflect the continuity of patient care
The patient record should not be written in isolation
The patient record should be written with the patient’s help

13. Question

Completing a progress note in 15 minutes or less can be accomplished by:

Reviewing the session with the patient
Co-writing the note with the patient
Taking notes during session
Using the last few minutes of session to review and collaborate with the patient
All of the above

14. Question

Not knowing isn’t a legitimate defense if you’re audited and found to not be in compliance. The following are all reasons insurance companies could recoup funds, except:

Using a documentation format the reviewer doesn’t prefer
Using the wrong CPT code
Not documenting sessions in a timely manner according to best practice
Not properly documenting medical necessity
None of the above; they all apply

15. Question

All of the following are best practice for clinical documentation except:

Including assessments used during patient care
Not using jargon
Completing note within 24 hours of session date and time
Using evidenced-based note format