Question 1

____________________ provide mental health services to employees, recognizing that personal and professional issues can affect work performance, health, and general well-being.

Accepted Answer

Employee assistance programs (EAPs) are specifically designed to provide mental health services and support to employees, addressing both personal and professional issues that may impact their work and well-being.

Question 2

___________________ are reimbursements to EAP counselors provided by companies themselves.

Accepted Answer

D

Question 3

Which of the following is a service provided to an organization by an EAP that includes skill building for supervisors, managers, and executive on topics such as conflict management, communication skills, and performance management?

Accepted Answer

Training services provided by an Employee Assistance Program (EAP) often include skill-building sessions for supervisors, managers, and executives on various topics, including conflict management, communication skills, and performance management. These are designed to enhance workplace efficiency and interpersonal relations.

Question 4

Which of the following EAP services consists in EAPs responding to traumatic events that affect the workplace?

Accepted Answer

Critical incident management services in Employee Assistance Programs (EAPs) are specifically designed to respond to traumatic events that affect the workplace, providing immediate support and strategies to help employees cope with the aftermath of such incidents.

Question 5

All of the following, according to Shallcross (2011) are tips for building a successful private practice except

Accepted Answer

Shallcross (2011) suggests various strategies for building a successful private practice, but keeping in contact with current and former clients through Facebook and/or Twitter may not be recommended due to concerns about maintaining professional boundaries and client confidentiality.

Question 6

________________ is a general term used to describe the systems of businesses and organizations that arrange for the financing and delivery of medical and mental health services.

Accepted Answer

Managed care is the correct term that describes systems designed to organize, finance, and deliver healthcare services to improve quality and control costs.

Question 7

Which of the following is described as "a way of providing care, a philosophy of care, a way to finance care, and a way to control costs" (Talbott, 2001, p. 279)?

Accepted Answer

Managed care is described as a way of providing care, a philosophy of care, a way to finance care, and a way to control costs. This approach integrates the delivery of healthcare services with the financing of those services, aiming to improve quality while controlling costs.

Question 8

__________________ designated federal funding for the development of managed care programs and required employer to offer managed care options to employees.

Accepted Answer

The Health Maintenance Organization Act of 1973 designated federal funding for the development of managed care programs and required employers to offer managed care options to employees. This act was instrumental in the expansion and support of HMOs across the United States.

Question 9

The process by which a managed care organization monitors the therapeutic process is called

Accepted Answer

Utilization review is the process by which a managed care organization monitors the therapeutic process to ensure that the provided healthcare services are necessary and efficient. This process helps in managing costs and improving patient care by evaluating the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities.

Question 10

Miller (1996) referred to time-limited treatments imposed by MCOs that result in early termination as

Accepted Answer

Miller (1996) referred to the practice of imposing time-limited treatments that often lead to early termination of care as "rationing." This term reflects the process of limiting resources, in this case, healthcare services, to manage costs within Managed Care Organizations (MCOs).

Question 11

In which of the following court cases was a service provider held liable for the HMO's decision to limit hospitalization, even though the provider had recommended additional treatment?

Accepted Answer

In Wickline v. State of California, the court held that a service provider could be held liable for the consequences of complying with an HMO's decision to limit hospitalization, even when the provider had recommended additional treatment. This case is often cited in discussions about the responsibilities and liabilities of healthcare providers and insurers in managed care settings.

Question 12

In which case did the court rule that it was the duty of the mental health facility to provide care to patients based on patients' medical conditions, not on the needs of insurance companies?

Accepted Answer

In Muse v. Charter Hospital of Winston-Salem, Inc., the court ruled that it was the duty of the mental health facility to provide care based on the medical needs of the patients rather than the requirements or limitations set by insurance companies. This case emphasized the responsibility of healthcare providers to prioritize patient care over financial or administrative considerations dictated by insurers.

Question 13

__________________ occurs when a practitioner assigns a more serious diagnosis than is warranted to obtain more authorized sessions.

Accepted Answer

Upcoding occurs when a healthcare provider submits codes for more serious (and often more expensive) diagnoses or procedures than the patient actually received or needed, to receive higher reimbursements from insurance companies or government programs.

Question 14

A counselor whose client exhibits symptoms of borderline personality knows that she might struggle to receive reimbursement for this diagnosis due to its severity and persistence so she gives a mood disorder diagnosis instead. The behavior by the counselor would be considered

Accepted Answer

This behavior is considered downcoding, which involves assigning a less severe diagnosis or service code on a health insurance claim to avoid insurance restrictions or denials, rather than accurately reflecting the true severity or nature of the condition.

Question 15

__________________ is a nonprofit organization whose goal is to improve the quality of healthcare services.

Accepted Answer

The answer of __________________ is a nonprofit organization whose goal...

Question 16

Which of the following is a form of payment in which the provider is paid on a per-member basis?

Accepted Answer

Capitation is a payment arrangement for health care service providers such as physicians, clinics, and hospitals. They are paid a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care.

Question 17

__________________ is a coordinated set of professional activities focused on treatment planning and assurance of treatment delivery that addresses the client's needs while maintaining quality, cost-effective outcomes.

Accepted Answer

Case management is the process that involves a coordinated set of professional activities, focusing on planning and ensuring the delivery of treatment that meets the client's needs while also ensuring the outcomes are quality and cost-effective.

Question 18

______________, a relatively new discipline, is designed to help clients who are not in psychological distress and are able to use their strengths and resources to pursue goals, actions, and outcomes that enhance their lives, either personally or professionally.

Accepted Answer

Coaching focuses on helping clients who are already functioning well to enhance their lives further through goal setting, action, and leveraging their strengths, unlike traditional counseling which often addresses psychological distress.

Question 19

Which of the following is the name of the coaching credential offered by the Center for Credentialing in Education (CCE)?

Accepted Answer

The Center for Credentialing & Education (CCE) offers the Board Certified Coach (BCC) credential, which is designed for professionals who have met specific coaching education and experience requirements.

Question 20

_________________ is designed for people who are in executive management and involves a one-on-one helping relationship between the coach and the client.

Accepted Answer

Executive coaching is specifically tailored for individuals in executive management roles, focusing on a personalized, one-on-one relationship between the coach and the client to enhance leadership and management skills.

Quiz 15: Employee Assistance Programs, Private Practice, Coaching and Managed Care