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Post-Test: Audit Proof Your Practice

(Passing score: 75% or higher required to receive CEU certificate)

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Question 1 of 15

Which of the following is the primary purpose of a payer audit?

A

To penalize providers for billing errors

B

To ensure documentation meets payer and clinical standards

C

To verify client satisfaction

D

To review clinical effectiveness only

Question 2 of 15

Which documentation element best demonstrates medical necessity?

A

Listing every coping skill discussed

B

Describing symptoms, treatment goals, and client progress

C

Repeating the same note for each session

D

New Choice

Question 3 of 15

Medicaid and Medicare auditors primarily review records for:

 

A

Missed appointments

B

Evidence of informed consent

C

Proof of medical necessity and accurate CPT coding

D

Therapist education level

Question 4 of 15

Which CPT code represents a 53+ minute psychotherapy session?

 

A

90832

B

90834

C

90837

D

90846

Question 5 of 15

Progress notes should typically be completed within how many hours of the session?

A

72–96 hours

B

24–48 hours

C

One week

D

Immediately after billing submission

Question 6 of 15

True or False: Using identical (cloned) progress notes for multiple clients is considered compliant if the services provided were similar

A

True

B

False

Question 7 of 15

Which of the following would likely trigger an audit?

A

Consistent CPT coding and documentation

B

Signed and dated treatment plans

C

Frequent billing of the same code without time documentation

D

Timely completion of progress notes

Question 8 of 15

In a United Healthcare or Commercial Risk Adjustment Audit, what do payers primarily evaluate?

A

Diagnosis coding accuracy (HCC) and documentation alignment

B

Client attendance rates

C

Therapy effectiveness surveys

D

Clinician marketing materials

Question 9 of 15

Which statement about audit preparedness is true?

A

It begins only after receiving an audit notice.

B

It requires consistent internal reviews and staff training.

C

It’s only relevant for Medicaid providers.

D

It focuses solely on billing.

Question 10 of 15

Which ethical principle applies when correcting a documentation error?

A

Delete the original note and rewrite it.

B

Ignore the error if the client improved.

C

Use an addendum explaining the correction with date and initials.

D

Backdate the note to avoid detection.

Question 11 of 15

What is the best first step when receiving an audit letter?

A

Contact the payer to argue the review

B

Panic and delete outdated notes

C

Review your internal audit checklist and gather requested documentation

D

Ignore the letter until the deadline approaches

Question 12 of 15

Which of the following is NOT part of an internal compliance system?

 

A

Monthly or quarterly chart reviews

B

Annual staff training on documentation

C

Random file audits

D

Allowing clinicians to choose their own documentation rules

Question 13 of 15

True or False: Progress notes must reflect both the intervention provided and the client’s response to the intervention.

A

True

B

False

Question 14 of 15

In ethical billing, clinicians should:

 

A

Bill for missed appointments to recover lost income

B

Bill only for services provided and documented

C

Increase session lengths for higher reimbursement

D

Bill under a supervisor’s license without disclosure

Question 15 of 15

Which of the following best describes the goal of this training?

A

To teach advanced therapy techniques

B

To help clinicians identify and correct compliance gaps to prevent audits

C

To train therapists on marketing their practices

D

To prepare therapists for licensure renewal exams

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