Professional Ethics and Responsibilities Flashcards
7 cards from real CBHCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Professional Ethics and Responsibilities flashcards as text
A behavioral health case manager discovers that a colleague is billing for services not rendered. What is the case manager's primary ethical obligation?
Answer: Report the fraud to the appropriate supervisor or compliance officer
Case managers have an ethical duty to report fraud and billing irregularities through proper channels to protect clients and the integrity of the profession.
Under HIPAA, which of the following is a permitted disclosure of protected health information (PHI) without client authorization?
Answer: Disclosing to law enforcement when required by law
HIPAA permits disclosure of PHI to law enforcement when required by law, such as in response to a court order or mandatory reporting obligation.
A case manager is asked by their supervisor to falsify a client's progress notes to justify continued insurance coverage. The case manager should:
Answer: Refuse and report the request through appropriate ethical channels
Falsifying documentation is unethical and illegal; the case manager must refuse and report the request through ethics or compliance channels.
Which ethical principle requires a case manager to act in the client's best interest, even when it conflicts with the case manager's personal interests?
Answer: Beneficence
Beneficence obligates professionals to actively promote client well-being and act in the client's best interest above their own.
A CBHCM case manager receives a gift from a grateful client. According to professional ethics, what is the most appropriate response?
Answer: Decline the gift and explain the professional boundary regarding gifts
Professional ethics generally prohibit accepting gifts from clients as it can blur boundaries and create conflicts of interest.
Cultural competence in behavioral health case management requires the case manager to:
Answer: Recognize and respect cultural differences when developing individualized care plans
Cultural competence means acknowledging and integrating clients' cultural backgrounds into individualized, respectful care planning.
When a case manager suspects a client is being abused by a family member, the first step should be:
Answer: Report the suspicion to the appropriate child or adult protective services as required by mandatory reporting laws
Mandatory reporting laws require case managers to report suspected abuse to protective services regardless of client wishes or certainty of abuse.