Quality Assurance & Compliance Flashcards
7 cards from real CAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance & Compliance flashcards as text
A substance use disorder treatment program is undergoing a CARF accreditation survey. Which document must be available to demonstrate that clients were informed of their rights upon admission?
Answer: Signed client rights acknowledgment form
CARF requires programs to document that clients were informed of their rights, typically through a signed acknowledgment obtained at admission.
Under 42 CFR Part 2, which action requires explicit written patient consent before records can be disclosed?
Answer: Sending records to another substance use disorder program for continuing care
42 CFR Part 2 requires explicit written patient consent for disclosures to other SUD programs, even for continuing care, unless a specific exception applies.
A quality improvement team reviews outcome data and finds that only 40% of clients complete treatment. The FIRST step in a performance improvement cycle is to:
Answer: Analyze root causes of early discharge
Before implementing changes, a PI team must analyze root causes to understand why the problem exists.
Which federal law specifically requires covered behavioral health organizations to ensure that mental health and substance use disorder benefits are no more restrictive than medical/surgical benefits?
Answer: Mental Health Parity and Addiction Equity Act (MHPAEA)
MHPAEA mandates parity between mental health/SUD benefits and medical/surgical benefits in insurance plans.
A counselor documents a session using vague language such as 'client doing well.' This violates which core principle of clinical documentation?
Answer: Specificity and objectivity
Clinical documentation must be specific and objective, using observable, measurable language rather than vague or subjective terms.
During a licensing inspection, a surveyor asks to review grievance logs. The PRIMARY purpose of tracking client grievances in a QA program is to:
Answer: Detect patterns that indicate systemic program problems
Grievance tracking is a QA tool used to identify recurring issues and systemic problems that require program-level intervention.
Which of the following is an example of a process measure (versus an outcome measure) in addiction treatment quality assurance?
Answer: Percentage of clients who received a ASAM-level-of-care assessment within 24 hours of admission
Process measures evaluate whether specific clinical procedures were performed, such as completing a level-of-care assessment within a defined timeframe.