CCC CCC ASHA Documentation & Supervision 2 — Questions and Answers
Question 1: Which element is considered essential in an Individualized Education Program (IEP) goal for a school-based SLP holding the CCC?
- Clinician's personal teaching philosophy
- Measurable, observable behavior with conditions and criteria (Correct answer)
- Student's insurance information
- District budget allocation
Correct answer: Measurable, observable behavior with conditions and criteria
A legally compliant IEP goal must include a measurable, observable behavior stated with conditions under which the behavior occurs and criteria for mastery.
Question 2: Under HIPAA, what is the minimum necessary standard as it applies to SLP documentation?
- Sharing all available patient data with any treating clinician
- Disclosing only the protected health information needed for a specific purpose (Correct answer)
- Storing records only in paper format
- Requiring patient signature on every note
Correct answer: Disclosing only the protected health information needed for a specific purpose
The HIPAA minimum necessary standard requires SLPs to limit disclosure of protected health information to only what is needed to accomplish the intended purpose.
Question 3: What is the primary purpose of a clinical supervision model such as the Anderson Continuum Model?
- To rate client satisfaction with therapy
- To guide the supervisory relationship from directive to consultative as the clinician develops (Correct answer)
- To establish billing codes for supervision
- To document supervisor CEU credits
Correct answer: To guide the supervisory relationship from directive to consultative as the clinician develops
The Anderson Continuum Model describes a progression from direct, evaluative supervision to a collaborative and ultimately consultative relationship as the supervisee gains competence.
Question 4: Which billing code system is most commonly used by SLPs in the United States for outpatient therapy documentation and reimbursement?
- ICD-10-CM
- CPT (Current Procedural Terminology) (Correct answer)
- DSM-5
- HCPCS Level III
Correct answer: CPT (Current Procedural Terminology)
SLPs primarily use CPT codes to document and bill for specific therapy procedures performed during outpatient sessions.
Question 5: Which federal law governs privacy and confidentiality of student education records, including SLP records in school settings?
- HIPAA
- FERPA (Correct answer)
- IDEA
- ADA
Correct answer: FERPA
FERPA (Family Educational Rights and Privacy Act) governs the privacy of student educational records, which includes SLP documentation in K-12 school settings.
Question 6: In clinical documentation, what does the term 'baseline data' refer to?
- The final session summary
- Pre-treatment measurement of a target behavior used to gauge progress (Correct answer)
- Insurance authorization numbers
- Supervisor's competency rating
Correct answer: Pre-treatment measurement of a target behavior used to gauge progress
Baseline data represents the initial measurement of a client's target behavior before intervention begins, providing a reference point for measuring progress.
CCC CCC ASHA Documentation & Supervision 2
Which element is considered essential in an Individualized Education Program (IEP) goal for a school-based SLP holding the CCC?