Case Reviews Flashcards

1
Q

Where does the authority come from to monitor cases?

A

Code of Federal regulations

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2
Q

How many cases need to be reviewed?

A

10% of each program and region

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3
Q

Types of Quality Review Assurance Programs.

A
Operations Monitoring Reviews
Monitoring Oversight and internal Controls
Case Reviews
Risk Management
Regulatory Integrity
Internal Audit
Reporting and Analysis
Employee Performance and Development
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4
Q

Why do case reviews

A

To ensure that VR services are in accordance with laws, regulations, policies, rules, procedures, and guidance

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5
Q

Mosaic

A

Is a system for program performance oversight

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6
Q

Risk areas

A
Application > 60 days
Eligibility > 90
Presumptive eligibility
Active services case management
Case cost>25000
Case length>5years
No counseling and guidance for >180 days
One time maintenance>200
Vacant caseload
Successful closure
Unsuccessful closure
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7
Q

Case Reviews

A
Approvals
Consultations
Case Transfers
Formal Inquiries
Performance Measures 
Data Corrections
Risk Assessment
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8
Q

Types of Reviews

A

Compliance and Quality
Technical and Purchasing Review
Case Reading

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9
Q

Full

Partial

A

Every aspect

Partial -focuses on particular aspects

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10
Q

Case Note requirements

A

See memo

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11
Q

Case Review process

A

Case Review conducted
CCS is sent an email that a case review has been completed
CCs completes an CA and provides Feedback to reviewer.
CCS acknowledges the review
Reviewer ensures that the Corrective Actions are made and validates

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12
Q

What can and cannot be corrected in a case review

A

Cannot-extension of time, late payments, ATF, Incorrect Eligibility decision
CAn-Obtaining necessary paperwork missing
Incorrect income information or wrong employment info entered.

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13
Q

CVES certified

A

In order to provide vocational, etc tests for customers who are blind, they must be cert by the VDU

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14
Q

Why do we use VDU

A

To determine a customer’s level of vocational potential
Can obtain at any time during the case
Helps with planning program and placement
To ID specific training
Considerations for higher academic training
If there are sign changes during the voc rehab program.

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15
Q

What are the unique in-house services for blind visually Impaired

A
VRC
VRT
Diabetes 
VDU
ATU
EAS
OM
CCRC
Deafblind Specialist
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16
Q

Significant Vision Loss

A

Creates a substantial impediment to employment and cannot be corrected with glasses or contact lenses