SMQT- (Fraud & Abuse )EXAM 2025 | QUESTIONS AND CORRECT
SMQT- Fraud & Abuse, SMQT Study Guide
ANSWERS | LATEST EXAM | GRADED A+ | VERIFIED ANSWERS |
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JUST RELEASED
1. ABUSE PROHIBITION RE- The Abuse Prohibition Review is a determination of whether the
VIEW: Description facility has both DEVELOPED & OPERATIONALIZED policies and
procedures designed to protect residents from the following:
- Abuse
- Neglect
- Involuntary seclusion
- Misappropriation of their property
This includes policies and procedures for:
- Hiring practices
- Training
- Ongoing supervision for employees and volunteers who pro-
vide services
- Reporting and investigation of allegations and occurrences that
may indicate abuse
2. ABUSE PROHIBITION RE- General Procedures:
VIEW: General Procedures
The review includes components of the facility's policies and
procedures as contained in the Guidance to Surveyors. These
include policies and procedures for:
- Screening of potential hirees (or employees)
- Training of employees (both for new employees and ongoing
training for all employees)
- Prevention policies and procedures
, SMQT- Fraud & Abuse, SMQT Study Guide
Study online at https://quizlet.com/_hb1sv5
- Identification of possible incidents or allegations that need (or
require) investigation
- Investigation of incidents and allegations
- Protection of residents during investigations
- Reporting of incidents, investigations, and facility response to
their investigations
- The general procedure for the Abuse Prohibition Review is to
use/follow the Abuse Prohibition Investigative Protocol to com-
plete the task.
3. QUIZ QUESTION: ANSWER:
What is the general objective The general objective of the Abuse Prohibition Review is to deter-
of the Abuse Prohibition Re- mine if the facility has BOTH developed & operationalized policies
view? & procedures that PROHIBIT
1) abuse
2) neglect
3) involuntary seclusion
4) misappropriation of property for all residents.
4. Investigative Protocol for The investigative protocol for abuse prohibition is to be used in
Abuse Prohibition EVERY long term care standard survey.
This protocol requires your team to perform certain procedures.
They are as follows:
- Obtain and review policies and procedures
- Interview the responsible individual(s)
- Request written evidence
, SMQT- Fraud & Abuse, SMQT Study Guide
Study online at https://quizlet.com/_hb1sv5
- Interview several residents and families
- Interview at least FIVE direct care staff persons
- Interview at least THREE front line supervisors
- Obtain a list of recently hired employees
5. Investigative Protocol for - Obtain and review the facility's abuse prohibition policies and
Abuse Prohibition procedures.
1) Obtain & Review Policies & - Determine if the policies and procedures include these key
Procedures components:
- Screening
- Training
- Prevention
- Identification
- Investigation
- Protection
- Reporting/response
- Note that it is not necessary for these items to be collected in
one document or manual.
- In other words, you may have to obtain and review multiple
documents to find all of the key components.
6. Investigative Protocol for Interview the individual(s) identified by the facility as responsible
Abuse Prohibition: for coordinating the policies and procedures that prohibit abuse,
neglect, involuntary seclusion, and misappropriation.
2) Interview the Responsible
Individual(s) The individual(s) identified should be responsible for evaluating
, SMQT- Fraud & Abuse, SMQT Study Guide
Study online at https://quizlet.com/_hb1sv5
how each component of the policies and procedures is opera-
tionalized.
The components include screening, training, prevention, etc. as
specified in F226.
You will need to conduct interviews of such individuals if it is not
obvious from the policies how each component is operational-
ized.
7. INTERVIEW QUESTIONS: INTERVIEW QUESTIONS:
- During your interview of the individual(s) responsible for eval-
uating how each component of the facility's abuse prohibition
policies and procedures are operationalized, ask the following
questions:
1) How do you monitor the staff when they are providing and/or
supervising the delivery of resident care and services to make
sure care is provided in a way to ensure neglect of care does not
occur?
2) How do you determine which injuries of unknown origin
should be investigated as alleged occurrences of abuse?
3) How are you ensuring that residents, families, and staff feel
free to communicate concerns without fear of reprisal?
8. Investigative Protocol for Request Written Evidence:
Abuse Prohibition:
Request written evidence of how the facility has handled alleged
3) Request Written Evidence violations.
Select two or three alleged violations (if the facility has this many)
SMQT- Fraud & Abuse, SMQT Study Guide
ANSWERS | LATEST EXAM | GRADED A+ | VERIFIED ANSWERS |
Study online at https://quizlet.com/_hb1sv5
JUST RELEASED
1. ABUSE PROHIBITION RE- The Abuse Prohibition Review is a determination of whether the
VIEW: Description facility has both DEVELOPED & OPERATIONALIZED policies and
procedures designed to protect residents from the following:
- Abuse
- Neglect
- Involuntary seclusion
- Misappropriation of their property
This includes policies and procedures for:
- Hiring practices
- Training
- Ongoing supervision for employees and volunteers who pro-
vide services
- Reporting and investigation of allegations and occurrences that
may indicate abuse
2. ABUSE PROHIBITION RE- General Procedures:
VIEW: General Procedures
The review includes components of the facility's policies and
procedures as contained in the Guidance to Surveyors. These
include policies and procedures for:
- Screening of potential hirees (or employees)
- Training of employees (both for new employees and ongoing
training for all employees)
- Prevention policies and procedures
, SMQT- Fraud & Abuse, SMQT Study Guide
Study online at https://quizlet.com/_hb1sv5
- Identification of possible incidents or allegations that need (or
require) investigation
- Investigation of incidents and allegations
- Protection of residents during investigations
- Reporting of incidents, investigations, and facility response to
their investigations
- The general procedure for the Abuse Prohibition Review is to
use/follow the Abuse Prohibition Investigative Protocol to com-
plete the task.
3. QUIZ QUESTION: ANSWER:
What is the general objective The general objective of the Abuse Prohibition Review is to deter-
of the Abuse Prohibition Re- mine if the facility has BOTH developed & operationalized policies
view? & procedures that PROHIBIT
1) abuse
2) neglect
3) involuntary seclusion
4) misappropriation of property for all residents.
4. Investigative Protocol for The investigative protocol for abuse prohibition is to be used in
Abuse Prohibition EVERY long term care standard survey.
This protocol requires your team to perform certain procedures.
They are as follows:
- Obtain and review policies and procedures
- Interview the responsible individual(s)
- Request written evidence
, SMQT- Fraud & Abuse, SMQT Study Guide
Study online at https://quizlet.com/_hb1sv5
- Interview several residents and families
- Interview at least FIVE direct care staff persons
- Interview at least THREE front line supervisors
- Obtain a list of recently hired employees
5. Investigative Protocol for - Obtain and review the facility's abuse prohibition policies and
Abuse Prohibition procedures.
1) Obtain & Review Policies & - Determine if the policies and procedures include these key
Procedures components:
- Screening
- Training
- Prevention
- Identification
- Investigation
- Protection
- Reporting/response
- Note that it is not necessary for these items to be collected in
one document or manual.
- In other words, you may have to obtain and review multiple
documents to find all of the key components.
6. Investigative Protocol for Interview the individual(s) identified by the facility as responsible
Abuse Prohibition: for coordinating the policies and procedures that prohibit abuse,
neglect, involuntary seclusion, and misappropriation.
2) Interview the Responsible
Individual(s) The individual(s) identified should be responsible for evaluating
, SMQT- Fraud & Abuse, SMQT Study Guide
Study online at https://quizlet.com/_hb1sv5
how each component of the policies and procedures is opera-
tionalized.
The components include screening, training, prevention, etc. as
specified in F226.
You will need to conduct interviews of such individuals if it is not
obvious from the policies how each component is operational-
ized.
7. INTERVIEW QUESTIONS: INTERVIEW QUESTIONS:
- During your interview of the individual(s) responsible for eval-
uating how each component of the facility's abuse prohibition
policies and procedures are operationalized, ask the following
questions:
1) How do you monitor the staff when they are providing and/or
supervising the delivery of resident care and services to make
sure care is provided in a way to ensure neglect of care does not
occur?
2) How do you determine which injuries of unknown origin
should be investigated as alleged occurrences of abuse?
3) How are you ensuring that residents, families, and staff feel
free to communicate concerns without fear of reprisal?
8. Investigative Protocol for Request Written Evidence:
Abuse Prohibition:
Request written evidence of how the facility has handled alleged
3) Request Written Evidence violations.
Select two or three alleged violations (if the facility has this many)
