Billing & Documentation
Clue: This must be completed accurately and on time to support services billed to OPWDD.
Answer: What is daily/service documentation (progress notes)?
Clue: This federal law protects personal health information.
Answer: What is HIPAA (Health Insurance Portability and Accountability Act)?
Clue: DSPs are required to report incidents involving abuse, neglect, or significant events under this NY system.
Answer: What is IRMA (Incident Report and Management Application)?
Clue: Accepting cash from an individual or family member is generally this.
Answer: What is prohibited/inappropriate?
Clue: This approach focuses on the individual’s preferences, strengths, and goals.
Answer: What is person-centered care?
Clue: Documenting a service you did not provide is considered this type of violation.
Answer: What is fraud?
Clue: You should only access an individual’s information if you have this.
Answer: What is a legitimate work-related need (minimum necessary standard)?
Clue: You must report abuse or neglect immediately to this NY State hotline.
Answer: What is the Justice Center Abuse Hotline?
Clue: A situation where personal interests could influence your professional role is called this.
Answer: What is a conflict of interest?
Clue: Individuals receiving OPWDD services have the right to this, meaning they can make choices about their lives.
Answer: What is self-determination/individual choice?
Clue: If it wasn’t written down, auditors assume this about the service.
Answer: What is it didn’t happen?
Clue: Leaving a person’s file open where others can see it is a violation of this principle.
Answer: What is confidentiality/privacy?
Clue: Failing to report suspected abuse or neglect is considered this type of violation.
Answer: What is neglect or failure to report (reportable offense)?
Clue: Borrowing money or property from a person you support is considered this.
Answer: What is a boundary violation/conflict of interest?
Clue: This document outlines a person’s goals, supports, and services.
Answer: What is a Life Plan (or Individualized Service Plan)?
Clue: This common documentation error involves copying and reusing old notes without updating details.
Answer: What is copying/pasting or “cloning” documentation?
Clue: Sharing information about a person on social media—even without their name—can still violate this rule.
Answer: What is HIPAA/confidentiality rules?
Clue: This type of reporting ensures individuals’ rights, health, and safety are protected.
Answer: What is incident reporting/compliance reporting?
Clue: This federal law allows whistleblowers to report fraud and protects them.
Answer: What is the False Claims Act?
Clue: DSPs must support individuals in the least restrictive way possible—this is part of this principle.
Answer: What is dignity of risk?
Clue: Billing for the same service time for two different people simultaneously without justification is called this.
Answer: What is double billing?
Clue: This type of information includes diagnoses, medications, and service plans.
Answer: What is Protected Health Information (PHI)?
Clue: Even if you are unsure something is abuse, you are still required to do this.
Answer: What is report it anyway (report suspicion immediately)?
Clue: You can report suspected fraud anonymously to this department within your agency.
Answer: What is the Compliance Office/Corporate Compliance Hotline?
Clue: OPWDD requires that services respect this core value, ensuring people are treated with respect and dignity at all times.
Answer: What is individual rights (human rights)?