Unless the tech physically uses a screwdriver or vacuum pump to actuate the diaphragm on the EGR, they will have no way of knowing if its working. Maybe they don't care, maybe they do.
Ask the tech afterwards, or another tech at another shop/state ref site if you are worried about that.
BISS screw has an O-ring, yes.
I suggest getting a proper O-ring like JNZtuning.net, MACHV, etc, sells or any other reputable dealer/site has to offer.