Case Manager Certification Exam Questions and Correct Answers

function Ans--Set of tasks that are completed as part of a role activity Ans--Specific task to meet the needs of the role process Ans--A series of actions or steps taken to achieve an end/goal Likert Scale Ans--a numerical scale used to assess attitudes; includes a set of possible answers w...

Acuity Ans--a way to measure complexity and severity of the patient's health/medical condition. ADA Ans--The federal Americans with Disabilities Act of 1990. Administrative Services Only (ASO) Ans--An insurance company or third party administrator (TPA) that delivers administrative service...

Accreditation Ans--A standardized program for evaluating healthcare organizations to ensure a specified level of quality, as defined by a set of national industry standards. Organizations that meet accreditation standards receive an official authorization or approval of their services. Entail...

Target Populations Ans--diagnosis, high utilizers, age & health status, procedure, LOS, psychological factors, vocational, functional impairments, disability Case finding and intake Ans--ID member, obtain consent, communicating member needs to others, ID members who need alternate levels of c...

Ancillary Providers Ans--A subset of care providers including non-physician providers such as rehabilitation, transportation, dialysis, etc. Attending Physician Ans--The physician primarily responsible for the inpatient health care of an individual. AWP Ans--Two definitions: "Average whole...

clinical guidelines Ans--statements to help make decisions about health specific circumstances. clinical pathway Ans--structured multi-disciplined plan of care to support clinical guidelines and protocol to improve continuity and coordination. 4 parts of clinical pathway Ans--1. timeline 2. ...

Which of the following statements best describes the definition of Present Dangers and Impending Dangers? A) present danger is immediate, significant, and observable; impending danger is imminent B) present danger is immediate but not observable; impending danger is pending reports C) pres...