Certified Case Management 2024 Study Guide Questions and Correct Answers

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. Entails a voluntary survey process that assesses the extent of a healthcare organization's compliance with the standards for the purpose of improving the systems and processes of care (performance) and, in so doing, improving client outcomes. Actuarial Study Ans--Statistical analysis of a population based on its utilization of healthcare services and demographic trends of the population. Results used to estimate healthcare plan premiums or costs. Actuary Ans--A trained insurance professional who specializes in determining policy rates, calculating premiums, and conducting statistical studies. Acuity Ans--Complexity and severity of the client's health/medical condition. Acute Care