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Exam (elaborations)

CCM PRACTICE TEST WITH COMPLETE SOLUTIONS 100% 2023/2024

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CCM PRACTICE TEST WITH COMPLETE SOLUTIONS 100% 2023/2024 Managed Care Systems-oriented and involves the management of various benefits of health insurance plans The evaluation and case closure domain of case management involves Reporting termination to services to stakeholders One ...

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  • May 21, 2024
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  • 2023/2024
  • Exam (elaborations)
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CCM PRACTICE TEST WITH COMPLETE
SOLUTIONS 100% 2023/2024
Managed Care
Systems-oriented and involves the management of various benefits of health insurance plans



The evaluation and case closure domain of case management involves
Reporting termination to services to stakeholders



One purpose of case management practice is
To promote informed decision-making by the patient and others by interjecting objectivity and
information



Acute Care Case Management Model
NCM Identifies acute care needs and discharge requirements in addition to developing the treatment
plan along with members of IDT.



NCM follows patient from admission to discharge
Complete-based



NCM acts as a liason between care levels to assist the patient during the convalescent (recovery)
period by assessing his or her condition and determining appropriate services in
Skilled nursing facility case management model



Benefit of working as an independent/private case management midel
Flexibility and autonomy in decision-making



Value calculated by multiplying the relative weight and the facility's base rate
Hospital payment



Affects case load index
Severity of illness, need for intervention, and treatment difficulty



Major diagnostic categories (MDCs) are
Grouped according to anatomical and pathophysiological sections



Calculation used to identify variables in various settings that affect caseload is

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