100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
CCM exam prep - all topics Questions with Correct Answers $13.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. Ccm
  4.  
  5. Ccm

Exam (elaborations)

CCM exam prep - all topics Questions with Correct Answers
 0 purchase
  • Course
  • Ccm
  • Institution
  • Ccm

Case management Correct Answer-a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet the client's health and human services needs. Case Management Characteristics Correct Answer-characterized by advocacy, communica...

[Show more]

Preview 4 out of 121  pages

Document information

  • August 19, 2024
  • 121
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ccm exam prep all topics questions with correct

Written for

  • Ccm
  • Ccm

Seller

avatar-seller
cracker

Reviews received

Content preview

CCM exam prep - all topics Questions with Correct
Answers
Case management Correct Answer-a collaborative process that assesses,
plans, implements, coordinates, monitors and evaluates the options and
services required to meet the client's health and human services needs.


Case Management Characteristics Correct Answer-characterized by
advocacy, communication, and resource management and promotes
quality and cost-effective interventions and outcomes.


Glagow Coma Scale Correct Answer-Client assessment tool that
measures level of coma in the acute phase of injury it is an objective
way of recording the conscious state of a person. Eye opening, Best
verbal, best motor. < 8 coma, 13-15 mild injury.


Strengths Based Model Correct Answer-assesses clients capacities and
potential resources as well as problems and current unmet needs.
Eliciting capacities and potential resources as well as problems and
current unmet needs.


Independent Living Model Correct Answer-sees a disability as a
construct of society


Medicare Prospective Payment System Correct Answer-hospitals paid a
pre-determined rate for each Medicare admission. Each patient is
classified into a DRG.

,PHQ-9 Correct Answer-Client assessment tool for depression


Braden Scale Correct Answer-Client assessment tool for pressure sore
risk


Clinical Pathway Correct Answer-Structured multidisciplinary CM plan
designed to support the implementation of specific clinical guidelines
and protocols. They are maps that guide the healthcare team on usual
treatment patterns related to common diagnoses, conditions and
procedures e.g., CHF


SF-36 Correct Answer-Client assessment tool to measure physical and
mental health.


Medicare Correct Answer-Established in 1965 under Title XVIII or
Social Security Act. Four Parts A-hospital insurance, B-medical
insurance (doctors visits), C-Medicare Advantage program in a private
plan such as HMO, D-prescription drug benefit


Medicare Benefits and Cost Sharing Correct Answer-Not covered are:
Acupuncture, chiropractor, cosmetic, custodial home care, dental care,
DME convenience, hearing aids, eyeglasses, foot care, meals on wheels,
personal convenience, prescription drugs, private nurses, routine
physical, vision


areas of accountability of case management Correct
Answer-clinical/outcome

,financial
functional/outcome
satisfaction
behavior
process
*episode or continuum
**individual or population


Measuring performance: Process Correct Answer-The measure of how
many pts receive a treatment or service i.e. vaccinations, screenings, ex.
diabetic foot exam ALSO practitioner's practice conforming to practice
standards.


Measuring performance: Functional outcome Correct Answer-The
measure reflects the health state of a patient as a result of health care ex.
increased independency in ADLs, mobility


Measuring performance: Clinical outcome Correct Answer-The measure
reflects the health state of a patient as a result of health care ex. blood
pressure goals ex. HgA1c level, wound healing


Measuring performance: behavioral 'process' Correct Answer-ex. self-
monitoring of blood sugar


Measuring performance: Financial Correct Answer-ex. fewer ED visits,
ALOS decreased

, Women's Health and Cancer Rights Act of 1998 Correct Answer-1. Part
of Omnibus Appropriations Bill. 2. required group health plans to
provide coverage for mastectomies and provide certain reconstructive
related services following mastectomies.


Women's health and cancer rights act coverage Correct Answer-1.
reconstruction of the breast. 2. surgery and reconstruction of the other
breast 3. breast prothesis
4. treatment for physical complications attendant to the mastectomy


Women's health and cancer rights act prohibitions Correct Answer-
Health plans are not allowed to deny anyone coverage for the sole
reason of avoiding the requirements of the act AND cannot induce a
physician to limit the care that is required under the act by penalizing or
limiting reimbursement to the physician.


Can states modify HIPAA's portability requirement Correct Answer-
Yes. HIPAA requirements do not supercede state requirements. Stricter
laws prevail. States can 1. shorten the 6 month look back period. 2.
shorten 12 month maximum pre-existing condition exclusion period.3.
increase the 63 day/significant break in coverage 4. increase 30 day
period for newborns, adopted children, children placed in adoption and
pregnant women. 5. Expand the prohibitions on conditions and people to
whom a pre-existing condition exclusion period may be applied beyond
exceptions. 6. reduce additional special enrollment periods. 7. reduce
maximum HMO affiliation period to less than 2 months.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64670 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(0)

NR 547 WEEK 1 Quiz | Questions and Answers (VERIFIED) 100% CORRECT

Exam (elaborations) ·

(0)

Washington Real Estate Exam - Washington State Portion GRADED A+

Exam (elaborations) ·

(0)

CITI Training latest 2024 Questions And Answers Latest Update

Package deal ·

(0)

VALUE PACK::- EKG NATIONAL EXAMS / EKG CERTIFICATION EXAMS

Exam (elaborations) ·

(0)

KY Real Estate Practice - Law Portion (2023/2024) Already Graded A

Exam (elaborations) ·

(0)

BIOD 121 Module1 Problem Set FALL 2023 Portage learning

Exam (elaborations) ·

(0)

ETA CPP Study Guide with Verified Answers| 100% Correct| Grade A+

Exam (elaborations) ·

(0)

Medical Case 03 Vincent Brody Documentation Assignments

Exam (elaborations) ·

(0)

NRNP 6635 MIDTERM EXAM (3 VERSIONS, 300 Q & A, LATEST-2023-2024)
$13.99
  • (0)
Add to cart
Added