Ccm quality - Study guides, Class notes & Summaries

CCM EXAM WITH COMPLETE SOLUTIONS 100% 2023/2024 Accountable Care Organization (ACO) A set of healthcare providers including primary care physicians, specialists, and hospitals that work together collaboratively and accept collective accountability for the cost and quality of care delivered to a population of patients. Actionable tort A legal duty, imposed by statute or otherwise, owing by defendant to the one injured Actual value is also referred to as Real value is also referred t...

CCM Exam 90 Questions with Verified Answers Precertification is also known as: - CORRECT ANSWER prospective review The CCM is with a patient who is discussing suicidal thoughts. The MOST important question to ask the patient is - CORRECT ANSWER Do you have a plan The Health Effectiveness Data and Information Set (HEDIS) is - CORRECT ANSWER a widely used set of performance measures developed and maintained by the National Committee for Quality Assurance (NCQA) Telephonic case managers...

CCM Made Easy Chap3 Quality and Outcomes Evaluations and Measures Questions with Verified Answers Six quality indicators - CORRECT ANSWER Clinical Financial Productivity Utilization Quality Client experience In this quality improvement method a process is identified that has yielded less than ideal outcomes, with measurement of key performance attributes with a subsequent devisement of a new approach and a finalIntegration of a re-designed approach. - CORRECT ANSWER Plan do study act ...

Six Sigma uses _____ methodology: - Answer DMAIC The CCM who works for a hospital understands that she has a working relationship with the hospital. The title of her relationship is: principal ___________. - Answer agent. The denominator represents: - Answer the number of equal parts in a whole. Your colleague, a project manager, is a newly minted Black Belt. This is:an advanced martial arts designation. - Answer a Six Sigma designation. Some ________________ may refuse medic...

Case Manager Certification (CCM) Exam with 100% Correct Answers 2024/2025 | 100% Correct. case management - Correct Answer-the dynamic and systematic collaborative approach to providing and coordinating health care services to a defined population. - participative process to identify and facility options and services for meeting individual healthcare needs while decreasing fragmentation and duplication of care and increasing quality and cost effective clinical outcomes. standards of care - ...

What is a chronic condition? Gradual onset; pregressively worse; complex, multiple causes; across the lifespan; non-communicable What is disability? Umbrella term for impairments, activity limitations and participation restrictions National Health Priority's 1. Diabetes 2. Mental Health 3. Asthma 4. Dementia 5. Musculoskeletal & arthritis 6. Obesity 7. Cardiovascular health 8.Cancer Control 9.Injury prevention & management Comorbidites The appearance of two or more diseases in the person Mo...

CCM MULTIPLE CHOICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 All of the following are true regarding coordination of benefits (COB) except: A) COB prevents double payment for services when a subscriber has health insurance coverage from two or more sources. B) COB is voluntary. C) COB determines which insurer pays first when the insured is covered under more than one health insurance policy. D) COB coordinates workers' compensation with health insurance coverage. Answer: D) COB co...

Case Manager Certification Exam With Correct Answers 2024/2025 (100% Verified) case management - Correct Answer-the dynamic and systematic collaborative approach to providing and coordinating health care services to a defined population. - participative process to identify and facility options and services for meeting individual healthcare needs while decreasing fragmentation and duplication of care and increasing quality and cost effective clinical outcomes. standards of care - Correct Ans...

CCM EXAM WITH COMPLETE SOLUTIONS 100% 2023/2024 Fmla Entitles eligible employees to take unpaid, job protected leave for specified medical and family reasons Eligibility for FMLA Worked past 12months, worked 1250hrs in those 12 mo, employer of at least 50 employees Number of weeks allowed for FMLA 12work weeks in 12 months EEOC Governs law interpretation and settled employee employer disputes OSHA Governs any employer who operates in a business that affects commerce. Re...