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CCM WITH COMPLETE SOLUTIONS 100% 2023/2024 HMO health maintenance organization ACO Accountable Care Organization Viatical Settlements ability to sell own insurance policy CHAMPVA Civilian Health and Medical Program of the Veterans Administrationtr CHAMPVA for Life provides healthcare benefits to families of permanently disabled veterans, or killed in line of duty, not eligible for tricare. Covers 65 or older, is a Medicare supplement. TRICARE is a U.S. government ...

CCM TEST REVIEW WITH COMPLETE SOLUTIONS 100% 2023/2024 A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make ? "I think that you feel that your treatments is not effective" A medical assistant should use which of the following solutions to prepare a pt skin prior to drawing blood cultures ? Chlorhexidine A MA is obtaining a blood pressu...

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...

CCM PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 how CM to present recommendations in an advisory capacity without ultimatum retrospective chart reviews take most of the case manager's time depressed fracture when a part of the skull is pushed downward from impact outcomes criteria of CM used for to educate clients about factors that are consequential BIll of Particulars an extensive complaint, where the plaintiff can acquire detailed information prin...

CCM PRACTICE ABI QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 Answer: A) Care coordination The case manager links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. This approach achieves optimum value and desirable outcomes for all—the clients, their support systems, the providers, and the payers. All four a...

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...

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...

CCM EXAM PREP WITH COMPLETE SOLUTIONS 100% 2023/2024 A CM's role & responsibility are governed solely by the Owner/CM Agreement? False There are two basic forms of CM, Agency and At-Risk. Each form provides for the basic services of CM Practice. However, there are some key differences. Which of the following DO NOT apply to BOTH CM forms? A. Both forms provide advise to the Owner on constructibility, budget and schedule. B. Both require that the liabilities and risks assumed by the p...

CCM EXAM PREP - ALL TOPICS WITH COMPLETE SOLUTIONS 100% 2023/2024 Case management 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 characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Glagow Coma Scale Client assessment tool that measures ...

CCM EXAM 3 PRACTICE P.1 WITH COMPLETE SOLUTIONS 100% 2023/2024 Which of the following statements is not true regarding the preparation of a patient for MRI? A. The patient should avoid caffeine for four hours before the examination. B. The patient should not wear eye makeup. C. The patient should avoid alcohol for four hours before the procedure. D. The patient should be asked whether any internal metallic materials are present. E. The patient should not have a pacemaker. C. The patient shoul...