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Case Manager Certification Exam Questions and Correct Answers

Case Manager Certification Exam Questions and Correct Answers

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CCMC CERTIFIED CASE MANAGER 2024 PRACTICE TEST 11 and 12 Questions and Correct Answers

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Which of the following is NOT an "outcome measure" of cost? Ans--Denials What are "soft savings"? Ans--The possibility of dollars to the bottom line in the future The choice which is FALSE concerning HCFA Common Procedural Coding System (HCPCS) Ans--States coding system for medical proced...

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Certified Case Management 2024 Study Guide Questions and Correct Answers

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function Ans--Set of tasks that are completed as part of a role activity Ans--Specific task to meet the needs of the role process Ans--A series of actions or steps taken to achieve an end/goal Likert Scale Ans--a numerical scale used to assess attitudes; includes a set of possible answers w...

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Certified Case Management 2024 Edition Questions and Correct Answers

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Acuity Ans--a way to measure complexity and severity of the patient's health/medical condition. ADA Ans--The federal Americans with Disabilities Act of 1990. Administrative Services Only (ASO) Ans--An insurance company or third party administrator (TPA) that delivers administrative service...

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Certified Case Management 2024 Study Guide Questions and Correct Answers

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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. Entail...

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Certified Case Manager 2024 Study Guide Questions and Correct Answer

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Target Populations Ans--diagnosis, high utilizers, age & health status, procedure, LOS, psychological factors, vocational, functional impairments, disability Case finding and intake Ans--ID member, obtain consent, communicating member needs to others, ID members who need alternate levels of c...

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Certified Case Manager 2024 Exam Questions and Correct Answers

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Ancillary Providers Ans--A subset of care providers including non-physician providers such as rehabilitation, transportation, dialysis, etc. Attending Physician Ans--The physician primarily responsible for the inpatient health care of an individual. AWP Ans--Two definitions: "Average whole...

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Case Manager Certification 2024 Exam Questions and Correct Answers

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clinical guidelines Ans--statements to help make decisions about health specific circumstances. clinical pathway Ans--structured multi-disciplined plan of care to support clinical guidelines and protocol to improve continuity and coordination. 4 parts of clinical pathway Ans--1. timeline 2. ...

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Case Management Certification 2024 Test Questions and Correct Answers

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Which of the following statements best describes the definition of Present Dangers and Impending Dangers? A) present danger is immediate, significant, and observable; impending danger is imminent B) present danger is immediate but not observable; impending danger is pending reports C) pres...

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