Hard Savings correct answers directly related to the case manager actions
Soft Savings correct answers potential savings, costs avoided BECAUSE of case manager intervention
How to calculate Cost Savings correct answers Potential Costs - (Actual Cost + Cost of Case Management)
What is a Cos...
CCMC Exam || Questions and 100% Verified Answers.
Hard Savings correct answers directly related to the case manager actions
Soft Savings correct answers potential savings, costs avoided BECAUSE of case manager
intervention
How to calculate Cost Savings correct answers Potential Costs - (Actual Cost + Cost of Case
Management)
What is a Cost Benefit Analysis correct answers a report that documents savings related to case
management involvement
Predictive modeling correct answers identifies which members will incur the highest future
medical costs
Health Risk Assessment correct answers a questionnaire about health and lifestyle that
determines risk by comparing the current health status to nationally recognized standards and
guidelines
Community Assessment Risk Screen (CARS) correct answers used to determine risk for
rehospitalization among seniors
Hierarchical Condition Category (HCC) correct answers payment rate for members in the same
community based on the amount of risk to maintain health for Medicare Advantage members
What is an outcome correct answers the result and consequence of a healthcare process
A good outcome is .. correct answers the result that achieves the expected outcome
Outcome indicators correct answers Measures of quality and cost of care. Metrics used to
examine and evaluate the results of the care delivered.
Outcome Management correct answers to achieve optimal results through improved clinical
decision making and service delivery
Outcomes Monitoring correct answers The repeated measurement over time of outcome
indicators
The final strategy in services recovery is... correct answers Thank You is the final strategy in..
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) measures..
correct answers a survey that measures patient hospital experience after discharge
CQI (continuous quality improvement) correct answers an approach that focuses on outcomes
and processes
, Performance Improvement (PI) correct answers The continuous study and adaptation of a
healthcare organization's functions and processes to increase the likelihood of achieving desired
outcomes
Quality Assurance (QA) correct answers the use of activities and programs to ensure the quality
of care
Quality Improvement (QI) correct answers techniques for collecting and analyzing data
Quality Management correct answers the monitoring and analysis of an organization's
performance
Root Cause Analysis (RCA) correct answers process to identify underlying factors that
contribute to variation in outcomes in sentinel event
What is a standard correct answers an authoritative statement by which a professions defines its
responsibilities for which its practitioners are held accountable
Six Sigma correct answers Process improvement strategy that improves quality by reducing
defects.
HCC rates are related to.. correct answers SDOH are related to what?
NCQA (National Committee for Quality Assurance) correct answers accreditation program
dedicated to quality improvement in provider, payor and community-based organizations
HEDIS HealthCare Effectiveness Data Information Set correct answers a set of standards that
measure how well health plans give service and care to their members
Rehabilitation is a component of correct answers Illness and Disability are components
The ADA was originally inacted in .. correct answers 1990
Title 1 correct answers This act prohibits private employers, state and local governments,
employment agencies and unions from discriminating against qualified individuals with
disabilities in job application or privileges of employment
Title 1 protects correct answers ..protects individuals not specific disabilities
Disability Management focuses on correct answers ..focuses on Prevention of job related illness
or injury, support from recovery from job-related illness or recovery and reasonable
accommodations
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