Quality and cost-efficient outcomes
Case management is a collaborative process that assesses, plans, implements,
coordinates, monitors, and evaluates the options and services required to meet the
client's health and human service needs. It is characterized by advocacy,
communication, and resource management and promotes quality and cost-effective
interventions and outcomes. - Answers -Case Management promotes what kind of
outcomes?
A) Those that can be obtained for the lowest cost
B ) Quality and cost-efficient outcomes
C) Patient determined outcomes
D) Provider recommended outcomes
Answer: A) The patient will be required by law to continue making the premium on the
policy
Resource:
Rationale: The purchasing party becomes the beneficiary and takes responsibility for
paying the premium. The money received from a viatical settlement is usually free from
federal income tax but may impact eligibility for Medicaid. There are no restrictions on
how the money received from a viatical settlement can be used. - Answers -Your client
is considering a viatical settlement to help cover medical expenses. All of the following
are true about viatical settlements except:
A) The patient will be required by law to continue making the premium on the policy.
B) The money received from a viatical settlement is usually free from federal income
tax.
C) The money received from a viatical settlement may impact eligibility for Medicaid.
D) There are no restrictions on how the money received from a viatical settlement can
be used.
Answer: B) Encourage the patient to explore her feelings regarding this - Answers -Mary
is a 37-year-old mother of two who is paralyzed from the waist down after a motor
vehicle accident. She tells her case manager, "I can never be a good mom from this
wheelchair." The case manager should:
A) Ignore the comment.
B) Encourage the patient to explore her feelings regarding this.
C) Tell the client she is lucky to be alive, and should be thankful.
D) Report her to social services.
Answer: A) Maintenance - Answers -The health coach is working with a client in a
smoking cessation program. The client makes the statement, "I have not had a cigarette
in 9 months." The case manager knows the client is in which stage of change?
, A) Maintenance
B) Action
C) Preparation
D) Contemplation
Answer: A) Maintenance
Answer: A) Maintenance
Answer: B) Discuss barriers to compliance with the member. - Answers -The first thing
for the case manager to do when a client is not compliant with the plan of care is to:
A) Close the member to case management.
B) Discuss barriers to compliance with the member.
C) Notify the client's physician.
D) Request a mental evaluation.
Answer: B) Living will. - Answers -The legal document that directs healthcare,
specifically which treatments should be withheld, or withdrawing life support measures
is:
A) Medical power of attorney.
B) Living will.
C) Advance directive.
D) Do not resuscitate order
Answer: C) Collaborative
Case management is a collaborative process that assesses, plans, implements,
coordinates, monitors, and evaluates the options and services required to meet the
client's health and human service needs. It is characterized by advocacy,
communication, and resource management and promotes quality and cost-effective
interventions and outcomes. - Answers -Case Management is what type process?
A) Independent
B) Organizational
C) Collaborative
D) Educational
Rationale: Medicare Part B benefits include:
• Physician and surgeon
• Outpatient services
• Home health
• DME
• Emergency Room
• Physical therapy
• Ambulance - Answers -Medicare Part B benefits include which of the following?
A) Inpatient hospital stay, physician and surgeon, outpatient service and emergency
room
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