Ccmc ccm - Study guides, Class notes & Summaries

CCMC CCM Exam Study 2023 Question and answer Which body of knowledge is being used as a standard for making informed medical care decisions and evaluating the effectiveness of alternative treatment? Evidence-based Medicine Factors used to identify acuity include: number of admissions in a given period The failure of an individual to act as other prudent professionals would in similar circumstances with the same knowledge and education is malpractice A medically determine...

  CCM EXAM 2024 /2025 WITH 100% ACCURATE SOLUTIONS 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. - Precise Answer Answer: ...

CCMC CCM Exam Study 2023 (Solved)

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 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...

Ethical Standards for Case Management Practice - Part I: CCMC Code of Professional Conduct for CMs (CMBOK) - Key Terms 2023advocacy Acting on behalf of those who are not able to speak for or represent themselves. It is also defending others and acting in their best interest. A person or group involved in such activities is called an advocate. autonomy A form of personal liberty of action in which the client holds the right and freedom to select and initiate his or her own treatment and ...

CCMC CCM Exam 2023 with 100% correct answers

CCM Question with complete solution 2023Precertification is also known as: prospective review The CCM is with a patient who is discussing suicidal thoughts. The MOST important question to ask the patient is Do you have a plan The Health Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures developed and maintained by the National Committee for Quality Assurance (NCQA) Telephonic case managers often have patients in multiple states, wh...

CCM PRACTICE ABI 36 QUESTIONS with Verified Answers 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 are case mana...