Icf classifying - Study guides, Class notes & Summaries

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...

Unbundling - answer-Reporting multiple codes to increase reimbursement when a single combination code should be reported. Upcoding - answer-Reporting codes that are not supported by documentation in the patient record for the purpose of increasing reimbursement overcoding - answer-Reporting codes for signs and symptoms in adition to tge establushed diagnosis cide Jamming - answer-Routinely assigning an unspecific ICD-10-CM disease code instead of reviewing the code manual to select the ...

The Medical Model Focused on specific medical conditions viewed as "problems;" intrinsic to individuals experiencing them. Emphasized diagnosis and corresponding limitation or functional incapacity relative to societal norm. The Social Model Reaction to medical model. Emphasized societal and environmental barriers as primary contributors to disability. Key component: equality. Paralleled civil rights/human rights movements. The Biopsychosocial Model Alternative to medical ...

CRRN Exam 677 Questions with Verified Answers Holistic Care - CORRECT ANSWER Incorporates the client's developmental needs, social networks, and lifestyle preferences. Gestalt Theory - CORRECT ANSWER States that the "Whole is greater than the sum of its parts." Pieces and parts fit together to produce thoughts, actions, and structures, such as family units. Advocates that the patient and entire family are assisted back to wellness. Developed by Max Wertheimer in the 1920's. Gardner ...

CCM EXAM 300 Questions with Verified Answers ACO - CORRECT ANSWER An acronym for Accountable Care Organization Actuary - CORRECT ANSWER A person in the insurance field who decides insurance policy rates and reserves dividends, as well as conducts various other statistical analyses Parternship for Health ACT 1966 - CORRECT ANSWER recognized health promotion and illness prevention as a " State of complete physical, mental, social well being Assessment tool and diagnostic tests - CORRE...

LAR Legally Authorized Representative Essential documents documents which individually and collectively permit evaluation of the conduct of a study and quality of the data produced Who developed the Declaration of Helsinky? the World Medical Association Phase 1 study designed to determine the metabolic and pharmacologic action of the drug in humans monitor ultimately responsible for source data verification investigator leader of the research team who is ...

LAR Legally Authorized Representative Essential documents documents which individually and collectively permit evaluation of the conduct of a study and quality of the data produced Who developed the Declaration of Helsinky? the World Medical Association Phase 1 study designed to determine the metabolic and pharmacologic action of the drug in humans monitor ultimately responsible for source data verification investigator leader of the research team who is ...