Questions With 100% Correct Answers.
Ownership of the inpatient medical record belongs to which of the following?
The hospital
3 multiple choice options
A traditional Medicare patient is projected to need 14 days of IV antibiotic infusion after discharge. In
discussing how to plan for this need with the patient and family, the case manager advises:
Medicare has no benefits for home infusion services, making the patient automatically eligible for
Medicaid to cover the costs of care.
3 multiple choice options
he case manager is part of a team gathered to discuss discharge delays on the weekends. They decide
to use a "fishbone diagram" to better understand the important causes of the problem. They should
start the process by listing the areas of concern and dividing them into the following categories:
People, environment, systems and equipment
3 multiple choice options
Components of a comprehensive case management assessment include: (choose the single best
answer)
Current living situation and health insurance coverage
3 multiple choice options
Which is the most important to facilitate in case management preadmission screening and
assessment prior to elective surgery?
Obtaining prior authorization
3 multiple choice options
Medicare's payment structure for most hospitals is currently:
Prospective Payment System/Diagnosis-Related Groups (PPS/DRG)
3 multiple choice options
Use of Condition Code 44 is dependent upon meeting which of the following requirements?
Change from inpatient to observation is made before the patient is discharged and the patient has
been informed.
3 multiple choice options
What is the first step needed in planning to determine transition of care interventions, sometimes
called "plan for day":
Review the clinical condition and medical necessity criteria to determine the appropriate level of care.
3 multiple choice options
A case manager reviews a patient's chart and sees a physician order to send the patient to Happy
Hollow Skilled Nursing facility. The case manager and patient have discussed the possibility of needing
skilled care after discharge, but the patient had not yet chosen a facility. When the case manager
meets with the patient again, the patient appears anxious about their conversation with the
physician, and the case manager discovers the patient does not want to go to Happy Hollow because
of a bad experience. The case manager would do which of the following?