The hospital
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: - ANSWER Medicare has no benefits for home infusion services, making
the patient automatically eligible for Medicaid to cover the costs of care.
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: - ANSWER People, environment, systems and equipment
Components of a comprehensive case management assessment include: (choose the single
best answer) - ANSWER Current living situation and health insurance coverage
Which is the most important to facilitate in case management preadmission screening and
assessment prior to elective surgery? - ANSWER Obtaining prior authorization
Medicare's payment structure for most hospitals is currently: - ANSWER Prospective
Payment System/Diagnosis-Related Groups (PPS/DRG)
Use of Condition Code 44 is dependent upon meeting which of the following requirements?
- ANSWER Change from inpatient to observation is made before the patient is discharged
and the patient has been informed.
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