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certified case management proctored exam 180 Question
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    certified case management proctored exam 180 Question

  • certified case management proctored exam 180 Question
  • stuviaexams
    €15,39 Meer Info
Certified Case Manager  2024 Exam Questions and  Correct Answers
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    Certified Case Manager 2024 Exam Questions and Correct Answers

  • Ancillary Providers Ans--A subset of care providers including non-physician providers such as rehabilitation, transportation, dialysis, etc. Attending Physician Ans--The physician primarily responsible for the inpatient health care of an individual. AWP Ans--Two definitions: "Average wholesale price" is a calculation used to determine reimbursements for pharmacies. "Any willing provider" are contractors under HMO (Health Maintenance Organization) contracts who meet their provi...
  • Axpert
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Certified Case Manager  2024 Study Guide Questions and Correct  Answer
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    Certified Case Manager 2024 Study Guide Questions and Correct Answer

  • Target Populations Ans--diagnosis, high utilizers, age & health status, procedure, LOS, psychological factors, vocational, functional impairments, disability Case finding and intake Ans--ID member, obtain consent, communicating member needs to others, ID members who need alternate levels of care Provision of services Ans--facilitate and coordinate, communicate with other healthcare providers, monitor progress, review and modify healthcare services, collaborate with stakeholders on C...
  • Axpert
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Certified Case  Management 2024 Study  Guide Questions and  Correct Answers
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    Certified Case Management 2024 Study Guide Questions and Correct Answers

  • Accreditation Ans--A standardized program for evaluating healthcare organizations to ensure a specified level of quality, as defined by a set of national industry standards. Organizations that meet accreditation standards receive an official authorization or approval of their services. Entails a voluntary survey process that assesses the extent of a healthcare organization's compliance with the standards for the purpose of improving the systems and processes of care (performance) a...
  • Axpert
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Certified Case  Management 2024 Edition Questions and Correct  Answers
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    Certified Case Management 2024 Edition Questions and Correct Answers

  • Acuity Ans--a way to measure complexity and severity of the patient's health/medical condition. ADA Ans--The federal Americans with Disabilities Act of 1990. Administrative Services Only (ASO) Ans--An insurance company or third party administrator (TPA) that delivers administrative services to an employer group. This usually requires the employer to be selfinsured or atrisk for the cost of health care services provided, which the ASO processes and manages the claims. Advance Direc...
  • Axpert
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Certified Case  Management 2024 Study  Guide Questions and  Correct Answers
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    Certified Case Management 2024 Study Guide Questions and Correct Answers

  • function Ans--Set of tasks that are completed as part of a role activity Ans--Specific task to meet the needs of the role process Ans--A series of actions or steps taken to achieve an end/goal Likert Scale Ans--a numerical scale used to assess attitudes; includes a set of possible answers with labeled anchors on each extreme. 1- able to do 2- moderate 3- severe 4- needs total asst Caseload Matrix Ans--Identifies variables in various settings affecting caseload. 1- initial elem...
  • Axpert
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Certified Nursing Case Management
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    Certified Nursing Case Management

  • Health Status Survey predictive modeling Role function activity process Likert Scale Caseload Matrix Standards of Practice A tool that provides a clients self assess- ment and functional health and quality of life issues A process in which historical data based on behaviors and events are blended with multiple variables and used to con- struct models of anticipated future out- comes. a set of expectations (norms) about a social position, defining how those in the position ought to...
  • Clayjohnson
    €8,00 Meer Info
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