Download ACM-RM Certification Exam 100% VERIFIED ANSWERS 2024/2025 CORRECT and more Exams Business Administration in PDF only on Docsity! ACM-RM Certification Exam 100% VERIFIED ANSWERS 2024/2025 CORRECT Case Managers require certain skills in the planning process. List three skills 1. Advocacy 2. Communication 3. Leadership What is the most common metric concurrently associated with a patient's treatment plan? Length of Stay (LOS) The CMS/Medicare Conditions of Participation include guidelines for a) Patient choice in the discharge care provider b) Patient complaint review process c) Teachback methodology d) Standardized patient plan of care a) Patient choice in the discharge care provider A case managers decision related to the selection of the most appropriate mode of transportation to the next level of care includes: a) mobility b) if the patient has a h/o HTN c) payer d) allergies a) Mobility What does discharge planning and case management involve? Developing a plan of care that implement's the physicians orders while taking the patients rights and wishes into account Under the conditions of participation, CMS sets clear requirements for assessment and discharge planning for those who may suffer an adverse outcome if the assessment is not completed. The need for a DC planning consult may be identified by which of the following: a) admission status b) payer determines which patients need an assessment c) physician consult, patient/caregiver request, and medical record review d) all of the above c) physician consult, patient/caregiver request, and medical record review What is face to face certification for post acute home healthcare? A billing requirement for the home health agency, a certification that the patient is homebound, and an attestation by the attending physician that home health services are medically necessary Under the CMS conditions of participation for DC planning for Hospitals, the hospital must provide a DC planning evaluation to the patients identified as high risk, as well as: a) If requested by the patient b) Medicare Advantage patients c) At the request of the insurance case manager d) Observation patients a) If requested by the patient What should planning for discharge include? Plan for the day, plan for the stay, and plan for the way When should Code 44 be used? When the UR committee determines and documents inpatient care is not required, the physician concurs, and the change in status occurs prior to DC or release of the patient A case manager needs to send a referral, including demographics, H&P, and therapy noted to a home health agency. True or False: