CCM Practice Test
Managed Care -
Systems-oriented and involves the management of various benefits of health insurance plans
The evaluation and case closure domain of case management involves -
Reporting termination to services to stakeholders
One purpose of case management practice is -
To promote informed decision-making by the patient and others by interjecting objectivity and
information
Acute Care Case Management Model -
NCM Identifies acute care needs and discharge requirements in addition to developing the treatment
plan along with members of IDT.
NCM follows patient from admission to discharge -
Complete-based
NCM acts as a liason between care levels to assist the patient during the convalescent (recovery) period
by assessing his or her condition and determining appropriate services in -
Skilled nursing facility case management model
Benefit of working as an independent/private case management midel -
Flexibility and autonomy in decision-making
Value calculated by multiplying the relative weight and the facility's base rate -
Hospital payment
Affects case load index -
Severity of illness, need for intervention, and treatment difficulty
Major diagnostic categories (MDCs) are -
Grouped according to anatomical and pathophysiological sections
Calculation used to identify variables in various settings that affect caseload is -
Caseload matrix
Severity of illness and prognosis dictate -
Complexity and types of services provided by a healthcare facility
The severity of illness that represents an illness that occurred within one week is -
Recent onset
As acuity increases -
More RNs are needed to provide adequate and safe care
