HCM CH 5 QUIZ UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

HCM CH 5 QUIZ UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. Nurse-on-call or medical advice programs are considered demand management strategies.
True False
Answer:
True

Question:
2. UM works by telling doctors and hospitals what to do
True False
Answer:
False

Question:
3. Hospital utilization varies by geographical area.
True False
Answer:
True

Question:
4. Utilization management seeks to reduce practice variation while promoting good outcomes and
"_________________" reducing access reducing costs increasing patients none of the above
Answer:
Reducing costs

Question:
5. The most common measurement of inpatient utilization is:
members per thousand bed days per year admissions per thousand bed days per year encounters per
thousand members per year bed days per thousand members per year
Answer:
bed days per thousand members per year

Question:
6. Claims review is an example of: prospective review concurrent review retrospective review discharge
planning
Answer:
retrospective review

Question:
7. Most of the care in disease management systems is delivered in the inpatient setting because the patients
are sicker than average.
True False