Multiple Choice ACMA Certification Exam Questions With 100% Correct Answers.

Multiple Choice ACMA Certification Exam Questions With 100% Correct Answers. Ownership of the inpatient medical record belongs to which of the following? 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: 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: People, environment, systems and equipment Components of a comprehensive case management assessment include: (choose the single best 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? Obtaining prior authorization Medicare's payment structure for most hospitals is currently: Prospective Payment System/Diagnosis-Related Groups (PPS/DRG) Use of Condition Code 44 is dependent upon meeting which of the following requirements? Change from inpatient to observation is made before the patient is discharged and the patient has been informed. What is the first step needed in planning to determine transition of care interventions, sometimes called "plan for day": Review the clinical condition and medical necessity criteria to determine the appropriate level of care. A case manager reviews a patient's chart and sees a physician order to send the patient to Happy Hollow Skilled Nursing facility. The case manager and patient have discussed the possibility of needing skilled care after discharge, but the patient had not yet chosen a facility. When the case manager meets with the patient again, the patient appears anxious about their conversation with the physician, and the case manager discovers the patient does not want to go to Happy Hollow because of a bad experience. The case manager would do which of the following? Speak to the physician and let the provider know of the conversation with the patient and that alternatives are being considered. Components of a case management assessment include which of the following? Response to illness, functional status, and health behaviors A patient is admitted for elective surgery and is on a surgical pathway with certain aspects of care to be delivered on each post-op day. A wound care