Multiple Choice ACMA Certification Exam Questions
With 100% Correct Answers.
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
consult is written for a wound care nurse to see the patient on post op day one.
With 100% Correct Answers.
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
consult is written for a wound care nurse to see the patient on post op day one.
