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CCM-CASE MANAGEMENT PROCESS QUESTIONS AND VERIFIED ANSWERS

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CCM-CASE MANAGEMENT PROCESS QUESTIONS AND VERIFIED ANSWERS

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Reliability of data means


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Accuracy of data




Program evaluation is an ongoing part of

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Case management




Performance Management (PM)


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Provision of excellent quality patient care




Assignment of a diagnostic-related group (DRG) is based on


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Medical record documentation which must be complete, timely, thorough,
legible, proper, and comprehensive.




Major Diagnostic Categories (MCDs) are


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Primarily an administrative data element within healthcare for
reimbursement purposes




Stage 3: Case Plan Development and Coordination involves

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CM/IDT choosing the best way to provide care through: what needs to be
done, how to accomplish this, who will provide services, when the next
level of care will be provided, and how the patient/family can manage after
discharge (Establish goals, prioritize needs and goals, service planning and
resource allocation).




Nonparametric/Ordinal example


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Patient acuity




strategies for conflict resolution include


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1. focus on goals rather than personalities
2. meet the needs of both parties equally if possible
3. build consensus among all parties
4. engage in dialogue
5. coach and educate healthcare providers and nurses
6. identify potential conflicts




Quality Improvement (QI)/Quality Management (QM) is


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, A process mandated by accreditation organizations which improves various
aspects of quality care.




DRG assignment requires


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A principal diagnosis, secondary diagnosis, surgical procedures,
comorbidities, complications, age, and discharge status.




Interval


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Equal differences between numbers represent equal differences in the
variable.




Aggressive negotiators utilize


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Psychological maneuvers such as threats and intimidation




Parametric data is


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