HOM 5307 Test 2 Questions and Correct
Verified Answers
Payment to a facility for outpatient procedures may be increased on a case-by-case basis
through which of the following?
carve-outs
T or F: All of the following are alternatives to acute care hospitalization.
▪ Subacute care
▪ Step-down units
▪ Outpatient facilities/units
▪ Home care
▪ Hospice care
True
T or F: All three methods used to manage utilization during the course of a
hospitalization. Pre-certification that includes the authorized coverage length of stay
Concurrent, or continued stay, review by UM nurses using evidence-based clinical criteria
Discharge planning prior to admission or at the beginning of the stay
True
The use of utilization guidelines targets only managed care patients and does not have
an impact on the care of non-managed care patients.
False
Nurse-on-call or medical advice programs are considered demand management strategies.
True
Verified Answers
Payment to a facility for outpatient procedures may be increased on a case-by-case basis
through which of the following?
carve-outs
T or F: All of the following are alternatives to acute care hospitalization.
▪ Subacute care
▪ Step-down units
▪ Outpatient facilities/units
▪ Home care
▪ Hospice care
True
T or F: All three methods used to manage utilization during the course of a
hospitalization. Pre-certification that includes the authorized coverage length of stay
Concurrent, or continued stay, review by UM nurses using evidence-based clinical criteria
Discharge planning prior to admission or at the beginning of the stay
True
The use of utilization guidelines targets only managed care patients and does not have
an impact on the care of non-managed care patients.
False
Nurse-on-call or medical advice programs are considered demand management strategies.
True
