Certified Case Management || A Verified A+.
Health Status Survey correct answers A tool that provides a clients self assessment and
functional health and quality of life issues
predictive modeling correct answers A process in which historical data based on behaviors
and events are blended with multiple variables and used to construct models of anticipated
future outcomes.
Role correct answers a set of expectations (norms) about a social position, defining how those
in the position ought to behave
function correct answers Set of tasks that are completed as part of a role
activity correct answers Specific task to meet the needs of the role
process correct answers A series of actions or steps taken to achieve an end/goal
Likert Scale correct answers a numerical scale used to assess attitudes; includes a set of
possible answers with labeled anchors on each extreme.
1- able to do
2- moderate
3- severe
4- needs total asst
Caseload Matrix correct answers Identifies variables in various settings affecting caseload.
1- initial elements
2- comprehensive needs assessment
3- case management interventions
4- outcomes
Standards of Practice correct answers A list of standards to assist the professional in making
good decisions while conducting day to day responsibilities within his or her scope of
practice.
standards of care correct answers legal requirements for nursing practice that describe
minimum acceptable nursing care
evidence-based practice correct answers nursing care provided that is supported by sound
scientific rationale
Rancho Los Amigos Scale correct answers evaluates traumatic brain injuries
I-nonresponsive; II, III- decreased response; IV, V, VI- confused; VII-VIII-appropriate levels
social security disability insurance correct answers Pays benefits to the individual (and
certain family members) if the individual worked long enough and paid Social Security taxes.
COBRA correct answers Consolidated Omnibus Budget Reconciliation Act; law to provide
terminated employees or those who lose insurance coverage because of reduced work to be
able to buy group insurance for themselves and their families for a limited amount of time.
, if disabled within 60 days of obtaining Cobra and remain disabled throughout 18 months of
coverage then you will be able to apply for an additional 11 month extension for a total
coverage of 29 months
patient activation measure (PAM) correct answers 13 item predictive screening tool to
evaluate a client's ability for self care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
WHODAS (World Health Organization Disability Assessment Schedule) correct answers
Assesses general health and disability including mental, neuro, substance abuse.
Utilization Management (UM) correct answers Collection of systems and processes used to
determine if health care services are appropriate and medically necessary.
Utilization review correct answers process of evaluating the appropriateness of services
provided
Medicare correct answers A federal program of health insurance for persons 65 years of age
and older
Medicare Part B correct answers The part of the Medicare program that pays for physician
services, outpatient hospital services, durable medical equipment, and other services and
supplies.
Medicare Part A (Hospital Insurance) correct answers covers Medicare inpatient care,
including care received while in a hospital, a skilled nursing facility, and, in limited
circumstances, at home.
Medicare—Part D Prescription Drug Coverage correct answers is a voluntary program for
paying for your prescription drugs. If you earn more, you pay more.
Medicaid correct answers A federal and state assistance program that pays for health care
services for people who cannot afford them.
Can be 3 months retroactive.
SCHIP (State Children's Health Insurance Program) correct answers is a program
administered by the United States Department of Health and Human Services that provides
matching funds to states for health insurance to families with children.
WHCRA ( Women's health and cancer right act) correct answers Requires insurance
coverage of breast construction or complications of mastectomy if plan provides
medical/surgical benefits for mastectomy
TEFRA correct answers Tax Equity and Fiscal Responsibility Act
provides incentives for cost contamination
Diagnosis-related groups (DRGs) correct answers System that categorizes into payment
groups patients who are medically related with respect to diagnosis and treatment and
statistically similar with regard to length of stay.
Health Status Survey correct answers A tool that provides a clients self assessment and
functional health and quality of life issues
predictive modeling correct answers A process in which historical data based on behaviors
and events are blended with multiple variables and used to construct models of anticipated
future outcomes.
Role correct answers a set of expectations (norms) about a social position, defining how those
in the position ought to behave
function correct answers Set of tasks that are completed as part of a role
activity correct answers Specific task to meet the needs of the role
process correct answers A series of actions or steps taken to achieve an end/goal
Likert Scale correct answers a numerical scale used to assess attitudes; includes a set of
possible answers with labeled anchors on each extreme.
1- able to do
2- moderate
3- severe
4- needs total asst
Caseload Matrix correct answers Identifies variables in various settings affecting caseload.
1- initial elements
2- comprehensive needs assessment
3- case management interventions
4- outcomes
Standards of Practice correct answers A list of standards to assist the professional in making
good decisions while conducting day to day responsibilities within his or her scope of
practice.
standards of care correct answers legal requirements for nursing practice that describe
minimum acceptable nursing care
evidence-based practice correct answers nursing care provided that is supported by sound
scientific rationale
Rancho Los Amigos Scale correct answers evaluates traumatic brain injuries
I-nonresponsive; II, III- decreased response; IV, V, VI- confused; VII-VIII-appropriate levels
social security disability insurance correct answers Pays benefits to the individual (and
certain family members) if the individual worked long enough and paid Social Security taxes.
COBRA correct answers Consolidated Omnibus Budget Reconciliation Act; law to provide
terminated employees or those who lose insurance coverage because of reduced work to be
able to buy group insurance for themselves and their families for a limited amount of time.
, if disabled within 60 days of obtaining Cobra and remain disabled throughout 18 months of
coverage then you will be able to apply for an additional 11 month extension for a total
coverage of 29 months
patient activation measure (PAM) correct answers 13 item predictive screening tool to
evaluate a client's ability for self care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
WHODAS (World Health Organization Disability Assessment Schedule) correct answers
Assesses general health and disability including mental, neuro, substance abuse.
Utilization Management (UM) correct answers Collection of systems and processes used to
determine if health care services are appropriate and medically necessary.
Utilization review correct answers process of evaluating the appropriateness of services
provided
Medicare correct answers A federal program of health insurance for persons 65 years of age
and older
Medicare Part B correct answers The part of the Medicare program that pays for physician
services, outpatient hospital services, durable medical equipment, and other services and
supplies.
Medicare Part A (Hospital Insurance) correct answers covers Medicare inpatient care,
including care received while in a hospital, a skilled nursing facility, and, in limited
circumstances, at home.
Medicare—Part D Prescription Drug Coverage correct answers is a voluntary program for
paying for your prescription drugs. If you earn more, you pay more.
Medicaid correct answers A federal and state assistance program that pays for health care
services for people who cannot afford them.
Can be 3 months retroactive.
SCHIP (State Children's Health Insurance Program) correct answers is a program
administered by the United States Department of Health and Human Services that provides
matching funds to states for health insurance to families with children.
WHCRA ( Women's health and cancer right act) correct answers Requires insurance
coverage of breast construction or complications of mastectomy if plan provides
medical/surgical benefits for mastectomy
TEFRA correct answers Tax Equity and Fiscal Responsibility Act
provides incentives for cost contamination
Diagnosis-related groups (DRGs) correct answers System that categorizes into payment
groups patients who are medically related with respect to diagnosis and treatment and
statistically similar with regard to length of stay.
