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Examen

Case Management Certification Exam 2026 – 100 Q&A with Rationales, Graded A+

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Pass your case management certification with confidence! Download the latest version 6.0 study guide featuring 100 actual exam questions, correct answers, and detailed explanations. Covers case management process, healthcare laws, insurance models, utilization management, and more. Perfect for CCM, ACM, and nursing case manager exam prep. Instant PDF download!

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Ifier Administration ProfessionaL Latest
Version: 6.0 100 Questions with Correct Answers &
Explanations | Design-Build Certification Prep | Graded
A+ Study Guide


case management - ..ANSWER...✓✓ the dynamic and
systematic collaborative approach to providing and coordinating
health care services to a defined population.
- participative process to identify and facility options and
services for meeting individual healthcare needs while
decreasing fragmentation and duplication of care and increasing
quality and cost effective clinical outcomes.


standards of care - ..ANSWER...✓✓ parameters to measure the
quality of healthcare


clinical guidelines - ..ANSWER...✓✓ statements to help make
decisions about health specific circumstances.


clinical pathway - ..ANSWER...✓✓ structured multi-disciplined
plan of care to support clinical guidelines and protocol to
improve continuity and coordination.

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4 parts of clinical pathway - ..ANSWER...✓✓ 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria 4.
variance tracking are 4 parts of what?


decision tree - ..ANSWER...✓✓ used to select the best course of
action in decisions where there is no clear decisions.


descriptive screening tool - ..ANSWER...✓✓ identifies
characteristics about a population to show health prevention.


predictive screening tool - ..ANSWER...✓✓ shows what may
happen to a specific population.


evaluative screening tool - ..ANSWER...✓✓ evaluates the
understanding/effectiveness


SF-36 - ..ANSWER...✓✓ predictive screening tool to assess
functional health and well being. Assesses physical and mental
health.

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- used in health economics, cost-effectiveness of health tx -evals
individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability


patient activation measure - ..ANSWER...✓✓ 13 item predictive
screening tool to evaluate patient's knowledge, skills, confidence
in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER
visits.


health risk assessment - ..ANSWER...✓✓ predictive screening
tool: patient's self assessment of their health and how likely they
will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse
condition.
- examples: PHQ-9, etc.


rose Q - ..ANSWER...✓✓ health risk assessment for angina, MI,
coronary heart disease.

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defined angina pectoris as, "a chest pain or discomfort with
these characteristics:
(a) the site must include either the sternum (any level) or the left
arm and left anterior chest (defined as the anterior chest wall
between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or
by walking on the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either
stop or slacken pace, unless nitroglycerin is taken, (d) it must
disappear on a majority of occasions in 10 min or less from the
time when the subject stands still."


Possible myocardial infarction1 was defined as, "one or more
attacks of severe pain across the front of the chest lasting for 30
min or longer."


seattle angina questionnaire - ..ANSWER...✓✓ 19-item
selfadministered health risk assessment for angina and functional
artery disease measuring five dimensions of coronary artery
disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
treatment satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function
(eg, less physical limitation, less angina, and better quality of
life).

Información del documento

Subido en
23 de febrero de 2026
Número de páginas
341
Escrito en
2025/2026
Tipo
Examen
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