CCM EXAM WITH COMPLETE SOLUTIONS 100%
2023/2024
Fmla
Entitles eligible employees to take unpaid, job protected leave for specified medical and family
reasons
Eligibility for FMLA
Worked past 12months, worked 1250hrs in those 12 mo, employer of at least 50 employees
Number of weeks allowed for FMLA
12work weeks in 12 months
EEOC
Governs law interpretation and settled employee employer disputes
OSHA
Governs any employer who operates in a business that affects commerce. Requires safe place to work
Quality Indicators
Specific and measurable guides for eval/monitor aspects of patients care
HIPAA
Health information portability accountability act
Durable power of attorney
Legal document that designates a person to make decisions regarding medical and end of life care
Reqs for Rehab
1.Care must be reasonable & necessary r/t duration, freq, efficacy &Amt. 2.care must be reasonable
&necessary to provide as inpatient setting rather than less intensive facility 3. Must be able complete
3hr /day therapy
OASIS
Outcome and Assmt information set.used by hunt sing resource grps (HHRG) for reimbursement data
Cost Benefit Analysis
Process of evaluating and assessing scenarios to determine relative value of an intervention when
measured against predetermined criteria
Medigap
Private insurance to help pay for services Medicare didn't pay for.must be 65/older and enroll within
6mo the from enrolling in part B
Medicare select
2023/2024
Fmla
Entitles eligible employees to take unpaid, job protected leave for specified medical and family
reasons
Eligibility for FMLA
Worked past 12months, worked 1250hrs in those 12 mo, employer of at least 50 employees
Number of weeks allowed for FMLA
12work weeks in 12 months
EEOC
Governs law interpretation and settled employee employer disputes
OSHA
Governs any employer who operates in a business that affects commerce. Requires safe place to work
Quality Indicators
Specific and measurable guides for eval/monitor aspects of patients care
HIPAA
Health information portability accountability act
Durable power of attorney
Legal document that designates a person to make decisions regarding medical and end of life care
Reqs for Rehab
1.Care must be reasonable & necessary r/t duration, freq, efficacy &Amt. 2.care must be reasonable
&necessary to provide as inpatient setting rather than less intensive facility 3. Must be able complete
3hr /day therapy
OASIS
Outcome and Assmt information set.used by hunt sing resource grps (HHRG) for reimbursement data
Cost Benefit Analysis
Process of evaluating and assessing scenarios to determine relative value of an intervention when
measured against predetermined criteria
Medigap
Private insurance to help pay for services Medicare didn't pay for.must be 65/older and enroll within
6mo the from enrolling in part B
Medicare select
