CCM Care Coordination & Resource Management 3

Question 1

A care manager is developing a care plan for a recently discharged stroke patient. Which element is ESSENTIAL to prevent 30-day readmission?

Accepted Answer

Arranging a follow-up appointment within 7 days of discharge

Answer

Scheduling elective procedures within 30 days

Answer

Waiting for the patient to report new symptoms

Answer

Transferring care entirely to a home health nurse

Question 2

The concept of 'warm handoff' in care transitions refers to:

Accepted Answer

A direct, real-time introduction between the outgoing and receiving care team members

Answer

Sending a discharge summary by fax to the next provider

Answer

Providing the patient with written instructions only

Answer

Scheduling a future appointment without verbal communication

Question 3

Which model specifically uses 'health coaches' and 'community health workers' as part of a care coordination team?

Accepted Answer

Chronic Care Model

Answer

Case Management Society of America model

Answer

Camden Coalition of Healthcare Providers hot-spotting model

Answer

PACE (Program of All-inclusive Care for the Elderly)

Question 4

A care manager is prioritizing a caseload of 25 clients. Which client should receive IMMEDIATE attention?

Accepted Answer

A client discharged yesterday with no post-acute services arranged

Answer

A stable client with a scheduled follow-up next week

Answer

A client who called to request a benefits summary

Answer

A client awaiting non-urgent durable medical equipment

Question 5

In the context of resource management, 'utilization review' is BEST described as:

Accepted Answer

Assessing whether healthcare services are medically necessary and appropriate

Answer

Evaluating a care manager's performance metrics

Answer

Auditing billing codes for accuracy

Answer

Reviewing patient satisfaction survey results

Question 6

A care manager identifies a client who qualifies for the Supplemental Nutrition Assistance Program (SNAP) but has not enrolled. The BEST action is to:

Accepted Answer

Provide information and assist with the application process as appropriate

Answer

Advise the client to look it up online independently

Answer

Assume the client has already considered and declined SNAP

Answer

Refer only if the client specifically asks for food assistance

Question 7

Which organization publishes the Standards of Practice for Case Management used as a professional benchmark in the US?

Accepted Answer

Case Management Society of America (CMSA)

Answer

American Nurses Association (ANA)

Answer

Joint Commission on Accreditation (TJC)

Answer

Centers for Medicare & Medicaid Services (CMS)