Author Question: Which of the following distinguishes care management and case management? A) Care management ... (Read 190 times)

jho37 · **on:** Jul 11, 2018

Which of the following distinguishes care management and case management?

A) Care management involves assessment and planning. Case management emphasizes implementation and coordination of services.
B) Care management is a means to control costs. Case management is confined to provision of health services.
C) Care management is long term. Case management focuses on a specific episode of care.
D) Care management is regulated by the National Association of Professional Geriatric Care Managers. Case management is not.

Question 2

A nurse who provides care in a postsurgical care unit of a hospital is aware that reimbursement to the hospital for Medicare patients is based on diagnosis-related groups (DRGs). How are DRGs used to determine reimbursement for Medicare patients?

A) Hospitals receive payment at a fixed rate for patients with diagnoses that fall into a specific DRG.
B) Medicare patients match the hospital's reimbursement from Medicare at a dollar-for-dollar rate.
C) A Medicare patient's minimum levels of care are established by the DRG that best relates to the patient's care needs.
D) Hospitals do not receive reimbursement if it can be demonstrated that a patient falls within a DRG.

jharrington11 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Feedback:
Care management is a long-term relationship that can endure through multiple episodes of care. Case management focuses on needs during a single episode.

Answer to Question 2

A