Healthcare and Disability Management Flashcards
Life care planning is:
determined by the court
provided in the public sector
related to medical and catastrophic case management services
independent of vocational services
related to medical and catastrophic case management services
Vocational experts:
may use sources that they deem credible, whether other vocational experts use them or not
present their opinions about peoples’ vocational and earning capacities in court based on their education and experience
provide job development
are deemed credible by their training and experience
are deemed credible by their training and experience
The amount an insured person pays out of pocket before the health plan pays is called what?
Copayment
Deductible
Premium
Coinsurance
Deductible
Your client Sandra receives Medicare and is in a facility where she receives 24-hour care for her non-acute condition. Which type of facility is this?
Skilled nursing facility
Hospice
Hospital
Group home
Skilled nursing facility
The cost containment strategy in which hospitalizations and treatment is analyzed closely before, during, and after is:
Utilization review
Tiered cost sharing
Medical fee schedule review
Managed care
Utilization review
Hospital insurance in Medicare is which part?
B
D
A
C
A
The primary intent (or purpose) of Disability Management is:
It is the management of employees with disabilities
It is a health promotion and wellness program
It prevents and minimizes the impact of illness and disability
It is primarily claims management
It prevents and minimizes the impact of illness and disability
COBRA is a federally mandated program that:
Allows qualified individuals to take leave
Mandates the extension of group health medical plans for former employees
Protects injured federal workers
Provides auto insurance for federal workers
Mandates the extension of group health medical plans for former employees
Which of the following is true about Medicare?
It is a partial coverage plan
SSDI recipients receive it immediately after SSDI eligibility
It is needs-based
People who get SSI automatically receive it
It is a partial coverage plan
Most prescription drugs are covered under which part of Medicare?
B
A
D
C
D
Managed care is:
a set of specific techniques that are the same in each state
a concept that can be applied to different systems
reducing the quality of health care services
a passing trend
a concept that can be applied to different systems
The trend in managed care is moving toward:
working with employers on reducing employees’ health care costs
case managers specialized in certain areas
developing the largest possible network of providers for each plan
integrating workers’ compensation and group health care
integrating workers’ compensation and group health care
A health care facility is known to provide good services if it:
It is large and well known
It is a long-standing facility
It meets HEDIS guidelines
Other case managers make referrals to it
It meets HEDIS guidelines
Models of case management for older adults highlight the importance of the relationship among/between the:
physician and health care staff
case manager, doctor, and staff
client and social security staff
case manager, client, and significant other
case manager, client, and significant other
To minimize the impact of illness and disability on both the employer and employee, disability management does not include which of the following:
Indirect Costs
Absenteeism
Early Intervention
Return to Work (RTW)
Absenteeism
