Provider Management Flashcards
What are the four main user roles or positions associated with Provider Management?
CPM Administrator
Resource Manager
Facility Manager
Financial User
Which Curam component determines eligibility for drug treatment and counseling?
a. Provider Management
b. Outcome Management
c. Financial Management
d. Case Management
d. Case Management
Which Curam component manages the contractual terms between the agency and a drug treatment center?
a. Provider Management
b. Outcome Management
c. Financial Management
d. Case Management
a. Provider Management
Which position enrolls a drug treatment center as a provider?
a. Caseworker
b. Resource Manager
c. Administrator
d. Facility Manager
b. Resource Manager
A drug treatment center recently completed renovations that increased their in-patient capacity from 30 to 40 patients. Which positions can enter this updated information into Curam Provider Management?
a. Caseworker
b. Resource Manager
c. Administrator
d. Facility Manager
b. Resource Manager
d. Facility Manager
In addition to its drug treatment services, a drug treatment center now wants to offer treatment for clinical depression. Which position authorizes the addition of this new service to the center’s offerings?
a. Caseworker
b. Resource Manager
c. Administrator
d. Facility Manager
b. Resource Manager
List four examples of data that can be maintained for a provider.
Contact Information Approval Criteria Financial Terms Training Requirements Facility Capacity and Layout Inquiries and Investigation Placements, Wait Lists and Reservations
True or False: A provider inquiry must be created before the provider can be enrolled.
False. A provider can be enrolled directly, without a provider enquiry.
Based on data that the agency collect, it seems that one of its providers is not maintaining a sufficiently high level of service. The agency does not want to use this provider until the situation is corrected. What action in the Provider Lifecycle does the Resource Manager take?
Suspend the Provider
True or False: The agency can define its own approval criteria for new providers.
True
What is the Provider Lifecycle.
Provider Inquiry -> Provider (Enrolled) -> Provider (Approved) -> Provider (Closed)
or
Provider Inquiry -> Provider (Enrolled) - Provider (Rejected) -> Provider (Approved) -> Provider (Closed)
or
Provider Inquiry -> Provider(Enrolled) -> Provider (Approved) -> Provider (Suspended) -> Provider (Approved) -> Provider (Closed)
