MultipleChoice
The following statement(s) can correctly be made about the hospitalist approach to inpatient care management:
Management of inpatient care by hospitalists may significantly reduce the length of stay and the total costs of care for a hospital admission
Most health plans that use hospitalists do so through a voluntary hospitalist program
A hospitalist's familiarity with utilization management (UM) and quality management (QM) standards for inpatient care may reduce unnecessary variations in care and improve clinical outcomes
OptionsMultipleChoice
The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Determine which term or phrase in each pair correctly completes the paragraph. Then select the answer choice containing the terms or phrases that you have chosen.
Due to competitive pressures and consumer demand, many health plans now offer direct access or open access products. Under a direct access product, a member is (required / not required) to select a main care provider (PCP), and is (required / not required) to obtain a referral from a PCP or the health plan before visiting a network specialist.
OptionsMultipleChoice
For this question, if answer choices (1) through (3) are all correct, select answer choice (4). Otherwise, select the one correct answer choice.
Health plans sometimes delegate selected medical management activities to their providers or other external entities. Activities that are frequently delegated include
OptionsMultipleChoice
The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Determine which term or phrase in each pair correctly completes the paragraph. Then select the answer choice containing the two terms or phrases that you have selected.
The process for collecting and analyzing data differs for quality assessment (QA) and quality improvement (QI). For QA, data collection focuses on (objective / both objective and subjective) data, and data analysis identifies the (degree / cause) of variance.
Options