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AHIP AHM-540 Exam - Topic 3 Question 60 Discussion

The following statement(s) can correctly be made about the scope of case management:Case management incorporates activities that may fall outside a health plan's typical responsibilities, such as assessing a member's financial situationCase management generally requires a less comprehensive and complex approach to a course of care than does utilization reviewCase management is currently applicable only to medical conditions that require inpatient hospital care and are categorized as catastrophic in terms of health and/or costs
D) 1 only
A) All of the above
B) 1 and 2 only
C) 2 and 3 only

AHIP AHM-540 Exam - Topic 3 Question 60 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 60
Topic #: 3
[All AHM-540 Questions]

The following statement(s) can correctly be made about the scope of case management:

Case management incorporates activities that may fall outside a health plan's typical responsibilities, such as assessing a member's financial situation

Case management generally requires a less comprehensive and complex approach to a course of care than does utilization review

Case management is currently applicable only to medical conditions that require inpatient hospital care and are categorized as catastrophic in terms of health and/or costs

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Suggested Answer: D

by Janine at Oct 27, 2022, 03:24 PM

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Tracey
10 months ago
I think #2 is spot on, less complexity is key in case management.
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Jesusita
10 months ago
Wait, is case management really only for inpatient care? That seems off.
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Allene
10 months ago
Totally agree with #1 and #2, they make sense.
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Teresita
10 months ago
I disagree with #3, case management isn't just for catastrophic cases!
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Genevive
11 months ago
Case management does include financial assessments, that's true.
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Bok
11 months ago
I practiced a similar question where we discussed the scope of case management, and I feel like 1 and 2 could be correct, but 3 seems off.
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Justine
11 months ago
I think statement 3 is definitely incorrect because case management applies to more than just catastrophic conditions, right?
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Maia
11 months ago
I'm not entirely sure about the complexity comparison between case management and utilization review. It feels like they might overlap in some areas.
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Shoshana
11 months ago
I remember studying that case management can involve assessing financial situations, so I think statement 1 is true.
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Judy
12 months ago
Hmm, this looks like a tricky one. I'll need to carefully analyze the network topology and IS-IS configuration to figure out the best approach.
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Catarina
12 months ago
This seems like it could be related to the privacy policy, since monitoring employee computers could be seen as an invasion of privacy.
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Gwen
12 months ago
This kind of question seems familiar; I think the output will include 1, 2, 3, 4, and 5 since we remove 3 from the set.
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