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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
Suggested Answer: D
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12 comments · newest first
TR
Tracey
11 months ago
I think #2 is spot on, less complexity is key in case management.
JE
Jesusita
11 months ago
Wait, is case management really only for inpatient care? That seems off.
AL
Allene
12 months ago
Totally agree with #1 and #2, they make sense.
TE
Teresita
12 months ago
I disagree with #3, case management isn't just for catastrophic cases!
GE
Genevive
1 year ago
Case management does include financial assessments, that's true.
BO
Bok
1 year 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.
JU
Justine
1 year ago
I think statement 3 is definitely incorrect because case management applies to more than just catastrophic conditions, right?
MA
Maia
1 year 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.
SH
Shoshana
1 year ago
I remember studying that case management can involve assessing financial situations, so I think statement 1 is true.
JU
Judy
1 year 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.
CA
Catarina
1 year ago
This seems like it could be related to the privacy policy, since monitoring employee computers could be seen as an invasion of privacy.
GW
Gwen
1 year 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.