AHM-250 Exam Dumps : Healthcare Management: An Introduction

Coordinating and monitoring the member's care

Approve

Both A and B

A only

B only

Neither A nor B

PCCMs contract directly with the federal government to provide case management services to Medicaid recipients

all Medicaid recipients who live in rural areas must be given a choice of at least four PCCMs

Medicaid PCCM programs are exempt from the Health Care Financing Administration's (HCFA's) Quality Improvement System for Managed Care (QISMC) standards

PCCMs typically receive a case management fee, rather than reimbursement for medical services on a FFS basis, for the services they provide to Medicaid recipients

Accreditation is typically performed by a panel of physicians and administrators employed by the health plan under evaluation.

All accrediting organizations use the same standards of accreditation.

Results of accreditation evaluations are provided only to state regulatory agencies and are not made available to the general public.

Accreditation demonstrates to an health plan's external customers that the plan meets established standards for quality care.