HOSPITALZATION PROCESS Question Preview (ID: 61117)


TO REVIEW PROCEDURE FOR WHEM MEMBERS ARE HOSPITALIZED. TEACHERS: click here for quick copy question ID numbers.

WHEN DO YOU NEED TO NOTIFY THE RN CM ABOUT A MEMBER'S HOSPITALIZATION?
a) WHEN CM IS NOTIFIED BY SOMEONE OUTSIDE OF ORGANIZATION
b) EVERY TIME
c) ONLY IF NEEDED FOR DISHARGE PLANNING
d) NEVER

HOW IS A CM TRADITIONAL NOTIFIED OF A MEBER'S HOSPITALIZATION?
a) DAILY REPORT EMAILED BY CMA
b) PHONE CALL FROM HOSPITAL
c) PHONE CALL FROM MEMBER
d) PHONE CALL FROM RN CM

T/F-A POST DISCHARGE MEETING IS ONLY REQUIRED FOR NF MEMBERS IF THEY GO TO A NEW NF?
a) TRUE
b) FALSE
c)
d)

WHAT TYPE OF ASSESSMENT SHOULD BE DONE IF UPON DISCHARGE THE MEMBER RETURNS TO THEIR ALF OR HCBS?
a) COC
b) COP
c) PCSP
d) BHQR

WITHIN HOW MANY BUSINESS DAYS FROM YOUR AWARENESS THAT THE MEMBER IS HOSPITALIZED, SHOULD YOU CONTACT THEM AND THE HOSPITAL?
a) 1
b) 5
c) 10
d) 14

T/F-HSBS MEMBERS NEED TO HAVE THEIR AUTHORIZATION END DATED TO THE LAST DATE THEY RECEIVED SERVICES IF IT'S DETERMINED THEY WON'T CONTINUE WITH THE SERVICE?
a) TRUE
b) FALSE
c)
d)

T/F-THE PREFERENCES AND STRENGTHS SECTION OF THE ASSESSMENT SHOULD BE UPDATED WHEN A MEMBER IS HOSPITALIZED?
a) TRUE
b) FALSE
c)
d)

T/F-DISCHARGE PLANNING SHOULD CONTINUE UNTIL THE MEMBER IS DISCHARGED FROM THE HOSPITAL?
a) TRUE
b) FALSE
c)
d)

WHO SHOULD BE NOTIFIED IF YOUR MEMBER GOES INTO THE HOSPITAL?
a) PROVIDERS
b) MEMBER
c) HOSPITAL STAFF
d) MANAGER

T/F-AUTHORIZATIONS SHOULD BE STOPPED IF YOUR NON HCBS MEMBER IS HOSPITALIZED?
a) TRUE
b) FALSE
c)
d)

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