CPB Certified Professional Biller Certification Practice Exam

What does case management primarily involve?

1. Providing legal advice to patients

2. Developing patient care plans to manage complicated cases

3. Administering medication to patients

4. Conducting medical examinations

The correct answer is: Developing patient care plans to manage complicated cases

Case management primarily involves developing patient care plans to manage complicated cases. This process is crucial in healthcare as it focuses on coordinating and overseeing the various aspects of a patient's care, especially for those with complex medical, social, or psychological needs. Case managers assess the patient’s condition, identify problems or needs, and then create a tailored care plan that may include a variety of services such as medical treatment, rehabilitation, and support resources. They collaborate with healthcare providers, patients, and their families to ensure that all aspects of the patient’s health are being addressed in a comprehensive manner. This role is central to ensuring that patients receive the appropriate care and that resources are used effectively, which ultimately leads to better health outcomes and more efficient healthcare delivery.