CPB Certified Professional Biller Certification Practice Exam

What is the role of a case manager?

1. To perform surgeries on patients

2. To submit confirmation of treatment authorization to providers

3. To manage hospital administrative tasks

4. To oversee the billing processes within healthcare

The correct answer is: To submit confirmation of treatment authorization to providers

The role of a case manager primarily involves coordinating care for patients, which includes ensuring that treatment authorizations are in place. This may involve communicating with healthcare providers and insurance companies to confirm that necessary services have been authorized, which ultimately helps to facilitate patient access to required medical treatments and interventions. This is a crucial aspect of patient care, as it ensures that patients receive the appropriate services in a timely manner while adhering to insurance policies and guidelines. The case manager acts as a liaison, managing care plans and supporting patients through their healthcare journey.