Benefits Caregiver Resources Barriers Are you Smart ADLs
100
What is true
True or False: Benefits related to the member treatment plan are needed to be documented to satisfy the NCQA factor of evaluation of available benefits
100
What is false
True or False: The documentation can be the same for the caregiver narrative and CM evaluation to meet NCQA requirements
100
What is true
True or False: Barriers are something that interferes with or prevents progress to meeting the goal.
100
What is prioritized
What does NCQA require for goals besides being SMART?
100
What is false
True or False: Caregiver resources are required to be included in the ADL documentation section
200
What is false
True or False: In the CMA, the treatment plan is referring to what the CM and the member are going to work on together
200
What is poor food choices, lack of motivation to change eating habits, lack of motivation to exercise.....
Name one possible barrier for this goal: Reduce A1C to less than 7
200
What is false
True or False: A goal written as an all or nothing such as obtain meds or make appointment is considered measurable
200
What is false
True or False: Limited food supply is assessed in the ADL section of the CMA
300
What is SNF days and PT/OT visits
Name 2 examples of specific benefit limitations
300
What is member's primary concern
Goal #1 in the care plan is always aligned with this
300
What is false
True or False: Preparing meals is a mandatory ADL to be documented on EVERY member
400
What is • SPECIFIC, MEASUREABLE, ATTAINABLE, RELEVANT/REALISTIC, and TIME BOUND
What does the acronym SMART stand for?
400
What is type of assistance and reason for assistance
The two additional pieces of information you must document when a member has been identified to have a deficit of an ADL
500
What is reduce A1C to less than 7
Create a Specific and measurable goal for a member who tells you “ I want to better manage my diabetes”
500
What is bathing, dressing, toileting, continence, feeding self, and transferring self
The 6 ADLs that must be documented for every member






NCQA JEOPARDY

Press F11 for full screen mode



Limited time offer: Membership 25% off


Clone | Edit | Download / Play Offline