The Following Statements Are About Risk Management for Case Management

question 32

Multiple Choice

The following statements are about risk management for case management. Three of the statements are true and one is false. Select the answer choice containing the FALSE statement.

• A) The use of a signed consent authorization form is consistent with accrediting agency standards for patient privacy and confidentiality of medical information.
• B) Case management that is initiated after a member has incurred substantial medical expenses is more likely to be viewed as a tool to cut costs rather than to improve outcomes.
• C) Health plan documents indicating that any case management delegates are separate, independent entities may reduce an health plan's exposure to risk.
• D) A case management file cannot be used to support the health plan's position in the event of a lawsuit.

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Definitions:

Liability for Negligence

A legal obligation that arises when an individual or entity fails to take reasonable care to avoid causing harm to another person, resulting in injury or loss.

Material Fact

A fact that would be important to a reasonable person in deciding whether to engage or not engage in a particular transaction.

Securities Act of 1933

A U.S. law enacted as part of the New Deal, aimed at ensuring transparency in financial statements so investors can make informed decisions about investments, and establishing laws against misrepresentation and fraudulent activities in the securities markets.

Registration Statement

A document filed with the SEC that contains detailed information about a company's operations and securities it intends to offer.