AHIP AHM-540 Question Answer
The following statement(s) can correctly be made about the scope of case management:
1. Case management incorporates activities that may fall outside a health plan’s typical responsibilities, such as assessing a member’s financial situation
2. Case management generally requires a less comprehensive and complex approach to a course of care than does utilization review
3. Case management is currently applicable only to medical conditions that require inpatient hospital care and are categorized as catastrophic in terms of health and/or costs