CPB (Certified Professional Biller) Certification Practice Exam

What is the development of patient care plans to coordinate and provide care for complicated cases called?

1. Case Law

2. Case Management

3. Catastrophic Cap Benefit

4. Category II Codes

The correct answer is: Case Management

The development of patient care plans to coordinate and provide care for complicated cases is known as case management. This process involves a comprehensive approach where healthcare professionals assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet a patient's health needs effectively. Case management is particularly essential for patients with complex medical issues, as it facilitates collaboration among different healthcare providers, ensures that care is consistent and appropriate, and helps guide patients through the healthcare system. This practice plays a crucial role in enhancing patient outcomes and optimizing the use of healthcare resources. In contrast, case law refers to the set of past legal decisions that serve as a guide for future cases, while catastrophic cap benefits relate to specific financial limits on certain types of healthcare costs. Category II codes are used in medical coding to facilitate data collection and reporting and are not directly related to patient care planning. Thus, the focus on coordinating care in complicated cases distinctly identifies case management as the correct answer.