Certified Revenue Cycle Representative (CRCR) Practice Exam

What is the primary goal of case management in healthcare?

1. To reduce the cost of healthcare

2. To ensure continuity of care and services

3. To manage healthcare financing

4. To limit patient access to specialists

The correct answer is: To ensure continuity of care and services

The primary goal of case management in healthcare is to ensure continuity of care and services. This involves coordinating patient care across different providers and settings to promote seamless transitions and comprehensive treatment. Case managers play a crucial role in assessing patient needs, developing individualized care plans, and facilitating communication among various healthcare professionals. This approach enhances the patient experience, reduces fragmented care, and ultimately leads to better health outcomes. While reducing costs and managing healthcare financing are important aspects of the healthcare system, they are secondary outcomes of effective case management rather than its primary objective. Additionally, limiting patient access to specialists contradicts the intent of case management, which aims to enhance access to needed resources and ensure that patients receive appropriate referrals and care.