ACMA-ACM Certification Exam Preparation Guide – Association of Certified Management Accountants
                     Healthcare
ACMA-ACM
ExamName: ACMA Accredited Case Manager
Exam Version: 6.0
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Question 1. (Single Select)
When communicating patterns and trends, it is important to __________.
A: Be factual.
B: Be firm.
C: Be emotional.
D: Be creative.
Answer: A
Explanation:
Be factual. The primary focus when conveying patterns and trends, particularly in data-sensitive
environments like healthcare or business, should be on the accuracy and reliability of the information.
Patterns and trends are often used to make critical decisions; therefore, the information must be objective
and supported by data. Presenting factual information ensures that the audience, such as doctors and
leaders, can trust and utilize the insights provided to make informed decisions. The tone of the presentation
should be professional and respectful, aiming to inform rather than persuade through emotion or bias.
Be firm. While it is crucial to be factual, being firm in your presentation of patterns and trends also plays a
significant role. Being firm means being confident and clear in the delivery of information. It involves
sticking to the facts and resisting the urge to downplay or exaggerate the data to fit personal biases or
expectations. This approach reinforces the credibility of the communicator and helps the audience
understand the importance and reliability of the information being presented.
Be emotional. Although the primary approach should be factual, incorporating a measured degree of
emotional appeal can be effective, especially if the data impacts human lives. For example, when
addressing patterns in patient recovery rates, a touch of empathy in discussing patient outcomes could
make the presentation more relatable and compelling. However, it is crucial to balance emotional content
with factual data to maintain professionalism and credibility.
Be creative. Creativity in presenting patterns and trends can also enhance the effectiveness of the
communication. This does not mean altering facts but rather involves using innovative ways to present the
data. Creative data visualization techniques, such as infographics, charts, and interactive presentations,
can make complex data more accessible and engaging for the audience. Creativity can help highlight key
trends and patterns in a memorable way, ensuring the audience grasps the essential insights without
getting lost in the details.
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Question 2. (Single Select)
You are the case manager at a general hospital in a large city. A 62-year-old male patient is admitted from a
physician’s office with Parkinson’s Disease. The patient lives with his wife, adult daughter, and two
grandchildren. The patient’s family is healthy, and helps the patient with his condition.
Simulation History
Current medication: Levodopa
Past medication: None
Non-medication/Surgery Treatments: Exercise routine, special diet
Symptoms shown: Slowed voluntary movements, unsteady balance, swallowing problems, lightheadedness
Education level: High school graduate
Current height and weight: 6'2', 203 pounds
Pain management: Pain management therapy
Additional therapy: Occupational therapy
Living situation: Wife, daughter, grandchildren
Family history: None
Which of the following data that was collected should be reviewed and used for this patient?
A: Current medication and non-medication/surgery treatments.
B: Non-medication/surgery treatments, symptoms shown, education level.
C: Current medication, non-medication/surgery treatments, symptoms shown, education level, current
height and weight, pain management, additional therapy, and living situation.
D: Height and weight, pain management, additional therapy, and living situation.
Answer: C
Explanation:
In this scenario, it is essential to review and use a comprehensive set of data for the 62-year-old male
patient with Parkinson’s Disease to provide optimal management and care planning. Each piece of
information collected plays a crucial role in understanding the patient’s overall health, needs, and the best
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approaches to treatment. Here’s why each data point is significant:
**Current Medication: Levodopa** - Levodopa is a primary treatment for Parkinson's Disease and helps to
manage symptoms by compensating for the decreased production of dopamine in the brain. Monitoring the
effects and dosage of Levodopa is critical as it directly impacts the patient’s motor symptoms and quality of
life.
**Non-Medication/Surgery Treatments: Exercise routine, special diet** - These are vital for managing
Parkinson's Disease as they help improve mobility, balance, and overall health. A special diet can address
specific nutritional needs or deficiencies that might arise with Parkinson’s and its treatments.
**Symptoms Shown: Slowed voluntary movements, unsteady balance, swallowing problems,
lightheadedness** - Understanding the symptoms helps in assessing the progression of the disease and
the effectiveness of the current treatment plan. It also aids in anticipating and managing complications or
needs for additional interventions.
**Education Level: High school graduate** - Education level can influence a patient’s ability to understand
and comply with medical instructions and treatment plans. It may also impact communication styles and
educational approaches needed to ensure the patient fully understands their condition and management
strategies.
**Current Height and Weight: 6'2", 203 pounds** - This data helps in calculating body mass index (BMI)
which is important for medication dosages, nutritional needs, and evaluating the patient’s general physical
health.
**Pain Management: Pain management therapy** - Addressing pain is crucial for improving quality of life.
Pain management strategies can include medications, physical therapy, or other modalities that need to be
tailored to the patient’s specific situations and effectiveness of current treatments.
**Additional Therapy: Occupational therapy** - Occupational therapy is essential for maintaining
independence and safety in performing daily activities. It helps in adapting the living environment and
routines to the patient’s abilities and needs.
**Living Situation: Wife, daughter, grandchildren** - The patient’s living situation can significantly affect his
support system. Understanding family dynamics and the physical environment at home helps in planning
both immediate treatment and long-term management strategies, including any necessary home
modifications or in-home support services.
In conclusion, all the listed data points are interconnected and critical for holistic care and management of a
patient with Parkinson’s Disease. Each aspect, from medical treatments to personal and environmental
factors, contributes to tailored care planning that aims to enhance the patient's health, safety, and quality of
life.
Question 3. (Single Select)
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It is important for covered entities to put safeguards in place. A specific covered entity is working on placing
up-to-date safeguards under the Security Rule. The case management team is investigating to ensure that
the safeguards are implemented correctly and are the required safeguards. The team found:
-An audit control safeguard has been implemented
With the given information, what type of safeguard does the covered entity have in place currently?
A: Physical safeguard.
B: Administrative safeguard.
C: Marketing safeguard.
D: Technical safeguard.
Answer: D
Explanation:
The Security Standards for the Protection of Electronic Protected Health Information, commonly known as
the Security Rule, outlines various types of safeguards that covered entities are required to implement to
ensure the confidentiality, integrity, and security of electronic protected health information (ePHI). These
safeguards are broadly categorized into three groups: administrative safeguards, physical safeguards, and
technical safeguards.
Technical safeguards specifically refer to the technology and the policies and procedures for its use that
protect electronic health information and control access to it. Since the information provided mentions that
an audit control safeguard has been implemented, this falls under the category of technical safeguards.
Audit controls are mechanisms that record and examine activity in information systems that contain or use
ePHI. They are essential for ensuring that proper access and security measures are maintained and for
providing a trail that can be analyzed should a security breach occur.
Therefore, with the implementation of an audit control safeguard, the covered entity has a technical
safeguard in place. This aligns with the requirements of the Security Rule to protect ePHI from
unauthorized access and to ensure the integrity and security of the patient data it handles.
Question 4. (Single Select)
A patient has come into the hospital with problems with blood pressure. The patient was diagnosed with
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hypertension. A care plan was set to be created for this diagnosis. The care plan was reviewed by the case
manager, and found to treat the wrong symptoms. The case manager investigated and found:
-The symptoms were related to high blood pressure
-The care plan was based on symptoms of low blood pressure
What likely occurred?
A: The patient changed his file information.
B: A general staff member diagnosed the patient instead of the physician.
C: The information was correctly documented.
D: The information was incorrectly documented.
Answer: D
Explanation:
In the scenario described, a patient diagnosed with hypertension (high blood pressure) was subject to a
care plan that erroneously addressed symptoms of hypotension (low blood pressure). This misalignment
between the patient's actual condition and the treatment plan suggests a lapse in the medical
documentation or information handling processes. The case manager's review and subsequent
investigation revealed that the care plan was incorrect due to it being based on symptoms not exhibited by
the patient.
The most likely explanation for this error is that the information about the patient's condition was incorrectly
documented at some point in the process. This could have occurred during the initial intake and diagnosis,
where the patient's symptoms were perhaps recorded inaccurately, or during the transcription of medical
notes into the patient’s health record. It is also possible that there was a miscommunication or
misunderstanding between the medical staff members who assessed the patient and those who developed
the care plan.
Proper documentation is critical in the healthcare setting as it ensures continuity and accuracy in patient
care. Errors in documentation can lead to inappropriate treatment plans, as seen in this case, which can
jeopardize patient safety. Therefore, it is essential that all patient information is accurately recorded and
clearly communicated among the healthcare team. Regular audits and reviews by case managers or similar
oversight roles are crucial in identifying and correcting such errors to prevent potential harm to patients.
In conclusion, the likely cause of the error in the care plan for the hypertensive patient was incorrect
documentation of the patient's symptoms. This incident underscores the importance of meticulous
documentation and the need for systematic checks to ensure the accuracy and appropriateness of patient
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care plans.
Question 5. (Single Select)
A patient has come into the ER several times for different ailments related to drug abuse. He is screened
each time. Each time personal information is collected, it is different. The case management team has
been asked to investigate, to find out what information is factual. The team found:
- No information given matches the patient’s driver’s license.
-The patient gives false reasons for ailments
Given the information, what likely occurred?
A: The patient is trying to get free services.
B: The administration is inputting data incorrectly.
C: The patient is trying to cover his drug abuse.
D: The patient’s information constantly changes.
Answer: C
Explanation:
Based on the details provided, it appears the patient is engaging in deceptive behavior by providing
inconsistent personal information and falsifying reasons for ailments during multiple emergency room visits.
This pattern of behavior suggests a few potential underlying motives or issues:
**The patient is trying to cover his drug abuse.** By giving different personal details and false reasons for
visitations, the patient might be attempting to avoid detection and documentation of a drug abuse problem.
Drug users often fear judgment, legal consequences, or being barred from obtaining certain medications,
which might lead them to disguise their true reasons for hospital visits.
**The patient is trying to get free services.** Another possibility is that the patient is manipulating
information to exploit the hospital’s resources, possibly to receive medication or care without proper
accountability or charges. This is often seen in individuals who lack insurance or adequate funds to cover
medical expenses.
**The administration is inputting data incorrectly.** While the behavior predominantly suggests patient
deception, there is also a possibility, albeit smaller, that there might be errors in how hospital staff are
recording data. This would be less about the patient's intentions and more about administrative errors;
however, given the pattern of false ailments reported, this seems less likely.
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**Recommendations for Hospital Staff:** To address such issues, it is crucial that patients are thoroughly
assessed and screened. Documentation during every visit should be meticulous, and efforts should be
made to verify all provided information against reliable identification documents. Implementing stricter
verification processes can help in identifying discrepancies and preventing abuse of services.
**Conclusion:** The most plausible explanation for the observed behavior is that the patient is trying to
cover up his drug abuse, possibly combined with an attempt to receive care or medication without proper
attribution. While administrative errors can occur, the consistent pattern of deceitful behavior points strongly
towards the patient’s actions rather than data entry mistakes. Proper verification and consistent
documentation practices are essential in mitigating such issues and ensuring that all patients receive
appropriate and accountable care.
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