Commission for Case Manager Certification (CCMC) Practice Exam

The hospital readmission reduction program is specifically designed to incentivize hospitals to reduce preventable readmissions of Medicare patients. This program adjusts payments based on the rate of readmissions within 30 days of discharge for specific conditions such as heart failure, pneumonia, and acute myocardial infarction. The goal is to encourage healthcare providers to improve the quality of care, ensuring that patients receive the necessary support and follow-up treatment to avoid returning to the hospital unnecessarily.

Options related to emergency room visits, long-term care services, or occupational health issues do not pertain to the focus of the readmission reduction program. The program specifically targets hospital readmissions associated with conditions that could have been effectively managed in the community or through outpatient care, reflecting a more comprehensive approach to patient-centered care and efficient healthcare delivery.