QPCM - Qualified Professional Case Manager
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The Certification for Healthcare Professional transitioning into Case Management, Utilization Review, Discharge Planning and Disease Management

QPCM Exam Prep Resources

Suggested Reading List:
This list of books and articles include resources used to develop the QPCM exam questions. These references will be updated periodically as the core competencies of entry-level case management evolve. These references may be used to assist you in your exam preparation.

Several of these resources may be ordered directly from: Books4CaseManagers.com

Title Author Publisher Year
Medicare and Medicaid Programs; Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies Department of Health and Human Services US Department of Health and Human Services 2015
Case Management: A Practical Guide for Education and Practice (3rd edition) Powell, S. K. and Hussein, A. T Lippincott Williams & Wilkins in Philadelphia, PA 2010
A Case Manager’s Study Guide – Preparing for Certification Fatturusso, D. and Quinn, D. E Jones & Bartlett Learning in Burlington, MA 2012
Case Management Nurse Exam Secrets: Study Guide Case Management Nurse Exam Secrets Test Prep Team Mometrix Media, LLC in Beaumont, TX 2013
Disease Management: A Guide for Case Managers Huber, D. L Elsevere: St Louis in St Louis, MO 2005
Motivational Interviewing in Health Care: Helping Patients Change Behavior Rollnick, S., Miller, W. R., and Butler, C. C The Guilford Press in New York, NY 2008
Crucial Accountability: Tools for Resolving Violated Expectations, Broken Commitments, and Bad Behavior (2nd edition) Patterson, K., Grenny, J., Maxfield, D. McMillan, R., and Switzler, A McGraw Hill Education in New York, NY 2013
Critical Thinking: Concepts & Tools Paul, R. and Elder, L Foundation for Critical Thinking in Tomales, CA 2009
CMSA Core Curriculum for Case Management. (2nd edition) Powell, S. K. and Tahan, H. A. Lippincott Williams & Wilkins in Philadelphia, PA 2007
Families Living with Chronic Illness and Disability: Interventions, Challenges, and Opportunities Power, P. and Dell Orto, A Springer Publishing Co in New York, NY 2004
Essentials of Nursing Law and Ethics Westrick, S. J. and Dempski, K Jones and Bartlett in Sudberry, MA 2009

Articles and Internet Resources:

Title Author Publication or Website  
The Two-midnight rule: What hospitals and health systems need to know about compliance Adamopoulos, H Becker’s Hospital Review Link
Concept series paper on disease management Academy of Managed Care Pharmacy Academy of Managed Care Pharmacy Link
Code 44 Medicare inpatient vs observation rules clearly explained Happy Hospitalist Happy Hospitalist Link
Condition of Participation: Discharge Planning, 42 CFR § 482.43 Centers for Medicare & Medicaid Services Centers for Medicare & Medicaid Services Link
Frequently asked questions about the Emergency Medical Treatment and Active Labor Act (EMTALA) EMTALA.com EMTALA.com Link
Find out if you're an inpatient or an outpatient—it affects what you pay Medicare.gov Medicare.gov Link
Disease management programs – Improving health while reducing costs? Challenges for the 21st Century: Chronic and Disabling Conditions (Issue Brief) Center on an Aging Society - Georgetown University Center on an Aging Society - Georgetown University Link
Medicare Decisions: Observation or Inpatient? Health Services Advisory Group (HSAG) Health Services Advisory Group (HSAG) Link
Decision making and dementia. try this: Best Practices in Nursing Care to Older Adults with dementia , Issue Number D9 Mitty, E. L The Hartford Institute for Geriatric Nursing, New York University, College of Nursing, and the Alzheimer’s Association Link
Preadmission Screening and Resident Review (PASRR) Medicaid.gov Medicaid.gov Link

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