CCM Certification Practice Exam Questions and Answers Updated 2026

CCM Certification Practice Exam
Questions and Answers Updated
2026
whichMofMtheMdifferentMmodelsMofMHMOMgroupsMgathersMtogetherMdoctorsMinMprivate
MpracticeMandMotherMhealth-
careMprovidersMtoMdeliverMhealthMcareMtoMtheirMenrollees,MallowingMreferralsMandMalso
MallowingMtheMhealthMcareMprovidersMtoMworkMoutsideMtheMgroup?M

a.MstaffMmodelMHMOM

b.MgroupMmodelMHMOM

c.MnetworkMmodelMHMOM

d.MindividualMpracticeMassociationMHMOM-MAnswerMC



whichMmodelMofMHMOMemploysMgroupMofMdoctorsMtoMprovideMaMvarietyMofMhealth-
careMservicesMtoMitsMenrolleesMinMonMplaceMandMtheMdoctorsMunanimouslyMdecideMho
wMmuchMeachMphysicianMgetsMpaid?M

a.MtheMnetworkMmodelMofMHMOM

b.MtheMgroupMmodelMofMHMO

c.MtheMIPAMmodelMofMHMOM

d.MtheMemployeeMmodelMofMHMOM-MAnswerMB



whatMtermMbestMdescribesMaMcertainMamountMofMmoneyMeachMenrolleeMpaysMmonthly
MtoMaMhealthcareMproviderMforMprepackagedMservices?M

a.MaMcarve-out

b.MaMdecapitationM

c.MaMpoint-ofMserviceMplan

d.MaMcapitationM-MAnswerMD



whichMofMtheMfollowingMisMtrueMconcerningMaMpoint-of-serviceMplan?M

a.MtheMenrolleeMcannotMbeMtreatedMbyMaMhealth-
careMproviderMthatMisMnotMpartMofMtheMnetworkM

b.MusingMaMhealth-
careMproviderMthatMisMpartMofMtheMnetworkMattractsMcertainMbenefitsM

,c.Mdeductibles,MpremiumsMandMcoinsurancesMareMusuallyMcheaperMforMpoint-of-
serviceMplans

d.MtheMpoint-of-serviceMplanMisMnotMaMtypeMofMmanagedMcareM-MAnswerMB



whichMofMtheMfollowingMisMaMmethodMofMreimbursementMinMwhichMhealth-
careMprovidersMareMpaidMseparatelyMforMeachMserviceMasMopposedMtoMreceivingMaMfixe
dMsumMforMhealth-careMcoverage?M

a.Mfee-for-service

b.McaseMrates

c.McapitationM

d.McarveMoutM-MAnswerMA



whichMofMtheMfollowingMisMtrueMconcerningMHealthMMaintenanceMOrganizations?M

a.MtheMindividualMpracticeMassociationMmodelMisMnotMoneMofMtheMfourMtypesMofMHMO
sM

b.MallMhealth-
careMservices,MexceptMemergencies,MhaveMtoMbeMroutedMthroughMtheMprimaryMcareMph
ysiciansMforMtheMHMOMtoMmakeMpaymentM

c.MHMOsMpayMonlyMforMhealth-careMservicesMdeliveredMbyMprimaryMcareMphysiciansM

d.MHMOsMareMnotMaMkindMofMmanagedMcareMplanM-MAnswerMB



allMofMtheMfollowingMareMacuteMdiseaseMconditionsMexcept?M

a.Mappendicitis

b.McommonMcoldM

c.Mdiabetes

d.MUTIsM-MAnswerMC



whichMofMtheMfollowingMisMtrueMconcerningMchronicMdiseaseMconditions?M

a.MtheyMusuallyMlastMaMminimumMofMtwoMweeksMandMareMself-limitingM

b.MchronicMdiseasesMcanMresultMfromMacuteMdiseaseMconditions

c.MonlyMaMfewMchronicMdiseasesMdoMnotMhaveMaMcureM

d.MaMrespiratoryMtractMinfectionMisMusuallyMaMchronicMdiseaseMconditionM-MAnswerMB

,inMmanagingMaMpatientMwithMaMchronicMdisease,MwhichMofMtheMfollowingMisMtheMresp
onsibilityMofMtheMCCM?M

a.MfindingMoutMifMtheMpatientMwillMneedMhomeMcareMafterMdischargeM

b.MensuringMthatMtheMpatientMgetsMtheMbestMroomsMwhenMadmittedM

c.McoveringMtheMcostMofMtheMpatient'sMhospitalMbillMafterMtheMpersonMhasMpaidMforMt
heMfirstM14Mdays

d.MfacilitatingMtheMfeedingMofMtheMpatientMwhileMtheMpersonMisMadmittedMandMafterM
dischargeM-MAnswerMA



physicalMdisabilityMcanMaffectMallMofMtheMfollowingMexcept?M

a.Mpatient'sMdevelopment

b.Mpatient'sMeducationM

c.Mpatient'sMbloodMlevels

d.Mpatient'sMrehabilitationM-MAnswerMC



whichMofMtheMfollowingMisMaMsituationMthatMcanMariseMforMpatientsMwithMmultipleMch
ronicMillnesses?M

a.MineffectiveMtreatmentMfromMdifferentMspecialistsMasMaMresultMofMaMdearthMofMcom
municationM

b.MnegligibleMcostMofMtreatmentM

c.MnoMneedMforMcaseMmanagementM

d.MuseMofMdifferentMmedicationsMforMtheMdifferentMhealthMconditions,MresultingMinMdru
gMinteractionsM-MAnswerMD



AccordingMtoMtheMchronicMcareMmodel,MwhichMofMtheMfollowingMisMnotMpartMofMtheM
essentialMcomponentsMforMhighMqualityMchronicMdiseaseMcare?M

A.MClinicalMinformationMsystemsM

B.MTheMcommunityM

C.MTheMhealthMsystemM

D.MTransportationMandMcommunicationMsystemsM-MAnswerMD



TheMpresenceMofMmoreMthanMtwoMchronicMdiseasesMaffectingMmoreMthanMtwoMsystems
MofMtheMbodyMallMinMoneMindividualMcanMbeMdescribedMas?M

A.MComorbidityM

, B.MMultimorbidityM

C.MMultisystemicMmorbidityM

D.MAnti-poleMmorbidityM-MAnswerMB



WhichMofMtheMfollowingMisMmostMlikelyMaMproblemMofMlivingMwithMmultipleMchronicMil
lnesses?M

A.MExcellentMphysicalMfitnessM

B.MImprovedMqualityMofMlifeM

C.MPsychologicalMdistressM

D.MLegalMquandariesM-MAnswerMC



AllMexceptMwhichMofMtheMfollowingMareMexamplesMofMchronicMillnesses?M

A.MObesityM

B.MSickleMcellManemiaM

C.MADHDM

D.MChronicMobstructiveMpulmonaryMdiseaseM-MAnswerMA



whichMofMtheMfollowingMinstancesMrequiresMmedicationMreconciliation?M

a.MeveryMtimeMthereMisMaMneedMtoMseeMaMhealthcareMprovider

b.MeveryMvisitMtoMtheMdoctor'sMofficeM

c.MwheneverMtheMCCMMhasManMinteractionMwithMtheMpatient

d.ManyMtimeMtheMhealthMcareMprofessionalMwishesM-MAnswerMB



allMexceptMwhichMofMtheMfollowingMareMtrueMconcerningMmedicationMreconciliation?M

a.MitMshouldMbeMdoneMwheneverMtheMpatientMvisitsMtheMdoctor

b.MtheMdoctorMhasMtoMensureMthatMtheMmedicationsMthatMpatientMisMtakingMmatchMth
eMprescriptionsM

c.MmedicationMreconciliationMaimsMtoMdecreaseMfrequencyMofMadverseMdrugMreactionsM

d.MitMshouldMbeMdoneMwheneverMtheMCCMMhasManyMinteractionMwithMtheMpatientM-
MAnswerMD