CCM EXAM SECRETS PRACTICE TEST (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

CCM EXAM SECRETS PRACTICE
TEST (2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Whichmevaluationmwouldmyoumperformmtomdeterminemifmamclientmhasmthemcapabilitymtomreturnmtom
work?



A.mPainmtolerancemevaluation.m

B.mFunctionalmcapacitymevaluation.m

C.mDisabilitymevaluation.m

D.mEvaluationmbymclientminterview.m-
mCORRECTmANSWERmB.mThemfunctionalmcapacitymexammismamprocessmofmassessingmampersons,mphys


icalmandmfunctionalmabilitiesmtomperformmtask.mThempatientsmperformancemlevelmshouldmmatchmth
emdemandsmofmthemoccupationmandmquestion.mThempurposemofmthemexammismtomdeterminemifmampa
tientmismreadymtomgombackmtomworkmaftermanminjury.



Riskmmanagementmismamsubmdomainmofmwhichmofmthemfollowingmcourtmcasemmanagementmdomain
s?

A.mPsychosocialmaspects.m

Be.mHealthcaremmanagement,mandmdelivery.m

C.mPrinciplesmofmpractice.m

D.mCasemmanagementmconcepts.m-
mCORRECTmANSWERmC.mTheremaremsixmdomainsmformcasemmanagementmpractice.mThesemincludemc


asemmanagementmconcepts,mcasemmanagementmprinciples,mandmpracticemstrategy/practice,mpsyc
hosocialmandmsupportmsystems,mhealthmmanagement,mandmdelivery,mhealthcare,mreimbursement,
mandmvocationalmconcepts/strategies.mRiskmmanagementmismamsubmdomainmofmcasemmanagementm


principles,mandmpractice/strategies.

,Themcasemmanagementmprocessmofmdocumentingmgoals,mobjectives,mandmactionsmtommeetmamclien
tsmneedsmis:

A.mAssessmentm

B.mCoordination.m

C.mPlanning.m

D.mMonitoring.m-
mCORRECTmANSWERmC.mPlanningmismthemprocessmbymwhichmcasemmanager,mdocuments,mgoals,mobj


ectives,mandmactionsmthatmwillmmeetmamclientsmneeds.mAssessmentmentailsmgatheringmdatamaboutm
amclientmspecialmneedsmandmsituationmpriormtomformingmamcasemmanagementmplan.mCoordinationmi
nvolvesmorganization,mmodification,mandmdocumentationmofmresourcesmnecessarymtomachievemgoa
ls.mSetmforthminmthemplan,mandmmonitoringminvolvesmsecuringminformationmneededmtomgaugemtheme
ffectivenessmofmthemplan.



Whichmofmthemfollowingmismammajormcomponentmofmessentialmknowledgemformcasemmanager?

A.mHealthcaremreimbursement.m

B.mMoralmcharacter.m

C.mIndependentmpracticemprinciples.m

D.mStatisticalmanalysis.m-
mCORRECTmANSWERmA.mHealthcaremreimbursementmismonemofmthemmajormcategoriesmofmknowled


gemnecessarymformamcasemmanager,mbecausemtheremaremmanymdifferentmreimbursementmmechanis
msmavailable,mdependingmuponmthempatientsmparticularmsituation.



Themprimarymrolemofmthemcasemmanagermismtomactmasma:

A.mPatientmadvocate.m

B.mDiseasemmanager.

C.mUtilizationmreviewer

D.mCaremplanmcreatorm-
mCORRECTmANSWERmA.mPatientmadvocatemismthembestmanswer.mAdvocacymismessentialmtomamcasemm


anagersmdailympractice.mAmcasemmanagermactsmonmbehalfmofmclientsmwhommaymnotmbemablemtomspe

,akmformthemselvesmormwhomaremnotmknowledgeablemaboutmhealthcare.mAbovemall,mthemcasemman
agermshouldmalwaysmhavemthemclientsmbestminterestminmmind.



Whichmmodelmofmhealthcaremdecision-makingmbestmdemonstratesmthemprinciplemofmbeneficence?

A.mPatientmsovereignty.m

B.mPaternalismm

C.mSharedmdecision-making.

D.mMaternalismm-
mCORRECTmANSWERmB.mAmrelationshipmbetweenmhealthcarempractitionersmandmpatientsmismpatern


alisticmandmbeneficial.mThismmeansmthatmpeoplemtrustmthempractitionermtomdomwhatmisminmthembestm
medicalminterestmofmthempatient.mPaternalismmismjustifiedminmthatmpatientmusuallymdon'tmcompreh
endmmedicalmconceptsmwellmenoughmtommakemthemcorrectmdecisionmaboutmtheirmcare.mInmthempati
entmsovereigntymmodel,mthempatientmismopen.m"boss."mInmthismcase,monemcouldmarguemthatmthempa
tientmknowsmbettermthanmanyonemelsemwhatmisminmhismbestminterest.mSharedmdecisionmmakingmme
ansmthemhealthcaremteammandmthempatientmworkmtogether.



Accordingmtomthemstandardsmofmpracticemformcasemmanagers,mtheremaremfourmkeymfunctionsmofmamc
asemmanager.mWhichmofmthemfollowingmismnotmonemofmthemkeymfunctions?

A.mPlannerm

B.mAssessor.m

See.mLitigator.m

D.mAdvocate.m-
mCORRECTmANSWERmC.mThemfourmkeymfunctionsmofmthemcasemmanagermaremplanner,massessor,mfaci


litator,mandmadvocate.mAmcasemmanagermmustmassessmamsituationmtomidentifymproblemsmthatmneed
mcasemmanagement.mThemcasemmanagermmustmalsomplannedmlongmandmshortmtermmgoals,mandmcoll


aborationmwithmthemclient,mthemclientsmfamily,mandmwithmothermhealthcaremprofessionals.mFacilitat
ionmincludesmcoordinatingmandmimplementingmthemcaremplan,mmaintainingmcommunication,mandm
expeditingmcare.mAsmanmadvocate,mthemcasemmanager,mensuremthatmthemclientsmneedsmaremidentifi
edmandmaddressed.



Nursingmcasemmanagementmthatmism"withinmthemwalls"mrefersmtomwhichmsetting?

, A.mOutpatientmsetting.m

B.mCommunitymclinicmsetting.m

See.mHealthmmaintenancemorganizationm(HMO).m

D.mAcutemhospitalmsettingm-
mCORRECTmANSWERmD.mThemtermm"withinmthemwalls"m(WTW)mrefersmtomactivitiesmwithinmthemacut


emhospitalmenvironment.mThismismdistinctmfromm"beyondmthemwalls"m(BTW),mwhichmrefersmtomcasem
managementminmoutpatientmandmcommunitymsettings.



Amterminallymill.mClientmismexhausting,mallmfinancialmresourcesmtompaymmedicalmcost.mThemcasemman
agermhasmsuggestedmobtainingmcashmvaluemonmhismlifeminsurancempolicympriormtomdeath.mThismproc
essmismknownmasma:

a.mNontraditionalmpolicy.m

B.mSupplementarympolicy

C.mViaticalmsettlement.

D.mGatekeeping.m-
mCORRECTmANSWERmC.mThismscenariomdescribesmthemprocessmknownmasmviaticalmsettlement,mwhe


rebymampatientmcanmobtainmamcashmvaluemfrommamlifeminsurancempolicympriormtomdeath.mAnswersma,
mB,mandmDmaremirrelevantmtomthemsituation.




Amrelationship,mwherebymamcasemmanagermactminmamclientmbestminterestmbasedmonmtrustmismknown
mas:



A.mFiduciary.

B.mExmparte.

Cmtort

D.mDuemdiligence.m-
mCORRECTmANSWERmA.mAmcasemmanagermestablishesmamrelationshipmwithmamclientmtomadvocatemfo


rmhismbestminterest.mThismmakesmthemcasemmanagermamfiduciary.mThemtermmexmpartemrefersmtomilleg
al,mproceedingmormamlegalmorder.mAmtort,monmthemothermhand,mrefersmtomamwrongfulmactmperformed
mwillmitmfully.mWhenmampersonminvestigatesmambusinessmormpersonalmrelationshipmpriormtomsigningma


mcontract,mhemismperformingmduemdiligence.