CCMC Practice Exam 100 Correct Questions and
Answers.
According to the Rehabilitation Act of 1973, tasks that must be performed on the job,
even if the method differs between employees with and without disabilities, are called:
A. physical job demands
B. essential job functions
C. reasonable accommodations
D. worker traits - ANS B. essential job functions
When a case manager coordinates the transfer of a catastrophically or chronically ill
patient from one facility to another, the case manager can usually claim a savings if the:
A. payor gives prior approval for the transfer.
B. patient transfers from a higher to a lower intensity of care.
C. patient transfers to a facility closer to home.
D. facilities are both in a preferred provider organization (PPO) network. - ANS B. patient
transfers from a higher to a lower intensity of care.
The main purpose of client involvement in developing a rehabilitation plan is to:
A. meet regulatory requirements.
B. organize the delivery of services and control costs.
C. improve precision in achievement of goals.
D. set long-term goals. - ANS C. improve precision in achievement of goals.
The most common method of assessing the effectiveness of case management is:
A. savings reports.
,B. client/employer satisfaction.
C. length of recovery.
D. decreased litigation costs. - ANS A. savings reports.
A model that standardizes appropriate services and treatment within an appropriate
length of stay is termed:
A. 24-hour accountability for nursing care.
B. collaborative approaches.
C. critical pathways.
D. staff model health maintenance organization (HMO). - ANS C. critical pathways.
In determining the quality of a rehabilitation facility and its programs, the case manager
should assess accreditation, scope of services, proximity, flexibility, and:
A. financial reporting capabilities.
B. patient diagnosis and co-morbidity.
C. outcomes measurement systems.
D. employee benefits. - ANS C. outcomes measurement systems.
The primary source of information when conducting a case management assessment is
the:
A. payer.
B. significant other.
C. consumer.
D. healthcare provider. - ANS C. consumer.
The state Vocational Rehabilitation Agency can assist in accessing transportation by:
A. arranging for vehicle lease options.
B. driving disabled workers to and from their employer.
, C. purchasing adaptive equipment for the client's vehicle.
D. urging compliance with Title I of the Americans with Disabilities Act (ADA). - ANS C.
purchasing adaptive equipment for the client's vehicle.
Extra contractual benefits are:
A. covered in the home health benefit plan of the payor source.
B. not recommended by insurance case managers.
C. sometimes an option when alternative sources are unavailable.
D. written into the health maintenance organization (HMO) benefit plans. - ANS C.
sometimes an option when alternative sources are unavailable.
The contractual right to recover payments made to a claimant for healthcare costs after
that claimant has received payment for damages in a legal action is:
A. third party liability.
B. the second injury fund.
C. reinsurance.
D. subrogation. - ANS D. subrogation.
The primary obligation of the disability case manager is to:
A. act as an advocate for the individual.
B. assist the client in finding an appropriate job setting.
C. assist the employer with job accommodations.
D. act as an advocate for the employer. - ANS A. act as an advocate for the individual.
It is easier for a case manager to obtain the cooperation of other disciplines if:
A. the key player is a physician.
B. a non-threatening relationship has been developed.
C. the case manager develops the plan first.
Answers.
According to the Rehabilitation Act of 1973, tasks that must be performed on the job,
even if the method differs between employees with and without disabilities, are called:
A. physical job demands
B. essential job functions
C. reasonable accommodations
D. worker traits - ANS B. essential job functions
When a case manager coordinates the transfer of a catastrophically or chronically ill
patient from one facility to another, the case manager can usually claim a savings if the:
A. payor gives prior approval for the transfer.
B. patient transfers from a higher to a lower intensity of care.
C. patient transfers to a facility closer to home.
D. facilities are both in a preferred provider organization (PPO) network. - ANS B. patient
transfers from a higher to a lower intensity of care.
The main purpose of client involvement in developing a rehabilitation plan is to:
A. meet regulatory requirements.
B. organize the delivery of services and control costs.
C. improve precision in achievement of goals.
D. set long-term goals. - ANS C. improve precision in achievement of goals.
The most common method of assessing the effectiveness of case management is:
A. savings reports.
,B. client/employer satisfaction.
C. length of recovery.
D. decreased litigation costs. - ANS A. savings reports.
A model that standardizes appropriate services and treatment within an appropriate
length of stay is termed:
A. 24-hour accountability for nursing care.
B. collaborative approaches.
C. critical pathways.
D. staff model health maintenance organization (HMO). - ANS C. critical pathways.
In determining the quality of a rehabilitation facility and its programs, the case manager
should assess accreditation, scope of services, proximity, flexibility, and:
A. financial reporting capabilities.
B. patient diagnosis and co-morbidity.
C. outcomes measurement systems.
D. employee benefits. - ANS C. outcomes measurement systems.
The primary source of information when conducting a case management assessment is
the:
A. payer.
B. significant other.
C. consumer.
D. healthcare provider. - ANS C. consumer.
The state Vocational Rehabilitation Agency can assist in accessing transportation by:
A. arranging for vehicle lease options.
B. driving disabled workers to and from their employer.
, C. purchasing adaptive equipment for the client's vehicle.
D. urging compliance with Title I of the Americans with Disabilities Act (ADA). - ANS C.
purchasing adaptive equipment for the client's vehicle.
Extra contractual benefits are:
A. covered in the home health benefit plan of the payor source.
B. not recommended by insurance case managers.
C. sometimes an option when alternative sources are unavailable.
D. written into the health maintenance organization (HMO) benefit plans. - ANS C.
sometimes an option when alternative sources are unavailable.
The contractual right to recover payments made to a claimant for healthcare costs after
that claimant has received payment for damages in a legal action is:
A. third party liability.
B. the second injury fund.
C. reinsurance.
D. subrogation. - ANS D. subrogation.
The primary obligation of the disability case manager is to:
A. act as an advocate for the individual.
B. assist the client in finding an appropriate job setting.
C. assist the employer with job accommodations.
D. act as an advocate for the employer. - ANS A. act as an advocate for the individual.
It is easier for a case manager to obtain the cooperation of other disciplines if:
A. the key player is a physician.
B. a non-threatening relationship has been developed.
C. the case manager develops the plan first.
