CCMC HEALTHCARE MANAGEMENT ACTUAL EXAM
2025 | 185 QUESTIONS WITH VERIFIED ACCURATE
SOLUTIONS
A recognized accrediting agency for managed care plans is the
National Committee for Quality Assurance (NCQA), an
independent, nonprofit
organization that evaluates and reports on the quality of the
nation's managed care organizations. Which of the following is a
method this organization uses to evaluate managed care
programs?
Off-site reviews of the managed-care-
program Use of employee satisfaction
surveys
On-site surveys of members of the program
Use of the HEDIS to measure performance
1. A healthcare organization is experiencing high turnover rates among
case managers, leading to increased caseloads and decreased quality
of care.
Which strategy related to the case management model could be
implemented to address this issue?
A. Increase the number of physicians per nurse.
, B.Develop a standardized training program for new
case managers.
C. Focus on improving client cooperation.
D.Limit the number of clients each case manager can handle.
2. Which of the following is considered a primary method for evaluating
case management effectiveness?
savings reports
client/employer satisfaction
length of recovery
decreased litigation costs
,3. To coordinate cost-effective quality homecare products and services,
the case manager should:
identify the cheapest option.
critically assess providers.
refer to the hospital's network.
use the same providers regularly.
4. Janet suffers from a debilitating condition that causes her to fear being
separated from her home. She enjoys the company of other people,
but she rarely leaves her house because of the intense anxiety she
experiences when she does so. Janet is experiencing
agoraphobia.
a social phobia
a generalized disorder
panic disorder
5. Higher-order norms or fundamental assumptions that are consistent
with a society's moral principles and constitute higher standards of
moral
behavior are:
societal mores.
codes of conduct.
ethical principles.
cultural values.
, 6. What is the document called in which a patient names someone to
make decisions regarding medical care in the event he or she is unable
to do so?
durable power of attorney
informed consent
life trust
2025 | 185 QUESTIONS WITH VERIFIED ACCURATE
SOLUTIONS
A recognized accrediting agency for managed care plans is the
National Committee for Quality Assurance (NCQA), an
independent, nonprofit
organization that evaluates and reports on the quality of the
nation's managed care organizations. Which of the following is a
method this organization uses to evaluate managed care
programs?
Off-site reviews of the managed-care-
program Use of employee satisfaction
surveys
On-site surveys of members of the program
Use of the HEDIS to measure performance
1. A healthcare organization is experiencing high turnover rates among
case managers, leading to increased caseloads and decreased quality
of care.
Which strategy related to the case management model could be
implemented to address this issue?
A. Increase the number of physicians per nurse.
, B.Develop a standardized training program for new
case managers.
C. Focus on improving client cooperation.
D.Limit the number of clients each case manager can handle.
2. Which of the following is considered a primary method for evaluating
case management effectiveness?
savings reports
client/employer satisfaction
length of recovery
decreased litigation costs
,3. To coordinate cost-effective quality homecare products and services,
the case manager should:
identify the cheapest option.
critically assess providers.
refer to the hospital's network.
use the same providers regularly.
4. Janet suffers from a debilitating condition that causes her to fear being
separated from her home. She enjoys the company of other people,
but she rarely leaves her house because of the intense anxiety she
experiences when she does so. Janet is experiencing
agoraphobia.
a social phobia
a generalized disorder
panic disorder
5. Higher-order norms or fundamental assumptions that are consistent
with a society's moral principles and constitute higher standards of
moral
behavior are:
societal mores.
codes of conduct.
ethical principles.
cultural values.
, 6. What is the document called in which a patient names someone to
make decisions regarding medical care in the event he or she is unable
to do so?
durable power of attorney
informed consent
life trust
