CCM Exam with verified questions
and Correct Answers latest updated
Case management facilitates the achievement of client wellness and autonomy through
advocacy, assessment, planning, communication, education, resource management,
and service facilitation.
The case manager's primary function is:
A) Care coordination
B) Cost containment
C) Outcomes management
D) Education - Correct Answer-Answer: A) Care coordination
The case manager links clients with appropriate providers and resources throughout the
continuum of health and human services and care settings, while ensuring that the care
provided is safe, effective, client- centered, timely, efficient, and equitable. This
approach achieves optimum value and desirable outcomes for all—the clients, their
support systems, the providers, and the payers. All four are case management
functions, but the primary function the case manager is coordination of care.
Case managers facilitate client autonomy and wellness through:
A) Persuasion, financial incentives, and communication.
B) Assessing, goal setting, and service facilitation.
C) Caregiver education and resource management.
D) Advocacy, communication, and education. - Correct Answer-Answer D) Advocacy,
communication, and education.
http://ccmcertification.org/.../definition-and-philosophy-cas...
Case management facilitates the achievement of client wellness and autonomy through
advocacy, assessment, planning, communication, 4 education, resource management,
and service facilitation.
The most effective cost containment strategy used in pharmacy benefits management
is:
A) Volume purchase discounts.
B) Use of mail order pharmacies.
C) Use of a preferred drug list.
,D) Use of generic drugs. - Correct Answer-Answer: D) Use of generic drugs.
Rationale: While all of these strategies are used to contain costs in pharmacy benefits
management, the most cost effective strategy is to use generic medications in lieu of
name brand drugs.
Which organization assists with the employment and retention employees with
disabilities by providing information on job accommodations?
A) Americans with Disabilities Act (ADA)
B) Job Accommodation Network (JAN)
C) U. S. Department of Labor
D) American Civil Liberties Union (ACLU) - Correct Answer-Answer: B) Job
Accommodation Network (JAN)
Resource: http://askjan.org/blog/?page_id=2
Rationale: The Job Accommodation Network is a service provided by the U.S.
Department of Labor's Office of Disability Employment Policy (ODEP). JAN's mission is
to facilitate the employment and retention of workers with disabilities by providing
information on job accommodations. JAN represents the most comprehensive resource
for job accommodations available.
A health coach is working with a client on weight loss. What is the most important thing
the healthcoach should do when setting goals?
A) Set small, achievable goals for the client.
B) Set long term goals for the client to have a normal BMI.
C) Not make the client aware of the goal, so that they do not feel pressured.
D) Assist the client to set goals that are meaningful to the client based on information
obtained during the motivational interview - Correct Answer-Answer: D) Assist the client
to set goals that are meaningful to the client based on information obtained during the
motivational interview.
Resource:
Rationale: During the motivational interview, the health coach helps the client discover
issues that are most concerning to the client and discovers the inner motivations to
make necessary changes. This information can then be used to make goals that are
meaningful to the client, increasing the likelihood of successfully achieving the goals.
The health coach should not make goals for the client but should assist the client in
setting goals.
Which of the following takes place prior to services being rendered to determine if the
requested service is medically necessary?
A) Concurrent review
B) Pre-certification
C) Retrospective review
D) Review for referral to case management - Correct Answer-Answer: B) Pre-
certification
Resource: CCMC Glossary of Terms
, Rationale: Pre-certification: The process of obtaining and documenting advanced
approval from the health plan by the provider before delivering the medical services
needed. This is required when services are of a non-emergent nature.
It is important for the case manager to understand which of the following regarding
spirituality?
A) Spirituality is separate from religion and therefore spiritual beliefs can be challenged
with the patient.
B) Religious beliefs and spiritual beliefs are the same.
C) The client's spiritual beliefs often impact choices clients make regarding their health
care.
D) The topic of spirituality should not be introduced by the case manager, but they may
continue the conversation if brought up by the client. - Correct Answer-Answer: C) The
client's spiritual beliefs often impact choices clients make regarding their health care.
Resource:
Rationale: Spirituality is a broad concept with many perspectives. In general, it includes
a sense of connection to something bigger than ourselves. For some people, spirituality
is synonymous with religion, but a person does not have to have a religious belief to be
spiritual. It is important for the case manager to have an understanding of clients'
spiritual and religious views, as the views often impact choices they make in regard to
healthcare.
A carpenter retires after 20 years of service with retiree health insurance benefits. He
accepts a full time position with an apartment complex as a handyman the following
month. When he becomes sick, which health insurance policy will pay first?
A) His spouse's health insurance policy
B) His retiree health insurance policy
C) His current employers health insurance policy
D) His current employers health insurance policy and his retiree health insurance policy
will split the cost 50/50 - Correct Answer-Answer: C) His current employers health
insurance policy
Resource:
Rationale: The COB rules state the insurance plan that covers an active employee is
primary over the plan that covers a laid-off or retired employee.
The goal of the job analysis in work rehabilitation is to identify:
A) Essential job functions and requirements
B) The strengths and abilities of the employee
C) The company culture
D) Average productivity per employee - Correct Answer-Answer: A) Essential job
functions and requirements
Resource:
Rationale: The primary focus of a job analysis is identifying the essential functions and
requirements of the job. This may include essential duties, tasks, skills, tools and
equipment used, environment and scheduling.
and Correct Answers latest updated
Case management facilitates the achievement of client wellness and autonomy through
advocacy, assessment, planning, communication, education, resource management,
and service facilitation.
The case manager's primary function is:
A) Care coordination
B) Cost containment
C) Outcomes management
D) Education - Correct Answer-Answer: A) Care coordination
The case manager links clients with appropriate providers and resources throughout the
continuum of health and human services and care settings, while ensuring that the care
provided is safe, effective, client- centered, timely, efficient, and equitable. This
approach achieves optimum value and desirable outcomes for all—the clients, their
support systems, the providers, and the payers. All four are case management
functions, but the primary function the case manager is coordination of care.
Case managers facilitate client autonomy and wellness through:
A) Persuasion, financial incentives, and communication.
B) Assessing, goal setting, and service facilitation.
C) Caregiver education and resource management.
D) Advocacy, communication, and education. - Correct Answer-Answer D) Advocacy,
communication, and education.
http://ccmcertification.org/.../definition-and-philosophy-cas...
Case management facilitates the achievement of client wellness and autonomy through
advocacy, assessment, planning, communication, 4 education, resource management,
and service facilitation.
The most effective cost containment strategy used in pharmacy benefits management
is:
A) Volume purchase discounts.
B) Use of mail order pharmacies.
C) Use of a preferred drug list.
,D) Use of generic drugs. - Correct Answer-Answer: D) Use of generic drugs.
Rationale: While all of these strategies are used to contain costs in pharmacy benefits
management, the most cost effective strategy is to use generic medications in lieu of
name brand drugs.
Which organization assists with the employment and retention employees with
disabilities by providing information on job accommodations?
A) Americans with Disabilities Act (ADA)
B) Job Accommodation Network (JAN)
C) U. S. Department of Labor
D) American Civil Liberties Union (ACLU) - Correct Answer-Answer: B) Job
Accommodation Network (JAN)
Resource: http://askjan.org/blog/?page_id=2
Rationale: The Job Accommodation Network is a service provided by the U.S.
Department of Labor's Office of Disability Employment Policy (ODEP). JAN's mission is
to facilitate the employment and retention of workers with disabilities by providing
information on job accommodations. JAN represents the most comprehensive resource
for job accommodations available.
A health coach is working with a client on weight loss. What is the most important thing
the healthcoach should do when setting goals?
A) Set small, achievable goals for the client.
B) Set long term goals for the client to have a normal BMI.
C) Not make the client aware of the goal, so that they do not feel pressured.
D) Assist the client to set goals that are meaningful to the client based on information
obtained during the motivational interview - Correct Answer-Answer: D) Assist the client
to set goals that are meaningful to the client based on information obtained during the
motivational interview.
Resource:
Rationale: During the motivational interview, the health coach helps the client discover
issues that are most concerning to the client and discovers the inner motivations to
make necessary changes. This information can then be used to make goals that are
meaningful to the client, increasing the likelihood of successfully achieving the goals.
The health coach should not make goals for the client but should assist the client in
setting goals.
Which of the following takes place prior to services being rendered to determine if the
requested service is medically necessary?
A) Concurrent review
B) Pre-certification
C) Retrospective review
D) Review for referral to case management - Correct Answer-Answer: B) Pre-
certification
Resource: CCMC Glossary of Terms
, Rationale: Pre-certification: The process of obtaining and documenting advanced
approval from the health plan by the provider before delivering the medical services
needed. This is required when services are of a non-emergent nature.
It is important for the case manager to understand which of the following regarding
spirituality?
A) Spirituality is separate from religion and therefore spiritual beliefs can be challenged
with the patient.
B) Religious beliefs and spiritual beliefs are the same.
C) The client's spiritual beliefs often impact choices clients make regarding their health
care.
D) The topic of spirituality should not be introduced by the case manager, but they may
continue the conversation if brought up by the client. - Correct Answer-Answer: C) The
client's spiritual beliefs often impact choices clients make regarding their health care.
Resource:
Rationale: Spirituality is a broad concept with many perspectives. In general, it includes
a sense of connection to something bigger than ourselves. For some people, spirituality
is synonymous with religion, but a person does not have to have a religious belief to be
spiritual. It is important for the case manager to have an understanding of clients'
spiritual and religious views, as the views often impact choices they make in regard to
healthcare.
A carpenter retires after 20 years of service with retiree health insurance benefits. He
accepts a full time position with an apartment complex as a handyman the following
month. When he becomes sick, which health insurance policy will pay first?
A) His spouse's health insurance policy
B) His retiree health insurance policy
C) His current employers health insurance policy
D) His current employers health insurance policy and his retiree health insurance policy
will split the cost 50/50 - Correct Answer-Answer: C) His current employers health
insurance policy
Resource:
Rationale: The COB rules state the insurance plan that covers an active employee is
primary over the plan that covers a laid-off or retired employee.
The goal of the job analysis in work rehabilitation is to identify:
A) Essential job functions and requirements
B) The strengths and abilities of the employee
C) The company culture
D) Average productivity per employee - Correct Answer-Answer: A) Essential job
functions and requirements
Resource:
Rationale: The primary focus of a job analysis is identifying the essential functions and
requirements of the job. This may include essential duties, tasks, skills, tools and
equipment used, environment and scheduling.
