CCM exam secrets practice test questions and answers updated 2026

CCM exam secrets practice test
questions and answers updated 2026
WhichMevaluationMwouldMyouMperformMtoMdetermineMifMaMclientMhasMtheMcapabilityMt
oMreturnMtoMwork?



A.MPainMtoleranceMevaluation.M

B.MFunctionalMcapacityMevaluation.M

C.MDisabilityMevaluation.M

D.MEvaluationMbyMclientMinterview.M-
MAnswerMB.MTheMfunctionalMcapacityMexamMisMaMprocessMofMassessingMaMpersons,Mph
ysicalMandMfunctionalMabilitiesMtoMperformMtask.MTheMpatientsMperformanceMlevelMshoul
dMmatchMtheMdemandsMofMtheMoccupationMandMquestion.MTheMpurposeMofMtheMexam
MisMtoMdetermineMifMaMpatientMisMreadyMtoMgoMbackMtoMworkMafterManMinjury.



RiskMmanagementMisMaMsubMdomainMofMwhichMofMtheMfollowingMcourtMcaseMmanagem
entMdomains?

A.MPsychosocialMaspects.M

Be.MHealthcareMmanagement,MandMdelivery.M

C.MPrinciplesMofMpractice.M

D.MCaseMmanagementMconcepts.M-
MAnswerMC.MThereMareMsixMdomainsMforMcaseMmanagementMpractice.MTheseMincludeMc
aseMmanagementMconcepts,McaseMmanagementMprinciples,MandMpracticeMstrategy/practice,
MpsychosocialMandMsupportMsystems,MhealthMmanagement,MandMdelivery,Mhealthcare,Mrei
mbursement,MandMvocationalMconcepts/strategies.MRiskMmanagementMisMaMsubMdomainM
ofMcaseMmanagementMprinciples,MandMpractice/strategies.



TheMcaseMmanagementMprocessMofMdocumentingMgoals,Mobjectives,MandMactionsMtoMme
etMaMclientsMneedsMis:

A.MAssessmentM

B.MCoordination.M

C.MPlanning.M

D.MMonitoring.M-
MAnswerMC.MPlanningMisMtheMprocessMbyMwhichMcaseMmanager,Mdocuments,Mgoals,Mobj
ectives,MandMactionsMthatMwillMmeetMaMclientsMneeds.MAssessmentMentailsMgatheringMd
ataMaboutMaMclientMspecialMneedsMandMsituationMpriorMtoMformingMaMcaseMmanageme
ntMplan.MCoordinationMinvolvesMorganization,Mmodification,MandMdocumentationMofMresou

,rcesMnecessaryMtoMachieveMgoals.MSetMforthMinMtheMplan,MandMmonitoringMinvolvesMse
curingMinformationMneededMtoMgaugeMtheMeffectivenessMofMtheMplan.



WhichMofMtheMfollowingMisMaMmajorMcomponentMofMessentialMknowledgeMforMcaseMma
nager?

A.MHealthcareMreimbursement.M

B.MMoralMcharacter.M

C.MIndependentMpracticeMprinciples.M

D.MStatisticalManalysis.M-
MAnswerMA.MHealthcareMreimbursementMisMoneMofMtheMmajorMcategoriesMofMknowledg
eMnecessaryMforMaMcaseMmanager,MbecauseMthereMareMmanyMdifferentMreimbursement
MmechanismsMavailable,MdependingMuponMtheMpatientsMparticularMsituation.



TheMprimaryMroleMofMtheMcaseMmanagerMisMtoMactMasMa:

A.MPatientMadvocate.M

B.MDiseaseMmanager.

C.MUtilizationMreviewer

D.MCareMplanMcreatorM-
MAnswerMA.MPatientMadvocateMisMtheMbestManswer.MAdvocacyMisMessentialMtoMaMcase
MmanagersMdailyMpractice.MAMcaseMmanagerMactsMonMbehalfMofMclientsMwhoMmayMnot
MbeMableMtoMspeakMforMthemselvesMorMwhoMareMnotMknowledgeableMaboutMhealthcar
e.MAboveMall,MtheMcaseMmanagerMshouldMalwaysMhaveMtheMclientsMbestMinterestMinM
mind.



WhichMmodelMofMhealthcareMdecision-
makingMbestMdemonstratesMtheMprincipleMofMbeneficence?

A.MPatientMsovereignty.M

B.MPaternalismM

C.MSharedMdecision-making.

D.MMaternalismM-
MAnswerMB.MAMrelationshipMbetweenMhealthcareMpractitionersMandMpatientsMisMpaternali
sticMandMbeneficial.MThisMmeansMthatMpeopleMtrustMtheMpractitionerMtoMdoMwhatMisMi
nMtheMbestMmedicalMinterestMofMtheMpatient.MPaternalismMisMjustifiedMinMthatMpatient
MusuallyMdon'tMcomprehendMmedicalMconceptsMwellMenoughMtoMmakeMtheMcorrectMdeci
sionMaboutMtheirMcare.MInMtheMpatientMsovereigntyMmodel,MtheMpatientMisMopen.M"bos
s."MInMthisMcase,MoneMcouldMargueMthatMtheMpatientMknowsMbetterMthanManyoneMelse
MwhatMisMinMhisMbestMinterest.MSharedMdecisionMmakingMmeansMtheMhealthcareMteam
MandMtheMpatientMworkMtogether.

,AccordingMtoMtheMstandardsMofMpracticeMforMcaseMmanagers,MthereMareMfourMkeyMfun
ctionsMofMaMcaseMmanager.MWhichMofMtheMfollowingMisMnotMoneMofMtheMkeyMfunctio
ns?

A.MPlannerM

B.MAssessor.M

See.MLitigator.M

D.MAdvocate.M-
MAnswerMC.MTheMfourMkeyMfunctionsMofMtheMcaseMmanagerMareMplanner,Massessor,Mfa
cilitator,MandMadvocate.MAMcaseMmanagerMmustMassessMaMsituationMtoMidentifyMproble
msMthatMneedMcaseMmanagement.MTheMcaseMmanagerMmustMalsoMplannedMlongMandM
shortMtermMgoals,MandMcollaborationMwithMtheMclient,MtheMclientsMfamily,MandMwithMo
therMhealthcareMprofessionals.MFacilitationMincludesMcoordinatingMandMimplementingMtheM
careMplan,MmaintainingMcommunication,MandMexpeditingMcare.MAsManMadvocate,MtheMcas
eMmanager,MensureMthatMtheMclientsMneedsMareMidentifiedMandMaddressed.



NursingMcaseMmanagementMthatMisM"withinMtheMwalls"MrefersMtoMwhichMsetting?

A.MOutpatientMsetting.M

B.MCommunityMclinicMsetting.M

See.MHealthMmaintenanceMorganizationM(HMO).M

D.MAcuteMhospitalMsettingM-
MAnswerMD.MTheMtermM"withinMtheMwalls"M(WTW)MrefersMtoMactivitiesMwithinMtheMac
uteMhospitalMenvironment.MThisMisMdistinctMfromM"beyondMtheMwalls"M(BTW),MwhichMre
fersMtoMcaseMmanagementMinMoutpatientMandMcommunityMsettings.



AMterminallyMill.MClientMisMexhausting,MallMfinancialMresourcesMtoMpayMmedicalMcost.MT
heMcaseMmanagerMhasMsuggestedMobtainingMcashMvalueMonMhisMlifeMinsuranceMpolicyM
priorMtoMdeath.MThisMprocessMisMknownMasMa:

a.MNontraditionalMpolicy.M

B.MSupplementaryMpolicy

C.MViaticalMsettlement.

D.MGatekeeping.M-
MAnswerMC.MThisMscenarioMdescribesMtheMprocessMknownMasMviaticalMsettlement,Mwher
ebyMaMpatientMcanMobtainMaMcashMvalueMfromMaMlifeMinsuranceMpolicyMpriorMtoMdeat
h.MAnswersMa,MB,MandMDMareMirrelevantMtoMtheMsituation.

, AMrelationship,MwherebyMaMcaseMmanagerMactMinMaMclientMbestMinterestMbasedMonMtr
ustMisMknownMas:

A.MFiduciary.

B.MExMparte.

CMtort

D.MDueMdiligence.M-
MAnswerMA.MAMcaseMmanagerMestablishesMaMrelationshipMwithMaMclientMtoMadvocateM
forMhisMbestMinterest.MThisMmakesMtheMcaseMmanagerMaMfiduciary.MTheMtermMexMpart
eMrefersMtoMillegal,MproceedingMorMaMlegalMorder.MAMtort,MonMtheMotherMhand,Mrefer
sMtoMaMwrongfulMactMperformedMwillMitMfully.MWhenMaMpersonMinvestigatesMaMbusine
ssMorMpersonalMrelationshipMpriorMtoMsigningMaMcontract,MheMisMperformingMdueMdilige
nce.



WhenMaMcaseMmanagerMrefersMaMclientMtoMaMspecificMprovider,MwhatMtypeMofMrelatio
nshipMexistMbetweenMtheMcaseMmanager,MandMtheMprovider?

A.MVicariousMagency.

B.MAdvocate.

C.MOstensibleMagency.

D.MFavoritism.M-
MAnswerMC.MTheMrelationshipMthatMexistsMbetweenMtheMcaseMmanager,MandMaMreferral
MproviderMisManMostensibleMagency.MIfMthatMproviderMworksMtoMperformMnegligentMact
ions.MTheMreferringMcaseMmanagerMmayMalsoMbecomeMsubjectMtoMlitigation.MAMfiduciary
MisMaMrelationship,MwherebyMtheMcaseMmanagerMactMinMtheMclientsMbestMinterest.MTh
eMcaseMmanagerMisManMadvocateMforMtheMclient,MnotMtheMprovider.



AMcaseMmanagerMknowinglyMrefersMaMpatientMtoMaMproviderMwhoMisMunqualifiedMtoMr
enderMservicesMtoMtheMpatient.MThisMisMknownMas:

A.MTemporaryMreferral

B.MDualMrelationship.

C.MReferralMbyMclientMconsent.

D.MNegligentMreferralM-
MAnswerMD.MTheMcaseMmanagerMhasMtoMhaveMknowledgeMofMtheMreferralMproviders,M
credentials,MandMclinicalMexperience.MIfMaMcaseMmanagerMsendsMaMpatientMtoManMunqu
alifiedMreferralMprovider,MthisMconstitutesMaMnegligentMreferral.MItMisMimportantMforMthe
McaseMmanagersMtoMcheckMinMwithMpatientsMafterward,MtoMassureMthatMtheyMhadMaM
positiveMexperienceMwithMtheMprovider.MItMisMalsoMtheMcaseMmanagersMresponsibilityMt
oMreportManyMmisconductMonMtheMpartMofMthatMprovider.