General Flashcards
7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 General flashcards as text
Which federal program provides health coverage primarily to individuals aged 65 and older and certain individuals with disabilities?
Answer: Medicare
Medicare is a federal health insurance program for people 65 and older and for individuals with certain disabilities or end-stage renal disease.
A case manager is working with a client who has limited English proficiency. The MOST appropriate action to ensure informed consent is to:
Answer: Use a qualified medical interpreter
Using a qualified medical interpreter ensures accurate communication, protects patient rights, and meets legal and ethical standards.
Which of the following is an example of a PROCESS measure in case management quality improvement?
Answer: Percentage of clients who received a follow-up call within 48 hours of discharge
Process measures evaluate whether specific care steps were performed, such as timely follow-up calls, rather than the outcomes of care.
The Americans with Disabilities Act (ADA) requires employers with 15 or more employees to provide:
Answer: Reasonable accommodations for qualified individuals with disabilities
The ADA mandates reasonable accommodations that allow qualified individuals with disabilities to perform the essential functions of their job.
A client is being discharged from an acute care hospital to a skilled nursing facility (SNF). Medicare Part A will cover the SNF stay only if the client had a qualifying:
Answer: Inpatient hospital stay of at least 3 consecutive days
Medicare Part A SNF coverage requires a prior qualifying inpatient hospital stay of at least three consecutive days, not counting the discharge day.
Which case management model focuses on the case manager serving as the primary coordinator who directly provides services rather than brokering them to others?
Answer: Clinical model
The clinical model has the case manager directly delivering hands-on services and interventions rather than solely linking clients to other providers.
When setting priorities in a care plan, which client need should a case manager address FIRST?
Answer: Immediate safety and life-threatening medical issues
Maslow's hierarchy and clinical urgency both direct case managers to address immediate safety and life-threatening needs before higher-order concerns.