Certified Case Manager (CCM) MCQ Questions and Answers Flashcards
6 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 6 Certified Case Manager (CCM) MCQ Questions and Answers flashcards as text
A case manager discovers a client's employer is pressuring them to return to work before medical clearance. What should the case manager do first?
Answer: Document the situation and educate the client about their rights under FMLA and ADA
The case manager should document the situation and educate the client about legal protections.
Which assessment tool is commonly used to evaluate functional status and ability to perform activities of daily living?
Answer: Katz Index of Independence in ADL
The Katz Index assesses a client's ability to perform basic self-care tasks independently.
What is the primary difference between concurrent review and retrospective review in utilization management?
Answer: Concurrent review occurs during treatment while retrospective review occurs after completion
Concurrent review evaluates care during delivery; retrospective review analyzes care after completion.
A client with a traumatic brain injury is being transitioned from acute care. Which rehabilitation setting provides the most intensive therapy?
Answer: Inpatient rehabilitation facility (IRF)
IRFs provide the highest intensity, requiring at least 3 hours of therapy per day.
Under HIPAA, when can a case manager share PHI without written authorization?
Answer: For treatment, payment, and healthcare operations purposes
HIPAA permits sharing PHI without authorization for treatment, payment, and healthcare operations (TPO).
What is the 'benefit period' in Medicare Part A coverage?
Answer: A period beginning when admitted to hospital and ending after 60 consecutive days without inpatient care
A benefit period begins at hospital admission and ends after 60 consecutive days without inpatient care.