Practice Test GeeksCCM - Certified Case Manager Exam Practice Test
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Trivia 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.

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  1. Which federal law established the framework for managed care organizations and HMO requirements in the US?

    Answer: HMO Act of 1973

    The HMO Act of 1973 provided federal grants and loans to develop HMOs and required employers to offer HMO options, establishing the managed care framework.

  2. In case management, what does the acronym 'URAC' stand for?

    Answer: Utilization Review Accreditation Commission

    URAC (Utilization Review Accreditation Commission) is an independent accrediting organization that promotes healthcare quality through accreditation and education.

  3. Which model of case management focuses on the patient's own goals and strengths rather than deficits?

    Answer: Strengths-based model

    The strengths-based model emphasizes identifying and building on a patient's own capabilities, resources, and goals rather than focusing on problems or deficits.

  4. What is the primary purpose of a 'utilization review' in a managed care setting?

    Answer: To evaluate the medical necessity and appropriateness of care

    Utilization review evaluates whether the care being provided or requested is medically necessary, appropriate, and delivered in the most cost-effective setting.

  5. The 'CCMC' that governs the CCM credential is headquartered in which US city?

    Answer: Mount Laurel, New Jersey

    The Commission for Case Manager Certification (CCMC) is headquartered in Mount Laurel, New Jersey, and administers the CCM credential.

  6. Under the ADA, what term describes modifying a job or work environment to enable a qualified individual with a disability to perform essential job functions?

    Answer: Reasonable accommodation

    Reasonable accommodation under the ADA refers to modifications or adjustments that enable a qualified person with a disability to perform essential job functions without undue hardship.

  7. Which of the following best describes 'capitation' as a payment model?

    Answer: Fixed monthly payment per enrolled member regardless of services used

    Capitation is a fixed, per-member-per-month payment made to a provider to cover all contracted services, shifting financial risk to the provider.