Trivia Flashcards
7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Trivia flashcards as text
Which ethical principle obligates a case manager to act in the client's best interest even when the client cannot advocate for themselves?
Answer: Beneficence
Beneficence requires that the case manager act in ways that benefit the client, promoting their well-being and best interests.
A Diagnosis-Related Group (DRG) system is primarily used for reimbursement of which type of care?
Answer: Inpatient hospital stays
DRGs are used by Medicare and other payers to reimburse hospitals for inpatient stays based on the patient's diagnosis, procedures, and complexity.
In motivational interviewing, 'rolling with resistance' means the case manager should:
Answer: Avoid arguing and instead explore the client's ambivalence
Rolling with resistance means avoiding direct confrontation and instead reflecting back the client's statements to explore ambivalence and promote intrinsic motivation.
Which level of Bloom's Taxonomy involves a patient being able to apply health information to manage their own condition?
Answer: Application
The application level of Bloom's Taxonomy requires the learner to use acquired knowledge in new situations, such as self-managing a chronic condition.
What is the maximum number of hours per week that constitutes 'full-time' employment under the ACA's employer shared responsibility provision?
Answer: 30 hours
The ACA defines a full-time employee as one working 30 or more hours per week on average, triggering employer coverage obligations.
Which document gives a designated person legal authority to make healthcare decisions for an incapacitated individual?
Answer: Healthcare power of attorney
A healthcare power of attorney (or healthcare proxy) designates a specific individual to make medical decisions on behalf of someone who lacks decision-making capacity.
The 'dual eligibles' population in the US refers to individuals who are enrolled in both:
Answer: Medicare and Medicaid
Dual eligibles are individuals who qualify for both Medicare (federal, primarily age/disability-based) and Medicaid (state, income-based), often representing high-need, high-cost populations.