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Summary CCM exam prep Questions and Answers (Latest Update 2025)
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CCM exam prep Questions and Answers (Latest Update 2025)
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CCM exam prep Questions and Answers(Latest Update 2025)
Case management - Correct Answer ✅a collaborative
process that assesses, plans, implements, coordinates,
monitors and evaluates the options and services required to
meet the client's health and human services needs.
Case Management Characteristics - Correct Answer
✅characterized by advocacy, communication, and resource
management and promotes quality and cost-effective
interventions and outcomes.
Glagow Coma Scale - Correct Answer ✅Client assessment
tool that measures level of coma in the acute phase of injury
it is an objective way of recording the conscious state of a
person. Eye opening, Best verbal, best motor. < 8 coma, 13-
15 mild injury.
Strengths Based Model - Correct Answer ✅assesses clients
capacities and potential resources as well as problems and
current unmet needs. Eliciting capacities and potential
resources as well as problems and current unmet needs.
,CCM exam prep Questions and Answers
(Latest Update 2025)
Independent Living Model - Correct Answer ✅sees a
disability as a construct of society
Medicare Prospective Payment System - Correct Answer
✅hospitals paid a pre-determined rate for each Medicare
admission. Each patient is classified into a DRG.
PHQ-9 - Correct Answer ✅Client assessment tool for
depression
Braden Scale - Correct Answer ✅Client assessment tool for
pressure sore risk
Clinical Pathway - Correct Answer ✅Structured
multidisciplinary CM plan designed to support the
implementation of specific clinical guidelines and protocols.
They are maps that guide the healthcare team on usual
treatment patterns related to common diagnoses, conditions
and procedures e.g., CHF
,CCM exam prep Questions and Answers
(Latest Update 2025)
SF-36 - Correct Answer ✅Client assessment tool to
measure physical and mental health.
Medicare - Correct Answer ✅Established in 1965 under
Title XVIII or Social Security Act. Four Parts A-hospital
insurance, B-medical insurance (doctors visits), C-Medicare
Advantage program in a private plan such as HMO, D-
prescription drug benefit
Medicare Benefits and Cost Sharing - Correct Answer ✅Not
covered are: Acupuncture, chiropractor, cosmetic, custodial
home care, dental care, DME convenience, hearing aids,
eyeglasses, foot care, meals on wheels, personal
convenience, prescription drugs, private nurses, routine
physical, vision
areas of accountability of case management - Correct
Answer ✅clinical/outcome
financial
functional/outcome
satisfaction
, CCM exam prep Questions and Answers
(Latest Update 2025)
behavior
process
*episode or continuum
**individual or population
Measuring performance: Process - Correct Answer ✅The
measure of how many pts receive a treatment or service i.e.
vaccinations, screenings, ex. diabetic foot exam ALSO
practitioner's practice conforming to practice standards.
Measuring performance: Functional outcome - Correct
Answer ✅The measure reflects the health state of a patient
as a result of health care ex. increased independency in
ADLs, mobility
Measuring performance: Clinical outcome - Correct Answer
✅The measure reflects the health state of a patient as a
result of health care ex. blood pressure goals ex. HgA1c level,
wound healing
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