CCM Care Planning and Coordination 4

Question 1

A case manager is using the Chronic Care Model (CCM). Which component focuses on supporting patients to manage their own conditions between healthcare visits?

Accepted Answer

Self-management support

Answer

Self-management support empowers patients with skills, tools, and confidence to actively manage their chronic conditions in their daily lives.

Question 2

A patient with end-stage renal disease is transitioning from in-center hemodialysis to home dialysis. Which care plan element is MOST critical for a safe transition?

Accepted Answer

Training competency verification for the patient and caregiver on home dialysis procedures

Answer

Verified training competency for both the patient and caregiver is the safety-critical prerequisite before transitioning to home dialysis.

Question 3

Which federal legislation most directly established the legal framework for care coordination requirements in Medicare managed care plans?

Accepted Answer

The Affordable Care Act (ACA) of 2010

Answer

The ACA significantly expanded care coordination requirements, including provisions for accountable care organizations, medical homes, and care transitions programs within Medicare.

Question 4

A case manager identifies that a patient's care plan includes duplicate laboratory testing ordered by two different specialists. What is the most appropriate action?

Accepted Answer

Facilitate communication between the specialists to eliminate redundant testing

Answer

Eliminating duplicative care through provider communication is a core care coordination function that reduces patient burden and unnecessary costs.

Question 5

In population health management, which stratification level requires the most intensive case management interventions?

Accepted Answer

High-risk patients with multiple comorbidities, frequent hospitalizations, and complex social needs

Answer

Risk stratification directs the highest intensity resources toward complex, high-risk patients who will benefit most from intensive case management interventions.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM Care Planning and Coordination 4