CCM Case Management Concepts and Principles 3

Question 1

Which of the following is identified as a core knowledge domain required for professional case managers by the CCMC?

Accepted Answer

Case management concepts, principles, and philosophy

Answer

Medical coding and claims billing procedures

Answer

Surgical assistance and sterile field techniques

Answer

Laboratory specimen collection and processing

Question 2

The 'client-centered' approach in case management means that:

Accepted Answer

The client's goals, preferences, and values guide the development of the care plan

Answer

The case manager makes all treatment decisions on behalf of the client

Answer

All services are delivered exclusively in the client's home setting

Answer

The client is required to pay out-of-pocket for all services received

Question 3

In case management, 'case closure' is most appropriately initiated when:

Accepted Answer

The client's goals are met, services are no longer needed, or the client declines further services

Answer

The client's insurance benefit period has been exhausted

Answer

The case manager transfers to a new employer or position

Answer

The client is admitted to an acute care hospital

Question 4

Which of the following best describes 'interdisciplinary collaboration' as practiced in case management?

Accepted Answer

Working with professionals from various disciplines to coordinate holistic, comprehensive care

Answer

Multiple case managers independently working on the same client case

Answer

Referring clients only to medical specialists within the same health system

Answer

Using multiple electronic health record platforms simultaneously

Question 5

A case manager identifies that a client has significant unmet needs that fall outside the scope of case management services. The most appropriate action is to:

Accepted Answer

Refer and connect the client to appropriate community resources and services

Answer

Disregard the needs since they fall outside the case manager's scope

Answer

Provide services beyond the case manager's training to address all needs

Answer

Immediately terminate the case management relationship

Question 6

The role of 'advocacy' in case management primarily involves:

Accepted Answer

Supporting and promoting the client's rights, needs, and best interests within the healthcare system

Answer

Legally representing clients in court proceedings

Answer

Negotiating reduced fees with healthcare providers on behalf of the payer

Answer

Filing grievances against physicians on behalf of the client

Question 7

When a case manager conducts a 'functional assessment,' the primary purpose is to evaluate:

Accepted Answer

The client's ability to perform activities of daily living and maintain independence

Answer

The financial resources and insurance benefits available to the client

Answer

The organizational efficiency of the healthcare facility

Answer

The clinical qualifications of the treating healthcare providers