CCM Certified Case Manager (CCM) MCQ Questions and Answers 2

Question 1

A case manager discovers a client's employer is pressuring them to return to work before medical clearance. What should the case manager do first?

Accepted Answer

Document the situation and educate the client about their rights under FMLA and ADA

Answer

Contact the employer to demand they stop

Answer

Report the employer to OSHA

Answer

Advise the client to resign

Question 2

Which assessment tool is commonly used to evaluate functional status and ability to perform activities of daily living?

Accepted Answer

Katz Index of Independence in ADL

Answer

Glasgow Coma Scale

Answer

CAGE questionnaire

Answer

PHQ-9

Question 3

What is the primary difference between concurrent review and retrospective review in utilization management?

Accepted Answer

Concurrent review occurs during treatment while retrospective review occurs after completion

Answer

Concurrent review is more expensive

Answer

Retrospective review is more accurate

Answer

Concurrent review is only for outpatient settings

Question 4

A client with a traumatic brain injury is being transitioned from acute care. Which rehabilitation setting provides the most intensive therapy?

Accepted Answer

Inpatient rehabilitation facility (IRF)

Answer

Skilled nursing facility

Answer

Home health services

Answer

Outpatient day program

Question 5

Under HIPAA, when can a case manager share PHI without written authorization?

Accepted Answer

For treatment, payment, and healthcare operations purposes

Answer

When the case manager believes it's in the client's best interest

Answer

When family members request the information

Answer

When the information is not considered sensitive

Question 6

What is the 'benefit period' in Medicare Part A coverage?

Accepted Answer

A period beginning when admitted to hospital and ending after 60 consecutive days without inpatient care

Answer

The annual enrollment period

Answer

The 12-month outpatient coverage period

Answer

The lifetime maximum benefit amount