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

The case manager should document the situation and educate the client about legal protections.

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

The Katz Index assesses a client's ability to perform basic self-care tasks independently.

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 evaluates care during delivery; retrospective review analyzes care after completion.

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

IRFs provide the highest intensity, requiring at least 3 hours of therapy per day.

Question 5

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

Accepted Answer

For treatment, payment, and healthcare operations purposes

Answer

HIPAA permits sharing PHI without authorization for treatment, payment, and healthcare operations (TPO).

CCM - Certified Case Manager Exam Practice Test