CCM Certified Case Manager (CCM) MCQ Questions and Answers 3

Question 1

Which motivational interviewing technique involves reflecting a client's statement back with added meaning?

Accepted Answer

Complex reflections

Answer

Open-ended questions

Answer

Affirmations

Answer

Summarizing

Question 2

A client has been denied coverage for a recommended procedure. What is the first step in the appeals process?

Accepted Answer

Review the denial letter to understand the specific reason

Answer

File a lawsuit

Answer

Contact the state insurance commissioner immediately

Answer

Advise the client to pay out of pocket

Question 3

What does 'social determinants of health' refer to in case management?

Accepted Answer

The non-medical factors that influence health outcomes, including economic stability, education, and environment

Answer

A client's genetic predisposition

Answer

Social skills needed by case managers

Answer

Healthcare delivery system organization

Question 4

Which case management model assigns a case manager at the point of hospital admission?

Accepted Answer

Within-the-walls (hospital-based) case management

Answer

Telephonic case management

Answer

Insurance-based case management

Answer

Community-based case management

Question 5

What is the primary purpose of an advance directive in case management?

Accepted Answer

To document healthcare preferences and designate a surrogate decision-maker for when the client cannot speak

Answer

To direct the case manager's clinical decisions

Answer

To advance position in the appointment queue

Answer

To authorize insurance treatment decisions

Question 6

In a workers' compensation case, what is the case manager's primary role?

Accepted Answer

To facilitate safe, timely return to work while coordinating medical care

Answer

To represent the employer's legal interests

Answer

To determine fault for the injury

Answer

To calculate the financial settlement