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

Complex reflections add meaning or interpretation to what the client said, deepening the conversation.

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

First review the denial letter to understand the specific reason, as this determines the appeal strategy.

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

SDOH are the non-medical conditions where people live, work, and age that affect health outcomes.

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

Hospital-based case management assigns case managers at admission to coordinate the entire inpatient episode.

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

Advance directives document healthcare wishes and name a surrogate decision-maker for incapacity situations.

CCM - Certified Case Manager Exam Practice Test