CCM General 4

Question 1

Which federal program provides health coverage primarily to individuals aged 65 and older and certain individuals with disabilities?

Accepted Answer

Medicare

Answer

Medicare is a federal health insurance program for people 65 and older and for individuals with certain disabilities or end-stage renal disease.

Question 2

A case manager is working with a client who has limited English proficiency. The MOST appropriate action to ensure informed consent is to:

Accepted Answer

Use a qualified medical interpreter

Answer

Using a qualified medical interpreter ensures accurate communication, protects patient rights, and meets legal and ethical standards.

Question 3

Which of the following is an example of a PROCESS measure in case management quality improvement?

Accepted Answer

Percentage of clients who received a follow-up call within 48 hours of discharge

Answer

Process measures evaluate whether specific care steps were performed, such as timely follow-up calls, rather than the outcomes of care.

Question 4

The Americans with Disabilities Act (ADA) requires employers with 15 or more employees to provide:

Accepted Answer

Reasonable accommodations for qualified individuals with disabilities

Answer

The ADA mandates reasonable accommodations that allow qualified individuals with disabilities to perform the essential functions of their job.

Question 5

A client is being discharged from an acute care hospital to a skilled nursing facility (SNF). Medicare Part A will cover the SNF stay only if the client had a qualifying:

Accepted Answer

Inpatient hospital stay of at least 3 consecutive days

Answer

Medicare Part A SNF coverage requires a prior qualifying inpatient hospital stay of at least three consecutive days, not counting the discharge day.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM General 4