CCM Trivia 2

Question 1

Which federal law established the framework for managed care organizations and HMO requirements in the US?

Accepted Answer

HMO Act of 1973

Answer

The HMO Act of 1973 provided federal grants and loans to develop HMOs and required employers to offer HMO options, establishing the managed care framework.

Question 2

In case management, what does the acronym 'URAC' stand for?

Accepted Answer

Utilization Review Accreditation Commission

Answer

URAC (Utilization Review Accreditation Commission) is an independent accrediting organization that promotes healthcare quality through accreditation and education.

Question 3

Which model of case management focuses on the patient's own goals and strengths rather than deficits?

Accepted Answer

Strengths-based model

Answer

The strengths-based model emphasizes identifying and building on a patient's own capabilities, resources, and goals rather than focusing on problems or deficits.

Question 4

What is the primary purpose of a 'utilization review' in a managed care setting?

Accepted Answer

To evaluate the medical necessity and appropriateness of care

Answer

Utilization review evaluates whether the care being provided or requested is medically necessary, appropriate, and delivered in the most cost-effective setting.

Question 5

The 'CCMC' that governs the CCM credential is headquartered in which US city?

Accepted Answer

Mount Laurel, New Jersey

Answer

The Commission for Case Manager Certification (CCMC) is headquartered in Mount Laurel, New Jersey, and administers the CCM credential.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM Trivia 2