CCMC - Commission for Case Manager Occupational Health and Disability Management Questions and Answers Flashcards

Which classification system is used by US physicians and insurers to document the severity of impairment for disability determination purposes?

Answer: AMA Guides to the Evaluation of Permanent Impairment

The AMA Guides to the Evaluation of Permanent Impairment is the standard reference used by physicians to rate the degree of permanent impairment for disability claims and workers' compensation settlements.

Social Security Disability Insurance (SSDI) requires that an applicant's disability must be expected to last at least how long or result in death?

Answer: 12 months

SSDI requires that the disabling condition must have lasted or be expected to last at least 12 continuous months, or be expected to result in death, to meet the program's duration requirement.

In occupational case management, what does the term 'maximum medical improvement' (MMI) indicate?

Answer: The claimant's condition has stabilized and further treatment is unlikely to produce significant improvement

Maximum medical improvement (MMI) is the point at which a worker's condition has stabilized and additional medical treatment is not expected to significantly improve function, triggering impairment rating and claim resolution steps.

Which case management strategy is used to prevent short-term disability claims from becoming long-term disabilities through early outreach and intervention?

Answer: Early intervention and stay-at-work programs

Early intervention and stay-at-work programs contact workers shortly after injury or illness onset to address barriers, coordinate care, and prevent chronic disability before it becomes entrenched.

A case manager is assisting an employee with a permanent disability that prevents return to their prior occupation. Which vocational service helps identify alternative career options?

Answer: Vocational rehabilitation counseling and transferable skills analysis

Vocational rehabilitation counseling including transferable skills analysis identifies occupations the worker can perform given their residual functional capacity, education, and prior work experience.

Which SSDI work incentive program allows beneficiaries to test their ability to work for a trial period without losing their disability benefits?

Answer: Trial Work Period (TWP)

The Trial Work Period (TWP) allows SSDI recipients to work for up to 9 months (in a rolling 60-month window) without losing benefits, regardless of earnings, to test their ability to sustain employment.