CCM - Certified Case Manager Exam Certified Case Manager (CCM) General 1

Question 1

How often must a CCM credential holder renew their certification to maintain active status?

Accepted Answer

Every 5 years

Answer

The CCMC requires CCM credential holders to recertify every 5 years, either by accumulating 80 approved continuing education hours or by retaking the certification examination.

Question 2

According to the CCMC Code of Professional Conduct, when a client's personal wishes conflict with the care team's clinical recommendations, the case manager's primary obligation is to:

Accepted Answer

Advocate for the client's right to self-determination and informed decision-making

Answer

The CCMC Code of Professional Conduct places client advocacy and autonomy at the center of ethical case management practice; respecting the client's right to make informed decisions is the case manager's primary ethical duty.

Question 3

Which of the following best describes the case manager's role within an interdisciplinary care team?

Accepted Answer

Coordinator and facilitator who integrates services and communicates across disciplines

Answer

Case managers serve as coordinators and facilitators on interdisciplinary teams, ensuring that communication flows across disciplines, services are integrated, and the care plan reflects the client's goals and needs.

Question 4

In utilization management, 'medical necessity' is most accurately defined as:

Accepted Answer

Care that is appropriate, evidence-based, and required to diagnose or treat an illness or injury

Answer

Medical necessity refers to services that are clinically appropriate, evidence-based, and required for the diagnosis or treatment of an illness, injury, or condition — it is the standard used in utilization review decisions.

Question 5

Which of the following is the most accurate description of 'transitions of care' as a core case management function?

Accepted Answer

The movement of a patient between healthcare practitioners, settings, or levels of care

Answer

Transitions of care refers to the coordinated movement of patients between different healthcare practitioners, settings (e.g., hospital to skilled nursing), or levels of care, and is a key area where case managers reduce readmissions and ensure continuity.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Certified Case Manager (CCM) General 1