CCM Test Question and Answers Updated 2026

CCM Test Question and Answers
Updated 2026
WhichBcaseBmanagementBstepBinvolvesBreviewingBinformationBtoBdecidesBaBpatient'sBappropri
atenessBforBcaseBmanagementBservices?B-BAnswerScreening



WhichBimportantBactivityBshouldBbeBincludedBduringBtheBtransitioningBstepBofBtheBcaseBmana
gementBprocess?B-
BAnswerAssessingBwhetherBtheBclientBisBreadyBforBtransferBtoBanotherBlevelBofBcare



WhichBassessmentBtoolBevaluatesBareasBofBfunctionBforBself-care?B-
BAnswerActivitiesBofBDailyBLiving



WhichBassessmentBtoolBisBusedBtoBpre-screenBpatientsBforBdepression?B-BAnswerPHQ-2



CaseBmanagerBisBpreparingBtoBmoveBherBpatientBfromBanBacuteBhospitalBsettingBtoBaBskilled
BnursingBfacility.BWhatBshouldBcmBkeepBinBmindBduringBthisBtransitionBofBcare?B-
BAnswerPatientBisBatBincreasedBriskBforBadverseBoutcomes



HospiceBcareBprovides:B-
BAnswerEndBofBlifeBcare,BincludingBpalliativeBcare,BtoBpatientsBwithBaBterminalBillness



WhatBbestBdescribesBtheBroleBofBanBinterdisciplinaryBteam?B-
BAnswerWorkBinBaBgroupBtoBmanageBtheBphysical,Bpsychological,BandBspiritualBneedsBofBtheB
patient.



WhatBisBfundedBbyBsocialBsecurityBtaxesBpaidBbyBworkersBandBemployersB-BAnswerSSDI



CoordinationBofBbenefitsBisBdesignedBtoB-
BAnswerProvideBaBreimbursementBmethodologyBwhenBthereBisBmoreBthanBoneBpaymentBsour
ce



WhichBofBtheBfollowingBisBnotBaBpaymentBmethodology?

A.BFeeBforBServices

B.BProspectiveBPayment

C.BAccountableBCare

, D.BBundledBCaseBRateB-BAnswerC.BAccountableBCare



SellingBaBlifeBinsuranceBpolicyBtoBaBthirdBpartyBforBcashBisBcalled:B-
BAnswerViaticalBSettlement



MedicareBPartBDBcovers:B-BAnswerPrescriptionBMedications



PrecertificationBis:B-
BAnswerTheBprocessBofBobtainingBapprovalBbeforeBmedicalBtreatmentBoccurs



WhatBformBofBcoverageBdoesBnotBhaveBaBwaitingBperiod?B-BAnswerWorkers'BCompensation



MedicareBPartBABwillBcoverBaBpatientBinBaBskilledBnursingBfacilityBif:B-
BAnswerItBfollowsBwithinB30BdaysBofBaBhospitalBstayBofBatBleastB3BdaysBandBisBmedicallyBne
cessary.



ABpatientBinBanBExclusiveBProviderBOrganizationB(EPO)BplanBdecidesBout-of-
networkBtoBreceiveBcare.BThisBdecisionBmeansBthatBheBwill:B-
BAnswerNotBbeBcoveredBunderBtheBhealthBplanBforBtheBservicesBprovided



TheBinsuranceBcaseBmanagementBrequestsBinformationBfromBtheBhospitalBcaseBmanagerBabou
tBaBpatient'sBcurrentBstatusBincludingBlabs,Bvitals,BandBwoundBhealing.BThisBis:B-
BAnswerABconcurrentBreview



ABcopaymentBisBa:B-
BAnswerSpecificBamountBpaidBatBtheBtimeBofBtheBserviceBforBspecifiedBservices



TheBcaseBmanagementBprocessBincluded:B-
BAnswerAssessing,Bplanning,Bimplementing,Bcoordinating,Bmonitoring,BandBevaluating



AnBAcceleratedBDeathBBenefitBisBappropriateBfor:B-
BAnswerABpatientBwhoBisBterminallyBillBandBhasBaBlifeBinsuranceBpolicyBheBcanBreceiveBfunds
BfromBduringBtheBterminalBillness.



WhichBanswerBbestBdescribesBtheBimpactBofBMedicationBAdherence?B-BAnswerNearlyB50-
75%BofBadultsBareBmedicationBnon-adherentBinBoneBorBmoreBways.