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ccm multiple choice questions with verified answers 100% accurate

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Get 100% accurate CCM multiple choice questions with detailed verified answers and rationales. Perfect for case manager certification exam success.

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CCM MULTIPLE CHOICE QUESTIONS
AND VERIFIED ANSWERS; GET IT
100% ACCURATE


A 68-year-old wheelchair bound patient, who resides in an
assisted living facility arrives for his routine yearly exam.
He is accompanied by his caregiver, who he appears
fearful of. He is unkempt, dehydrated, thin and frail
appearing. He avoids eye contact when answering
questions. The appropriate action for the case manager is
to:
A) Notify state protective services or other appropriate
state authorities.
B) Confront the caregiver.
C) Notify the owner of the assisted living facility.
D) Notify the attending physician, it is his responsibility to
take appropriate action. - correct answer-
Answer: A) Notify state protective services or other
appropriate state authorities.


Rationale: Case managers are mandated report of abuse
or neglect. If abuse or neglect is suspected, they must

, notify Adult Protective Services or other appropriate state
authorities. Other steps may need to be taken such as
transferring the patient to another assisted living
facility, notifying the facility owner or physician.
Confronting the caregiver may place the patient in
jeopardy.


A school teacher retires after 20 years of service with
retiree health insurance benefits. The following year she
accepts a full-time position with a library. When she is
hospitalized, which health insurance policy will pay first?
A) Her husband's health insurance policy
B) Her retiree health insurance policy
C) Her current employer's health insurance policy
D) Her current employer's health insurance policy and her
retiree health insurance policy will split the cost 50/50 -
correct answer- Answer: C) Her current
employer's health insurance policy


Rationale: The COB rules state the insurance plan that
covers an active employee is primary over the plan that
covers a laid-off or retired employee.

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