Care Management Physician
Certification (CMPC)ination Exam
Question 1. What is the primary goal of care management in a
healthcare setting?
A) Maximizing hospital revenue
B) Improving patient health outcomes while managing costs
C) Reducing the number of employed staff
D) Increasing hospital length of stay
Answer: B
Explanation: The core purpose of care management is to optimize
patient outcomes, coordinate care, and contain costs by ensuring
appropriate, efficient, and effective care delivery.
Question 2. Which model is characterized by comprehensive,
coordinated care centered on the patient and often involves a primary
care physician?
,Care Management Physician
Certification (CMPC)ination Exam
A) Accountable care organization (ACO)
B) Patient-centered medical home (PCMH)
C) Fee-for-service
D) Capitation model
Answer: B
Explanation: The PCMH is designed around the patient with a focus on
comprehensive, coordinated primary care, often led by a primary care
physician.
Question 3. What is the main role of the physician advisor in care
management?
A) Performing surgeries
B) Directing nursing staff
,Care Management Physician
Certification (CMPC)ination Exam
C) Providing clinical expertise and guidance on utilization and
documentation
D) Managing hospital finances
Answer: C
Explanation: The physician advisor supports care management teams by
offering clinical expertise on utilization review, documentation,
regulations, and appeals.
Question 4. Which of the following best describes interdisciplinary care
team collaboration?
A) Physicians work alone
B) Only nurses collaborate
C) Multiple healthcare professionals work together to achieve optimal
patient outcomes
, Care Management Physician
Certification (CMPC)ination Exam
D) Only administrative staff are involved
Answer: C
Explanation: Interdisciplinary collaboration involves physicians, nurses,
pharmacists, social workers, and others working together to coordinate
care.
Question 5. The primary difference between value-based care and fee-
for-service is:
A) Value-based care rewards quality; fee-for-service rewards quantity
B) Value-based care is illegal; fee-for-service is legal
C) Value-based care is only for pediatric patients
D) Fee-for-service is less expensive
Answer: A
Certification (CMPC)ination Exam
Question 1. What is the primary goal of care management in a
healthcare setting?
A) Maximizing hospital revenue
B) Improving patient health outcomes while managing costs
C) Reducing the number of employed staff
D) Increasing hospital length of stay
Answer: B
Explanation: The core purpose of care management is to optimize
patient outcomes, coordinate care, and contain costs by ensuring
appropriate, efficient, and effective care delivery.
Question 2. Which model is characterized by comprehensive,
coordinated care centered on the patient and often involves a primary
care physician?
,Care Management Physician
Certification (CMPC)ination Exam
A) Accountable care organization (ACO)
B) Patient-centered medical home (PCMH)
C) Fee-for-service
D) Capitation model
Answer: B
Explanation: The PCMH is designed around the patient with a focus on
comprehensive, coordinated primary care, often led by a primary care
physician.
Question 3. What is the main role of the physician advisor in care
management?
A) Performing surgeries
B) Directing nursing staff
,Care Management Physician
Certification (CMPC)ination Exam
C) Providing clinical expertise and guidance on utilization and
documentation
D) Managing hospital finances
Answer: C
Explanation: The physician advisor supports care management teams by
offering clinical expertise on utilization review, documentation,
regulations, and appeals.
Question 4. Which of the following best describes interdisciplinary care
team collaboration?
A) Physicians work alone
B) Only nurses collaborate
C) Multiple healthcare professionals work together to achieve optimal
patient outcomes
, Care Management Physician
Certification (CMPC)ination Exam
D) Only administrative staff are involved
Answer: C
Explanation: Interdisciplinary collaboration involves physicians, nurses,
pharmacists, social workers, and others working together to coordinate
care.
Question 5. The primary difference between value-based care and fee-
for-service is:
A) Value-based care rewards quality; fee-for-service rewards quantity
B) Value-based care is illegal; fee-for-service is legal
C) Value-based care is only for pediatric patients
D) Fee-for-service is less expensive
Answer: A
