CCM EXAM SECRETS PRACTICE
TEST EXAM WITH VERIFIED
QUESTIONS AND ANSWERS GRADED
A+ 2025/2026
Which evaluation would you perform to determine if a client has the capability to return to
work?
A. Pain tolerance evaluation.
B. Functional capacity evaluation.
C. Disability evaluation.
D. Evaluation by client interview. - CORRECT ANSWER-B. The functional capacity exam is a
process of assessing a persons, physical and functional abilities to perform task. The
patients performance level should match the demands of the occupation and question.
The purpose of the exam is to determine if a patient is ready to go back to work after an
injury.
Risk management is a sub domain of which of the following court case management
domains?
A. Psychosocial aspects.
Be. Healthcare management, and delivery.
C. Principles of practice.
D. Case management concepts. - CORRECT ANSWER-C. There are six domains for case
management practice. These include case management concepts, case management
principles, and practice strategy/practice, psychosocial and support systems, health
management, and delivery, healthcare, reimbursement, and vocational
concepts/strategies. Risk management is a sub domain of case management principles,
and practice/strategies.
,The case management process of documenting goals, objectives, and actions to meet a
clients needs is:
A. Assessment
B. Coordination.
C. Planning.
D. Monitoring. - CORRECT ANSWER-C. Planning is the process by which case manager,
documents, goals, objectives, and actions that will meet a clients needs. Assessment
entails gathering data about a client special needs and situation prior to forming a case
management plan. Coordination involves organization, modification, and documentation
of resources necessary to achieve goals. Set forth in the plan, and monitoring involves
securing information needed to gauge the effectiveness of the plan.
Which of the following is a major component of essential knowledge for case manager?
A. Healthcare reimbursement.
B. Moral character.
C. Independent practice principles.
D. Statistical analysis. - CORRECT ANSWER-A. Healthcare reimbursement is one of the
major categories of knowledge necessary for a case manager, because there are many
different reimbursement mechanisms available, depending upon the patients particular
situation.
The primary role of the case manager is to act as a:
A. Patient advocate.
B. Disease manager.
C. Utilization reviewer
D. Care plan creator - CORRECT ANSWER-A. Patient advocate is the best answer. Advocacy
is essential to a case managers daily practice. A case manager acts on behalf of clients
who may not be able to speak for themselves or who are not knowledgeable about
healthcare. Above all, the case manager should always have the clients best interest in
mind.
,Which model of healthcare decision-making best demonstrates the principle of
beneficence?
A. Patient sovereignty.
B. Paternalism
C. Shared decision-making.
D. Maternalism - CORRECT ANSWER-B. A relationship between healthcare practitioners
and patients is paternalistic and beneficial. This means that people trust the practitioner to
do what is in the best medical interest of the patient. Paternalism is justified in that patient
usually don't comprehend medical concepts well enough to make the correct decision
about their care. In the patient sovereignty model, the patient is open. "boss." In this case,
one could argue that the patient knows better than anyone else what is in his best interest.
Shared decision making means the healthcare team and the patient work together.
According to the standards of practice for case managers, there are four key functions of a
case manager. Which of the following is not one of the key functions?
A. Planner
B. Assessor.
See. Litigator.
D. Advocate. - CORRECT ANSWER-C. The four key functions of the case manager are
planner, assessor, facilitator, and advocate. A case manager must assess a situation to
identify problems that need case management. The case manager must also planned long
and short term goals, and collaboration with the client, the clients family, and with other
healthcare professionals. Facilitation includes coordinating and implementing the care
plan, maintaining communication, and expediting care. As an advocate, the case manager,
ensure that the clients needs are identified and addressed.
Nursing case management that is "within the walls" refers to which setting?
A. Outpatient setting.
B. Community clinic setting.
, See. Health maintenance organization (HMO).
D. Acute hospital setting - CORRECT ANSWER-D. The term "within the walls" (WTW) refers
to activities within the acute hospital environment. This is distinct from "beyond the walls"
(BTW), which refers to case management in outpatient and community settings.
A terminally ill. Client is exhausting, all financial resources to pay medical cost. The case
manager has suggested obtaining cash value on his life insurance policy prior to death.
This process is known as a:
a. Nontraditional policy.
B. Supplementary policy
C. Viatical settlement.
D. Gatekeeping. - CORRECT ANSWER-C. This scenario describes the process known as
viatical settlement, whereby a patient can obtain a cash value from a life insurance policy
prior to death. Answers a, B, and D are irrelevant to the situation.
A relationship, whereby a case manager act in a client best interest based on trust is known
as:
A. Fiduciary.
B. Ex parte.
C tort
D. Due diligence. - CORRECT ANSWER-A. A case manager establishes a relationship with a
client to advocate for his best interest. This makes the case manager a fiduciary. The term
ex parte refers to illegal, proceeding or a legal order. A tort, on the other hand, refers to a
wrongful act performed will it fully. When a person investigates a business or personal
relationship prior to signing a contract, he is performing due diligence.
When a case manager refers a client to a specific provider, what type of relationship exist
between the case manager, and the provider?
A. Vicarious agency.
B. Advocate.
TEST EXAM WITH VERIFIED
QUESTIONS AND ANSWERS GRADED
A+ 2025/2026
Which evaluation would you perform to determine if a client has the capability to return to
work?
A. Pain tolerance evaluation.
B. Functional capacity evaluation.
C. Disability evaluation.
D. Evaluation by client interview. - CORRECT ANSWER-B. The functional capacity exam is a
process of assessing a persons, physical and functional abilities to perform task. The
patients performance level should match the demands of the occupation and question.
The purpose of the exam is to determine if a patient is ready to go back to work after an
injury.
Risk management is a sub domain of which of the following court case management
domains?
A. Psychosocial aspects.
Be. Healthcare management, and delivery.
C. Principles of practice.
D. Case management concepts. - CORRECT ANSWER-C. There are six domains for case
management practice. These include case management concepts, case management
principles, and practice strategy/practice, psychosocial and support systems, health
management, and delivery, healthcare, reimbursement, and vocational
concepts/strategies. Risk management is a sub domain of case management principles,
and practice/strategies.
,The case management process of documenting goals, objectives, and actions to meet a
clients needs is:
A. Assessment
B. Coordination.
C. Planning.
D. Monitoring. - CORRECT ANSWER-C. Planning is the process by which case manager,
documents, goals, objectives, and actions that will meet a clients needs. Assessment
entails gathering data about a client special needs and situation prior to forming a case
management plan. Coordination involves organization, modification, and documentation
of resources necessary to achieve goals. Set forth in the plan, and monitoring involves
securing information needed to gauge the effectiveness of the plan.
Which of the following is a major component of essential knowledge for case manager?
A. Healthcare reimbursement.
B. Moral character.
C. Independent practice principles.
D. Statistical analysis. - CORRECT ANSWER-A. Healthcare reimbursement is one of the
major categories of knowledge necessary for a case manager, because there are many
different reimbursement mechanisms available, depending upon the patients particular
situation.
The primary role of the case manager is to act as a:
A. Patient advocate.
B. Disease manager.
C. Utilization reviewer
D. Care plan creator - CORRECT ANSWER-A. Patient advocate is the best answer. Advocacy
is essential to a case managers daily practice. A case manager acts on behalf of clients
who may not be able to speak for themselves or who are not knowledgeable about
healthcare. Above all, the case manager should always have the clients best interest in
mind.
,Which model of healthcare decision-making best demonstrates the principle of
beneficence?
A. Patient sovereignty.
B. Paternalism
C. Shared decision-making.
D. Maternalism - CORRECT ANSWER-B. A relationship between healthcare practitioners
and patients is paternalistic and beneficial. This means that people trust the practitioner to
do what is in the best medical interest of the patient. Paternalism is justified in that patient
usually don't comprehend medical concepts well enough to make the correct decision
about their care. In the patient sovereignty model, the patient is open. "boss." In this case,
one could argue that the patient knows better than anyone else what is in his best interest.
Shared decision making means the healthcare team and the patient work together.
According to the standards of practice for case managers, there are four key functions of a
case manager. Which of the following is not one of the key functions?
A. Planner
B. Assessor.
See. Litigator.
D. Advocate. - CORRECT ANSWER-C. The four key functions of the case manager are
planner, assessor, facilitator, and advocate. A case manager must assess a situation to
identify problems that need case management. The case manager must also planned long
and short term goals, and collaboration with the client, the clients family, and with other
healthcare professionals. Facilitation includes coordinating and implementing the care
plan, maintaining communication, and expediting care. As an advocate, the case manager,
ensure that the clients needs are identified and addressed.
Nursing case management that is "within the walls" refers to which setting?
A. Outpatient setting.
B. Community clinic setting.
, See. Health maintenance organization (HMO).
D. Acute hospital setting - CORRECT ANSWER-D. The term "within the walls" (WTW) refers
to activities within the acute hospital environment. This is distinct from "beyond the walls"
(BTW), which refers to case management in outpatient and community settings.
A terminally ill. Client is exhausting, all financial resources to pay medical cost. The case
manager has suggested obtaining cash value on his life insurance policy prior to death.
This process is known as a:
a. Nontraditional policy.
B. Supplementary policy
C. Viatical settlement.
D. Gatekeeping. - CORRECT ANSWER-C. This scenario describes the process known as
viatical settlement, whereby a patient can obtain a cash value from a life insurance policy
prior to death. Answers a, B, and D are irrelevant to the situation.
A relationship, whereby a case manager act in a client best interest based on trust is known
as:
A. Fiduciary.
B. Ex parte.
C tort
D. Due diligence. - CORRECT ANSWER-A. A case manager establishes a relationship with a
client to advocate for his best interest. This makes the case manager a fiduciary. The term
ex parte refers to illegal, proceeding or a legal order. A tort, on the other hand, refers to a
wrongful act performed will it fully. When a person investigates a business or personal
relationship prior to signing a contract, he is performing due diligence.
When a case manager refers a client to a specific provider, what type of relationship exist
between the case manager, and the provider?
A. Vicarious agency.
B. Advocate.
