CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
1. which of the different models of HMO groups gath-
C ers together doctors in private practice and other
health-care providers to deliver health care to their
en- rollees, allowing referrals and also allowing the
health care providers to work outside the group?
a. staff model HMO
b. group model HMO
c. network model HMO
d. individual practice association HMO
2. which model of HMO employs group of doctors to pro- B
vide a variety of health-care services to its
enrollees in on place and the doctors unanimously
decide how much each physician gets paid?
a. the network model of HMO
b. the group model of HMO
c. the IPA model of HMO
d. the employee model of HMO
3. what term best describes a certain amount of
money D each enrollee pays monthly to a
healthcare provider for prepackaged services?
a. a carve-out
b. a decapitation
c. a point-of service plan
d. a capitation
4. which of the following is true concerning a B
point-of-service plan?
a. the enrollee cannot be treated by a health-
care provider that is not part of the network
, CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
b. using a health-care provider that is part of the
net- work attracts certain benefits
c. deductibles, premiums and coinsurances are
usual- ly cheaper for point-of-service plans
d. the point-of-service plan is not a type of
managed care
5. which of the following is a method of
reimbursement A in which health-care providers
are paid separately for each service as opposed to
receiving a fixed sum for health-care coverage?
a. fee-for-service
b. case rates
c. capitation
d. carve out
6. which of the following is true concerning Health Main- B
tenance Organizations?
a. the individual practice association model is not
one of the four types of HMOs
b. all health-care services, except emergencies,
have to be routed through the primary care
physicians for the HMO to make payment
c. HMOs pay only for health-care services delivered
by primary care physicians
d. HMOs are not a kind of managed care plan
7. all of the following are acute disease conditions ex- C
cept?
a. appendicitis
b. common cold
, CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
c. diabetes
d. UTIs
8. which of the following is true concerning chronic dis- B
ease conditions?
a. they usually last a minimum of two weeks and
are self-limiting
b. chronic diseases can result from acute disease
con- ditions
c. only a few chronic diseases do not have a cure
d. a respiratory tract infection is usually a chronic
dis- ease condition
9. in managing a patient with a chronic disease, which of A
the following is the responsibility of the CCM?
a. finding out if the patient will need home care
after discharge
b. ensuring that the patient gets the best rooms
when admitted
c. covering the cost of the patient's hospital bill
after the person has paid for the first 14 days
d. facilitating the feeding of the patient while the
per- son is admitted and after discharge
10. physical disability can affect all of the following ex- C
cept?
a. patient's development
b. patient's education
c. patient's blood levels
d. patient's rehabilitation
11. D
, CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
which of the following is a situation that can arise for
patients with multiple chronic illnesses?
a. ineffective treatment from different specialists
as a result of a dearth of communication
b. negligible cost of treatment
c. no need for case management
d. use of different medications for the different
health conditions, resulting in drug interactions
12. According to the chronic care model, which of the
D following is not part of the essential components
for high quality chronic disease care?
A. Clinical information systems
B. The community
C. The health system
D. Transportation and communication systems
13. The presence of more than two chronic diseases
af-
B fecting more than two systems of the body all in
one individual can be described as?
A. Comorbidity
B. Multimorbidity
C. Multisystemic morbidity
D. Anti-pole morbidity
14. Which of the following is most likely a problem of C
living with multiple chronic illnesses?
A. Excellent physical fitness
B. Improved quality of life
C. Psychological distress
D. Legal quandaries
2025-2026
Passed |
1. which of the different models of HMO groups gath-
C ers together doctors in private practice and other
health-care providers to deliver health care to their
en- rollees, allowing referrals and also allowing the
health care providers to work outside the group?
a. staff model HMO
b. group model HMO
c. network model HMO
d. individual practice association HMO
2. which model of HMO employs group of doctors to pro- B
vide a variety of health-care services to its
enrollees in on place and the doctors unanimously
decide how much each physician gets paid?
a. the network model of HMO
b. the group model of HMO
c. the IPA model of HMO
d. the employee model of HMO
3. what term best describes a certain amount of
money D each enrollee pays monthly to a
healthcare provider for prepackaged services?
a. a carve-out
b. a decapitation
c. a point-of service plan
d. a capitation
4. which of the following is true concerning a B
point-of-service plan?
a. the enrollee cannot be treated by a health-
care provider that is not part of the network
, CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
b. using a health-care provider that is part of the
net- work attracts certain benefits
c. deductibles, premiums and coinsurances are
usual- ly cheaper for point-of-service plans
d. the point-of-service plan is not a type of
managed care
5. which of the following is a method of
reimbursement A in which health-care providers
are paid separately for each service as opposed to
receiving a fixed sum for health-care coverage?
a. fee-for-service
b. case rates
c. capitation
d. carve out
6. which of the following is true concerning Health Main- B
tenance Organizations?
a. the individual practice association model is not
one of the four types of HMOs
b. all health-care services, except emergencies,
have to be routed through the primary care
physicians for the HMO to make payment
c. HMOs pay only for health-care services delivered
by primary care physicians
d. HMOs are not a kind of managed care plan
7. all of the following are acute disease conditions ex- C
cept?
a. appendicitis
b. common cold
, CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
c. diabetes
d. UTIs
8. which of the following is true concerning chronic dis- B
ease conditions?
a. they usually last a minimum of two weeks and
are self-limiting
b. chronic diseases can result from acute disease
con- ditions
c. only a few chronic diseases do not have a cure
d. a respiratory tract infection is usually a chronic
dis- ease condition
9. in managing a patient with a chronic disease, which of A
the following is the responsibility of the CCM?
a. finding out if the patient will need home care
after discharge
b. ensuring that the patient gets the best rooms
when admitted
c. covering the cost of the patient's hospital bill
after the person has paid for the first 14 days
d. facilitating the feeding of the patient while the
per- son is admitted and after discharge
10. physical disability can affect all of the following ex- C
cept?
a. patient's development
b. patient's education
c. patient's blood levels
d. patient's rehabilitation
11. D
, CCM Certification Practice Exam Questions And Answers Already
2025-2026
Passed |
which of the following is a situation that can arise for
patients with multiple chronic illnesses?
a. ineffective treatment from different specialists
as a result of a dearth of communication
b. negligible cost of treatment
c. no need for case management
d. use of different medications for the different
health conditions, resulting in drug interactions
12. According to the chronic care model, which of the
D following is not part of the essential components
for high quality chronic disease care?
A. Clinical information systems
B. The community
C. The health system
D. Transportation and communication systems
13. The presence of more than two chronic diseases
af-
B fecting more than two systems of the body all in
one individual can be described as?
A. Comorbidity
B. Multimorbidity
C. Multisystemic morbidity
D. Anti-pole morbidity
14. Which of the following is most likely a problem of C
living with multiple chronic illnesses?
A. Excellent physical fitness
B. Improved quality of life
C. Psychological distress
D. Legal quandaries
