CCM CERTIFICATION PREP PACKAGE EXAM
PREP STUDY GUIDE 2026 COMPLETE
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ Medicare . Answer: A federal program of health insurance for
persons 65 years of age and older, certain younger people with
disabilities and people with ESRD; pays under prospective pay system.
◉ Medicare Part A . Answer: Inpatient Acute care, critical care,
inpatient rehab, skilled nursing, hospice, some home health care
◉ Medicare Part B . Answer: MD services, outpatient services, some
home health, DME, ER care, outpatient PT/OT, labs
◉ Medicare Part C is also called . Answer: Medicare Advantage Plan
(private insurance through HMO, PPO etc)
◉ Nonmaleficence . Answer: Do no harm
,◉ Client activation . Answer: Describes the knowledge, skills, ability,
willingness, and confidence a person has to allow him or her to become
actively engaged in their own health needs
◉ Health coaching . Answer: Secondary prevention; already suffering
from chronic didease (ie. disease management)
◉ Client engagement . Answer: Builds on client activation with
behaviors like maintaining health and diet. Activation= tools and
engagement= using tools
◉ indemnity . Answer: Benefits in the form of cash payments rather
those services. Hospital bills patient and then insurance pays patient.
Aka fee for service
◉ vocational rehabilitation . Answer: a government service that
provides training, career counseling, and job placement (Diverse
Options)
◉ Health literacy . Answer: The ability to obtain, communicate,
process,
and understand and make basic health information. Signs that a patient
may have low health literacy include making statements that another
family member handles their medications, or deferring questions about
their health history to a family member. Asking the client questions such
as "Are you confident filling out medical forms by yourself?" and "How
,well do you understand your medical conditions?" are ways that the case
manager assess for a patients health literacy
◉ In regard to the psychosocial aspects of chronic illness and disability
it is important for the case manager to know: . Answer: The more self-
efficacy a client has, the more likely he or she will persevere when
obstacles arise.
◉ Maximum medical improvement . Answer: States further treatment
will not substantively change the medical outcome.
◉ transferable skills analysis . Answer: Assessed current and projected
employment based on skills, abilities, and aptitude of client
◉ Vocational rehab . Answer: Job requirements must be the focus, not
individual worker's skills
◉ work hardening . Answer: therapy designed to simulate real job
duties in order to build up strength and improve endurance 3-5/wk with
a goal to return to work
◉ essential job functions . Answer: Job duties and responsibilities that
are the reasons for the job's existence (aka basic fundamental duties)
, ◉ Work adjustment . Answer: Focus is on attitude, behavioral and
social skills for clients with behavior health issues. Goal is to improve
problems preventing employment
◉ Transitional work duty . Answer: Able to work but not regular job
function; work at lower level until able to transition back to regular job.
◉ FMLA . Answer: Family and Medical Leave Act is not a source of
income, but it protects a employee's job
◉ Ticket to work program . Answer: a program that helps people with
disabilities get back to work
◉ Job Modification . Answer: Across the board change to the job
description, targeting skills.
◉ job accommodations . Answer: things that help workers with
disabilities to do their jobs
◉ code of ethics . Answer: a formal statement of ethical principles and
rules of conduct; CM's primary obligation- the client
◉ Goal of risk management . Answer: Reduce adverse events, decrease
malpractice claims, and minimize finical loss.
PREP STUDY GUIDE 2026 COMPLETE
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ Medicare . Answer: A federal program of health insurance for
persons 65 years of age and older, certain younger people with
disabilities and people with ESRD; pays under prospective pay system.
◉ Medicare Part A . Answer: Inpatient Acute care, critical care,
inpatient rehab, skilled nursing, hospice, some home health care
◉ Medicare Part B . Answer: MD services, outpatient services, some
home health, DME, ER care, outpatient PT/OT, labs
◉ Medicare Part C is also called . Answer: Medicare Advantage Plan
(private insurance through HMO, PPO etc)
◉ Nonmaleficence . Answer: Do no harm
,◉ Client activation . Answer: Describes the knowledge, skills, ability,
willingness, and confidence a person has to allow him or her to become
actively engaged in their own health needs
◉ Health coaching . Answer: Secondary prevention; already suffering
from chronic didease (ie. disease management)
◉ Client engagement . Answer: Builds on client activation with
behaviors like maintaining health and diet. Activation= tools and
engagement= using tools
◉ indemnity . Answer: Benefits in the form of cash payments rather
those services. Hospital bills patient and then insurance pays patient.
Aka fee for service
◉ vocational rehabilitation . Answer: a government service that
provides training, career counseling, and job placement (Diverse
Options)
◉ Health literacy . Answer: The ability to obtain, communicate,
process,
and understand and make basic health information. Signs that a patient
may have low health literacy include making statements that another
family member handles their medications, or deferring questions about
their health history to a family member. Asking the client questions such
as "Are you confident filling out medical forms by yourself?" and "How
,well do you understand your medical conditions?" are ways that the case
manager assess for a patients health literacy
◉ In regard to the psychosocial aspects of chronic illness and disability
it is important for the case manager to know: . Answer: The more self-
efficacy a client has, the more likely he or she will persevere when
obstacles arise.
◉ Maximum medical improvement . Answer: States further treatment
will not substantively change the medical outcome.
◉ transferable skills analysis . Answer: Assessed current and projected
employment based on skills, abilities, and aptitude of client
◉ Vocational rehab . Answer: Job requirements must be the focus, not
individual worker's skills
◉ work hardening . Answer: therapy designed to simulate real job
duties in order to build up strength and improve endurance 3-5/wk with
a goal to return to work
◉ essential job functions . Answer: Job duties and responsibilities that
are the reasons for the job's existence (aka basic fundamental duties)
, ◉ Work adjustment . Answer: Focus is on attitude, behavioral and
social skills for clients with behavior health issues. Goal is to improve
problems preventing employment
◉ Transitional work duty . Answer: Able to work but not regular job
function; work at lower level until able to transition back to regular job.
◉ FMLA . Answer: Family and Medical Leave Act is not a source of
income, but it protects a employee's job
◉ Ticket to work program . Answer: a program that helps people with
disabilities get back to work
◉ Job Modification . Answer: Across the board change to the job
description, targeting skills.
◉ job accommodations . Answer: things that help workers with
disabilities to do their jobs
◉ code of ethics . Answer: a formal statement of ethical principles and
rules of conduct; CM's primary obligation- the client
◉ Goal of risk management . Answer: Reduce adverse events, decrease
malpractice claims, and minimize finical loss.
