CCM EXAM PREP – ALL TOPICS 2026 |
COMPLETE CERTIFIED CASE MANAGER
STUDY GUIDE & PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Case management a collaborative process that assesses, plans, implements, coordinates, monitors
and evaluates the options and services required to meet the client's health and
human services needs.
Case Management Characteristics characterized by advocacy, communication, and resource management and
promotes quality and cost-effective interventions and outcomes.
Glagow Coma Scale Client assessment tool that measures level of coma in the acute phase of injury
it is an objective way of recording the conscious state of a person. Eye
opening, Best verbal, best motor. < 8 coma, 13-15 mild injury.
Strengths Based Model assesses clients capacities and potential resources as well as problems and
current unmet needs. Eliciting capacities and potential resources as well as
problems and current unmet needs.
,Independent Living Model sees a disability as a construct of society
Medicare Prospective Payment System hospitals paid a pre-determined rate for each Medicare admission. Each
patient is classified into a DRG.
PHQ-9 Client assessment tool for depression
Braden Scale Client assessment tool for pressure sore risk
Clinical Pathway Structured multidisciplinary CM plan designed to support the implementation
of specific clinical guidelines and protocols. They are maps that guide the
healthcare team on usual treatment patterns related to common diagnoses,
conditions and procedures e.g., CHF
SF-36 Client assessment tool to measure physical and mental health.
Medicare Established in 1965 under Title XVIII or Social Security Act. Four Parts A-hospital
insurance, B-medical insurance (doctors visits), C-Medicare Advantage
program in a private plan such as HMO, D-prescription drug benefit
Medicare Benefits and Cost Sharing Not covered are: Acupuncture, chiropractor, cosmetic, custodial home care,
dental care, DME convenience, hearing aids, eyeglasses, foot care, meals on
wheels, personal convenience, prescription drugs, private nurses, routine
physical, vision
, areas of accountability of case management clinical/outcome
financial
functional/outcome
satisfaction
behavior
process
*episode or continuum
**individual or population
Measuring performance: Process The measure of how many pts receive a treatment or service i.e. vaccinations,
screenings, ex. diabetic foot exam ALSO practitioner's practice conforming to
practice standards.
Measuring performance: Functional outcome The measure reflects the health state of a patient as a result of health care ex.
increased independency in ADLs, mobility
COMPLETE CERTIFIED CASE MANAGER
STUDY GUIDE & PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Case management a collaborative process that assesses, plans, implements, coordinates, monitors
and evaluates the options and services required to meet the client's health and
human services needs.
Case Management Characteristics characterized by advocacy, communication, and resource management and
promotes quality and cost-effective interventions and outcomes.
Glagow Coma Scale Client assessment tool that measures level of coma in the acute phase of injury
it is an objective way of recording the conscious state of a person. Eye
opening, Best verbal, best motor. < 8 coma, 13-15 mild injury.
Strengths Based Model assesses clients capacities and potential resources as well as problems and
current unmet needs. Eliciting capacities and potential resources as well as
problems and current unmet needs.
,Independent Living Model sees a disability as a construct of society
Medicare Prospective Payment System hospitals paid a pre-determined rate for each Medicare admission. Each
patient is classified into a DRG.
PHQ-9 Client assessment tool for depression
Braden Scale Client assessment tool for pressure sore risk
Clinical Pathway Structured multidisciplinary CM plan designed to support the implementation
of specific clinical guidelines and protocols. They are maps that guide the
healthcare team on usual treatment patterns related to common diagnoses,
conditions and procedures e.g., CHF
SF-36 Client assessment tool to measure physical and mental health.
Medicare Established in 1965 under Title XVIII or Social Security Act. Four Parts A-hospital
insurance, B-medical insurance (doctors visits), C-Medicare Advantage
program in a private plan such as HMO, D-prescription drug benefit
Medicare Benefits and Cost Sharing Not covered are: Acupuncture, chiropractor, cosmetic, custodial home care,
dental care, DME convenience, hearing aids, eyeglasses, foot care, meals on
wheels, personal convenience, prescription drugs, private nurses, routine
physical, vision
, areas of accountability of case management clinical/outcome
financial
functional/outcome
satisfaction
behavior
process
*episode or continuum
**individual or population
Measuring performance: Process The measure of how many pts receive a treatment or service i.e. vaccinations,
screenings, ex. diabetic foot exam ALSO practitioner's practice conforming to
practice standards.
Measuring performance: Functional outcome The measure reflects the health state of a patient as a result of health care ex.
increased independency in ADLs, mobility
