7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
Case Manager Certification Exam 2026–
2027 | Complete CCM Study Guide | 500+
Practice Questions & Verified Answers |
Care Coordination, Medicare, Case
Management & Evidence-Based Practice.
case management
the dynamic and systematic collaborative approach to providing and
coordinating health care services to a defined population.
- participative process to identify and facility options and services for meeting
individual healthcare needs while decreasing fragmentation and duplication of
care and increasing quality and cost effective clinical outcomes.
standards of care
parameters to measure the quality of healthcare
clinical guidelines
statements to help make decisions about health specific circumstances.
clinical pathway
structured multi-disciplined plan of care to support clinical guidelines and
protocol to improve continuity and coordination.
4 parts of clinical pathway
1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance
tracking are 4
parts of what?
decision tree
used to select the best course of action in decisions where there is no clear
decisions.
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,7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
descriptive screening tool
identifies characteristics about a population to show health prevention.
predictive screening tool
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,7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
shows what may happen to a specific population.
evaluative screening tool
evaluates the understanding/effectiveness
SF-36
predictive screening tool to assess functional health and well being. Assesses
physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure
13 item predictive screening tool to evaluate patient's knowledge, skills,
confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment
predictive screening tool: patient's self assessment of their health and how
likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q
health risk assessment for angina, MI, coronary heart disease.
defined angina pectoris as, "a chest pain or discomfort with these
characteristics:
(a) the site must include either the sternum (any level) or the left arm and
left anterior chest (defined as the anterior chest wall between the levels of
clavicle and lower end of sternum),
(b)it must be provoked by either hurrying or walking uphill (or by walking on
the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken
pace, unless nitroglycerin is taken, (d) it must disappear on a majority of
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, 7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
occasions in 10 min or less from the time when the subject stands still."
4/46
AM
Case Manager Certification Exam 2026–
2027 | Complete CCM Study Guide | 500+
Practice Questions & Verified Answers |
Care Coordination, Medicare, Case
Management & Evidence-Based Practice.
case management
the dynamic and systematic collaborative approach to providing and
coordinating health care services to a defined population.
- participative process to identify and facility options and services for meeting
individual healthcare needs while decreasing fragmentation and duplication of
care and increasing quality and cost effective clinical outcomes.
standards of care
parameters to measure the quality of healthcare
clinical guidelines
statements to help make decisions about health specific circumstances.
clinical pathway
structured multi-disciplined plan of care to support clinical guidelines and
protocol to improve continuity and coordination.
4 parts of clinical pathway
1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance
tracking are 4
parts of what?
decision tree
used to select the best course of action in decisions where there is no clear
decisions.
1/46
,7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
descriptive screening tool
identifies characteristics about a population to show health prevention.
predictive screening tool
2/46
,7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
shows what may happen to a specific population.
evaluative screening tool
evaluates the understanding/effectiveness
SF-36
predictive screening tool to assess functional health and well being. Assesses
physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure
13 item predictive screening tool to evaluate patient's knowledge, skills,
confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment
predictive screening tool: patient's self assessment of their health and how
likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q
health risk assessment for angina, MI, coronary heart disease.
defined angina pectoris as, "a chest pain or discomfort with these
characteristics:
(a) the site must include either the sternum (any level) or the left arm and
left anterior chest (defined as the anterior chest wall between the levels of
clavicle and lower end of sternum),
(b)it must be provoked by either hurrying or walking uphill (or by walking on
the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken
pace, unless nitroglycerin is taken, (d) it must disappear on a majority of
3/46
, 7/8/26, 5:20 FAC-C CERTIFICATION EXAM
AM
occasions in 10 min or less from the time when the subject stands still."
4/46
