©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
CCM Exam Questions And Answers 2025
Update.
Which of these is a setting a case manager may work in?
A. Hospital
B. Worker's compensation
C. Neither
D. Both - Answer✔D. Both
Which is not an attribute of an aggressive negotiation style?
A. Manipulation
B. Frequent successful outcomes
C. Unwillingness to make concessions
D. Excessive demands - Answer✔B. Frequent successful outcomes
What is the difference between ADL's and Instrumental Activities of Daily Living (IADL's)?
A. ADL's are more challenging skills
B. The IADLs are more challenging skills
C. The IADLs are meant to be done in a group setting
D. The IADLs involve personal grooming. - Answer✔B. The IADL's are more challenging skills.
Which evaluative tool can be used to identify depression in patients?
A. Tricare
B. Diagnostic and Statistical Manual of Mental Disorders (DSM)
C. Patient Health Questionnaire-9 (PHQ-9)
D. Utilization Review Accreditation Commission (URAC) - Answer✔C. PHQ-9
1
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
Which of these describes acute diseases?
A. Rapid onset and duration over six months.
B. Rapid onset and a short duration.
C. Inherited condition that can be cured.
D. Incurable but may or may not be inherited. - Answer✔B. Rapid onset and a short duration.
When must a case manager review a client's medications?
A. When she first obtains the case.
B. After every time the client is hospitalized.
C. After every time the client visits the doctor.
D. All of the above. - Answer✔D. All of the above
Which case management step involves reviewing information to decide a patient's
appropriateness for case management services?
A. Case Planning
B. Assessment
C. Stratifying Risk
D. Screening - Answer✔D. Screening
Which important activity should be included during the transitioning step of the case
management process?
A. Assessing whether the client is ready for transfer to another level of care.
B. Assessing the effectiveness of the case management plan.
C. Assessing the patient's knowledge of their health conditions.
D. Assessing the patient's belief in self-efficacy. - Answer✔A. Assessing whether the client is
ready for transfer to another level of care.
Which assessment tool evaluates areas of function for self-care?
A. Activities of Daily Living (ADL)
B. Behavioral Assessment
C. Patient Health Questionnaire
D. Health Risk Assessment - Answer✔A. Activities of Daily Living (ADL)
2
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
What assessment tool is used to pre-screen patients for depression?
A. PHQ-9
B. Instrumental Activities of Daily Living
c. PHQ-2
D. Wellness screenings - Answer✔C. PHQ-2
Case manager Mary is preparing to move her patient from an acute hospital setting to a skilled
nursing facility. What should Mary keep in mind during this transition of care?
A. Her patient needs to understand the reason for moving to another level of care.
B. Her patient needs to have all their medications with them.
C. Her patient is at risk for adverse outcomes.
D. Her patient needs to be educated on self-management. - Answer✔C. Her patient is at risk for
adverse outcomes.
What best describes the role of an Interdisciplinary team?
A. Work in a group to manage a patient's transition of care.
B. Work in a group to develop policies and processes of patient care.
C. Work in a group to review adverse events of care.
D. Work in a group to manage the physical, psychological, and spiritual needs of the patient. -
Answer✔D. Work in a group to manage the physical, psychological, and spiritual needs of the
patient.
Hospice care provides:
A. End of life care for only Medicare patients with a terminal illness.
B. End of life care, including palliative care, to patients with a terminal illness.
C. End of life care that excludes palliative care to patients with a terminal illness.
D. End of life care for only Medicaid patients with a terminal illness. - Answer✔B. End of life
care, including palliative care, to patients with a terminal illness.
Which statement about Social Security Disability Income (SSDI) is true?
A. It is a needs-based benefit.
B. There is no waiting period.
C. It is funded by Social Security taxes paid by workers and employers.
3
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
D. Eligibility is based on income. - Answer✔C. It is funded by Social Security taxes paid by
workers and employers.
Coordination of benefits is designed to:
A. Maximized benefits to patients.
B. Provide a reimbursement methodology when there is more than one payment source.
C. Provide a replacement for lost wages as well as medical coverage.
D. Assure the contractual requirements for coverage are met. - Answer✔B. Provide a
reimbursement methodology when there is more than one payment source.
Which of the following is not a payment methodology?
A. Fee for service
B. Prospective payment
C. Accountable care
D. Bundled case rate - Answer✔C. Accountable care
Selling a life insurance policy to a third party for cash is called a:
A. Reverse mortgage
B. Viatical settlement
C. Actuarial calculation
D. Accelerated death benefit - Answer✔B. Viatical settlement
Medicare Part D covers:
A. Home care
B. Inpatient rehab
C. Prescription medications
D. Outpatient PT/OT - Answer✔C. Prescription medications
Precertification is:
A. The process of applying for health insurance.
B. The required amount of time one must work before becoming eligible for coverage.
C. The waiting period for disability.
4
CCM Exam Questions And Answers 2025
Update.
Which of these is a setting a case manager may work in?
A. Hospital
B. Worker's compensation
C. Neither
D. Both - Answer✔D. Both
Which is not an attribute of an aggressive negotiation style?
A. Manipulation
B. Frequent successful outcomes
C. Unwillingness to make concessions
D. Excessive demands - Answer✔B. Frequent successful outcomes
What is the difference between ADL's and Instrumental Activities of Daily Living (IADL's)?
A. ADL's are more challenging skills
B. The IADLs are more challenging skills
C. The IADLs are meant to be done in a group setting
D. The IADLs involve personal grooming. - Answer✔B. The IADL's are more challenging skills.
Which evaluative tool can be used to identify depression in patients?
A. Tricare
B. Diagnostic and Statistical Manual of Mental Disorders (DSM)
C. Patient Health Questionnaire-9 (PHQ-9)
D. Utilization Review Accreditation Commission (URAC) - Answer✔C. PHQ-9
1
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
Which of these describes acute diseases?
A. Rapid onset and duration over six months.
B. Rapid onset and a short duration.
C. Inherited condition that can be cured.
D. Incurable but may or may not be inherited. - Answer✔B. Rapid onset and a short duration.
When must a case manager review a client's medications?
A. When she first obtains the case.
B. After every time the client is hospitalized.
C. After every time the client visits the doctor.
D. All of the above. - Answer✔D. All of the above
Which case management step involves reviewing information to decide a patient's
appropriateness for case management services?
A. Case Planning
B. Assessment
C. Stratifying Risk
D. Screening - Answer✔D. Screening
Which important activity should be included during the transitioning step of the case
management process?
A. Assessing whether the client is ready for transfer to another level of care.
B. Assessing the effectiveness of the case management plan.
C. Assessing the patient's knowledge of their health conditions.
D. Assessing the patient's belief in self-efficacy. - Answer✔A. Assessing whether the client is
ready for transfer to another level of care.
Which assessment tool evaluates areas of function for self-care?
A. Activities of Daily Living (ADL)
B. Behavioral Assessment
C. Patient Health Questionnaire
D. Health Risk Assessment - Answer✔A. Activities of Daily Living (ADL)
2
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
What assessment tool is used to pre-screen patients for depression?
A. PHQ-9
B. Instrumental Activities of Daily Living
c. PHQ-2
D. Wellness screenings - Answer✔C. PHQ-2
Case manager Mary is preparing to move her patient from an acute hospital setting to a skilled
nursing facility. What should Mary keep in mind during this transition of care?
A. Her patient needs to understand the reason for moving to another level of care.
B. Her patient needs to have all their medications with them.
C. Her patient is at risk for adverse outcomes.
D. Her patient needs to be educated on self-management. - Answer✔C. Her patient is at risk for
adverse outcomes.
What best describes the role of an Interdisciplinary team?
A. Work in a group to manage a patient's transition of care.
B. Work in a group to develop policies and processes of patient care.
C. Work in a group to review adverse events of care.
D. Work in a group to manage the physical, psychological, and spiritual needs of the patient. -
Answer✔D. Work in a group to manage the physical, psychological, and spiritual needs of the
patient.
Hospice care provides:
A. End of life care for only Medicare patients with a terminal illness.
B. End of life care, including palliative care, to patients with a terminal illness.
C. End of life care that excludes palliative care to patients with a terminal illness.
D. End of life care for only Medicaid patients with a terminal illness. - Answer✔B. End of life
care, including palliative care, to patients with a terminal illness.
Which statement about Social Security Disability Income (SSDI) is true?
A. It is a needs-based benefit.
B. There is no waiting period.
C. It is funded by Social Security taxes paid by workers and employers.
3
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:52PM.
D. Eligibility is based on income. - Answer✔C. It is funded by Social Security taxes paid by
workers and employers.
Coordination of benefits is designed to:
A. Maximized benefits to patients.
B. Provide a reimbursement methodology when there is more than one payment source.
C. Provide a replacement for lost wages as well as medical coverage.
D. Assure the contractual requirements for coverage are met. - Answer✔B. Provide a
reimbursement methodology when there is more than one payment source.
Which of the following is not a payment methodology?
A. Fee for service
B. Prospective payment
C. Accountable care
D. Bundled case rate - Answer✔C. Accountable care
Selling a life insurance policy to a third party for cash is called a:
A. Reverse mortgage
B. Viatical settlement
C. Actuarial calculation
D. Accelerated death benefit - Answer✔B. Viatical settlement
Medicare Part D covers:
A. Home care
B. Inpatient rehab
C. Prescription medications
D. Outpatient PT/OT - Answer✔C. Prescription medications
Precertification is:
A. The process of applying for health insurance.
B. The required amount of time one must work before becoming eligible for coverage.
C. The waiting period for disability.
4
