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CCMC CERTIFICATION WITH COMPLETE SOLUTIONS 100% 2023/2024
CCMC CERTIFICATION WITH COMPLETE SOLUTIONS 100% 2023/2024 
AAPM&R 
American Academy of Physical Medicine and Rehabilitation 
 
 
Access to Care 
The ability and ease of clients to obtain healthcare when they need it. 
 
 
Accessible 
A term used to denote building facilities that are barrier-free thus enabling all members of society safe access, including persons with physical disabilities. 
 
 
Accountable Care Organization (ACO) 
A set of healthcare providers including primary care physicians,...
- Exam (elaborations)
- • 11 pages •
CCMC CERTIFICATION WITH COMPLETE SOLUTIONS 100% 2023/2024 
AAPM&R 
American Academy of Physical Medicine and Rehabilitation 
 
 
Access to Care 
The ability and ease of clients to obtain healthcare when they need it. 
 
 
Accessible 
A term used to denote building facilities that are barrier-free thus enabling all members of society safe access, including persons with physical disabilities. 
 
 
Accountable Care Organization (ACO) 
A set of healthcare providers including primary care physicians,...
CCM2019 PRACTICE QUESTIONS FOR TEST. WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM2019 PRACTICE QUESTIONS FOR TEST. WITH COMPLETE SOLUTIONS 100% 2023/2024 
Diagnostic related groups were developed to: 
Pay hospital rate. 
 
 
To coordinate cost effective quality homecare products and services the case manager should: 
Critically assess providers 
 
 
A type of health care insurance that covers out of pocket cost for Medicare covered services is: 
Medigap 
 
 
Which of the following statements best defines return on investment ROÍ? 
The ratio of care cost to savings. 
 
 
...
- Exam (elaborations)
- • 16 pages •
CCM2019 PRACTICE QUESTIONS FOR TEST. WITH COMPLETE SOLUTIONS 100% 2023/2024 
Diagnostic related groups were developed to: 
Pay hospital rate. 
 
 
To coordinate cost effective quality homecare products and services the case manager should: 
Critically assess providers 
 
 
A type of health care insurance that covers out of pocket cost for Medicare covered services is: 
Medigap 
 
 
Which of the following statements best defines return on investment ROÍ? 
The ratio of care cost to savings. 
 
 
...
CCM WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM WITH COMPLETE SOLUTIONS 100% 2023/2024 
HMO 
health maintenance organization 
 
 
ACO 
Accountable Care Organization 
 
 
Viatical Settlements 
ability to sell own insurance policy 
 
 
CHAMPVA 
Civilian Health and Medical Program of the Veterans Administrationtr 
 
 
CHAMPVA for Life 
provides healthcare benefits to families of permanently disabled veterans, or killed in line of duty, not eligible for tricare. Covers 65 or older, is a Medicare supplement. 
 
 
TRICARE 
is a U.S. government ...
- Exam (elaborations)
- • 24 pages •
CCM WITH COMPLETE SOLUTIONS 100% 2023/2024 
HMO 
health maintenance organization 
 
 
ACO 
Accountable Care Organization 
 
 
Viatical Settlements 
ability to sell own insurance policy 
 
 
CHAMPVA 
Civilian Health and Medical Program of the Veterans Administrationtr 
 
 
CHAMPVA for Life 
provides healthcare benefits to families of permanently disabled veterans, or killed in line of duty, not eligible for tricare. Covers 65 or older, is a Medicare supplement. 
 
 
TRICARE 
is a U.S. government ...
CCM TEST REVIEW WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM TEST REVIEW WITH COMPLETE SOLUTIONS 100% 2023/2024 
A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make ? 
"I think that you feel that your treatments is not effective" 
 
 
A medical assistant should use which of the following solutions to prepare a pt skin prior to drawing blood cultures ? 
Chlorhexidine 
 
 
A MA is obtaining a blood pressu...
- Exam (elaborations)
- • 21 pages •
CCM TEST REVIEW WITH COMPLETE SOLUTIONS 100% 2023/2024 
A patient tells a medical assistant that his provider's office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make ? 
"I think that you feel that your treatments is not effective" 
 
 
A medical assistant should use which of the following solutions to prepare a pt skin prior to drawing blood cultures ? 
Chlorhexidine 
 
 
A MA is obtaining a blood pressu...
CCM PRACTICE TEST WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM PRACTICE TEST WITH COMPLETE SOLUTIONS 100% 2023/2024 
Managed Care 
Systems-oriented and involves the management of various benefits of health insurance plans 
 
 
 
The evaluation and case closure domain of case management involves 
Reporting termination to services to stakeholders 
 
 
 
One purpose of case management practice is 
To promote informed decision-making by the patient and others by interjecting objectivity and information 
 
 
 
Acute Care Case Management Model 
NCM Identifies...
- Exam (elaborations)
- • 2 pages •
CCM PRACTICE TEST WITH COMPLETE SOLUTIONS 100% 2023/2024 
Managed Care 
Systems-oriented and involves the management of various benefits of health insurance plans 
 
 
 
The evaluation and case closure domain of case management involves 
Reporting termination to services to stakeholders 
 
 
 
One purpose of case management practice is 
To promote informed decision-making by the patient and others by interjecting objectivity and information 
 
 
 
Acute Care Case Management Model 
NCM Identifies...
CCM PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 
how CM to present recommendations 
in an advisory capacity without ultimatum 
 
 
retrospective chart reviews 
take most of the case manager's time 
 
 
depressed fracture 
when a part of the skull is pushed downward from impact 
 
 
outcomes criteria of CM used for 
to educate clients about factors that are consequential 
 
 
BIll of Particulars 
an extensive complaint, where the plaintiff can acquire detailed information 
 
 
prin...
- Exam (elaborations)
- • 2 pages •
CCM PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 
how CM to present recommendations 
in an advisory capacity without ultimatum 
 
 
retrospective chart reviews 
take most of the case manager's time 
 
 
depressed fracture 
when a part of the skull is pushed downward from impact 
 
 
outcomes criteria of CM used for 
to educate clients about factors that are consequential 
 
 
BIll of Particulars 
an extensive complaint, where the plaintiff can acquire detailed information 
 
 
prin...
CCM PRACTICE ABI QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 Answer:
CCM PRACTICE ABI QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 
Answer: A) Care coordination 
 
The case manager links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. This approach achieves optimum value and desirable outcomes for all—the clients, their support systems, the providers, and the payers. All four a...
- Exam (elaborations)
- • 9 pages •
CCM PRACTICE ABI QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 
Answer: A) Care coordination 
 
The case manager links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. This approach achieves optimum value and desirable outcomes for all—the clients, their support systems, the providers, and the payers. All four a...
CCM MULTIPLE CHOICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM MULTIPLE CHOICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 
All of the following are true regarding coordination of benefits (COB) except: 
A) COB prevents double payment for services when a subscriber has health insurance coverage from two or more sources. 
B) COB is voluntary. 
C) COB determines which insurer pays first when the insured is covered under more than one health insurance policy. 
D) COB coordinates workers' compensation with health insurance coverage. 
Answer: D) COB co...
- Exam (elaborations)
- • 5 pages •
CCM MULTIPLE CHOICE QUESTIONS WITH COMPLETE SOLUTIONS 100% 2023/2024 
All of the following are true regarding coordination of benefits (COB) except: 
A) COB prevents double payment for services when a subscriber has health insurance coverage from two or more sources. 
B) COB is voluntary. 
C) COB determines which insurer pays first when the insured is covered under more than one health insurance policy. 
D) COB coordinates workers' compensation with health insurance coverage. 
Answer: D) COB co...
CCM EXAM WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM EXAM WITH COMPLETE SOLUTIONS 100% 2023/2024 
Fmla 
Entitles eligible employees to take unpaid, job protected leave for specified medical and family reasons 
 
 
Eligibility for FMLA 
Worked past 12months, worked 1250hrs in those 12 mo, employer of at least 50 employees 
 
 
Number of weeks allowed for FMLA 
12work weeks in 12 months 
 
 
EEOC 
Governs law interpretation and settled employee employer disputes 
 
 
OSHA 
Governs any employer who operates in a business that affects commerce. Re...
- Exam (elaborations)
- • 3 pages •
CCM EXAM WITH COMPLETE SOLUTIONS 100% 2023/2024 
Fmla 
Entitles eligible employees to take unpaid, job protected leave for specified medical and family reasons 
 
 
Eligibility for FMLA 
Worked past 12months, worked 1250hrs in those 12 mo, employer of at least 50 employees 
 
 
Number of weeks allowed for FMLA 
12work weeks in 12 months 
 
 
EEOC 
Governs law interpretation and settled employee employer disputes 
 
 
OSHA 
Governs any employer who operates in a business that affects commerce. Re...
CCM EXAM PREP WITH COMPLETE SOLUTIONS 100% 2023/2024
CCM EXAM PREP WITH COMPLETE SOLUTIONS 100% 2023/2024 
A CM's role & responsibility are governed solely by the Owner/CM Agreement? 
False 
 
 
There are two basic forms of CM, Agency and At-Risk. Each form provides for the basic services of CM Practice. However, there are some key differences. Which of the following DO NOT apply to BOTH CM forms? 
A. Both forms provide advise to the Owner on constructibility, budget and schedule. 
 
B. Both require that the liabilities and risks assumed by the p...
- Exam (elaborations)
- • 4 pages •
CCM EXAM PREP WITH COMPLETE SOLUTIONS 100% 2023/2024 
A CM's role & responsibility are governed solely by the Owner/CM Agreement? 
False 
 
 
There are two basic forms of CM, Agency and At-Risk. Each form provides for the basic services of CM Practice. However, there are some key differences. Which of the following DO NOT apply to BOTH CM forms? 
A. Both forms provide advise to the Owner on constructibility, budget and schedule. 
 
B. Both require that the liabilities and risks assumed by the p...
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