CCM EXAM NEWEST 2025 TEST BANK COMPLETE

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CCM EXAM NEWEST 2025 TEST BANK| COMPLETE

450 ACTUAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

ALREADY GRADED A+| CCM EXAM PREP 2025

(BRAND NEW!!)

Which of the following is an example to written consent to HIV testing?

• Having had pretest counseling.
• Have given oral consent.
• When the patient refuses written consent.
• When anonymous testing is requested. - Correct Answer - D. With

anonymous testing, oral consent is acceptable. Other exceptions include emergency situations when a diagnosis is needed, and the patient is unable to sign, to determine the cause of death, and for research purposes in which the patient remains anonymous.

The process by which you would screen the patient's medical record to

determine if the patient received appropriate standards of care is known:

• An incident report.
• Risk management.
• Quality review.
• Utilization review. - Correct Answer - C. Quality review helps

determine if a patient received recognized standards of care. An incident report is a tool used to document adverse or unusual occurrences. Wrist management identifies, evaluates, incorrect, is risk that may lead to injury to patients, staff, or visitors. During utilization review, medical services are evaluated for necessity and appropriateness. 1 / 4

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pg. 2 Which of the following is true about a preferred provider organization

(PPO)?

• A PPO is not an insurance model.
• PPO's offer a preferred panel of physicians.
• PPO use physicians gatekeepers.
• A PPO allows use of physicians and encourage a lower cost to the

member. - Correct Answer - B. A PPO is an insurance model that offers patient to preferred panel of physicians. A patient may choose to utilize an outside physician, but this would result in lower reimbursement and a greater cost to the patient member. HMO use physicians as gatekeepers.

An insurance plan that supplement services is not covered by Medicare

is known as:

• Medicaid.
• Catastrophic coverage.
• Medigap.
• CAPITATION. - Correct Answer - C. Medigap plans are insurance

plans at supplement services, not covered by Medicare. On the other hand, Medicaid is federally funded insurance for the poor. Capitation is the periodic fee paid to a healthcare practice by each member enrolled in a health plan.

According to the CDC, which of the following is a reportable disease?

• Pertussis.
• Breast cancer.
• Asbestos. 2 / 4

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• Cystic fibrosis. - Correct Answer - A. Pertussis, more commonly,

called whooping cough, is listed as a reportable disease by the centers for disease, control, (CDC).

Payment based on a fixed daily dollar amount is known:

• Per diem reimbursement.
• Cost reimbursement.
• Capitation.
• Fee for service - Correct Answer - A. The question defines a per diem

reimbursement. A cost space reimbursement refers to actual cost of the patient care. In fee for service, the provider bills, the insurance company and the company pays for services. Citation is a fixed monthly payment paid to a provider in advance of services.

The medical term for difficulty swallowing:

A. APHAKIA

• Dysphasia.
• Akathisia
• Dysphagia - Correct Answer - D. The term for difficulty and

swallowing is dysphagia. Dysphasia, on the other head, refers to an absence of language function. Aphakia Is an ophthalmologic term, referring to the absence of the ocular lens. Lastly, akathisia is an abnormal level of agitation or restlessness.

A patient with terminal cancer needs expensive treatment, but is at the end of insurance coverage. The family has no financial resources. The case manager is now faced with a dilemma between the best interest of 3 / 4

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pg. 4 the patient and the best interest of the payer. This type of conflict is

called.:

• Focus of advocacy.
• Conflict of duty.
• Supremacy values.
• Justice. - Correct Answer - A. This scenario describes a common

case. Management dilemma, called focus of advocacy. Supremacy of values refers to determining whether the values of the patient, family, case, manager, or ensure should take presidents. A conflict of duties exist when a case manager causes harm to others while carrying out a client wishes.

A patient has received a complete description of a medical treatment regimen, including risk, hazards, complications, and prognosis. What is this type of explanatory procedure called?

• DSM-IV - TR guidelines
• Risk management.
• Full disclosure.
• Varicarious liability. - Correct Answer - C. The process of giving a

patient a complete description of medical treatment is called full disclosure. And vicarious liability, a person can be held liable for harm done to another person. Risk management, assesses, identifies, and controls risk that originate from operational factors. DSM-IV-TR guidelines are the diagnosis and management guidelines for psychiatric disorders.

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