CCMC CERTIFIED CASE MANAGER
PRACTICE TEST # 11 & #12
The core components LEAST applicable in the application of case management are: -
Finance and accounting
Which of the following is NOT an "outcome measure" of cost? - Denials
What are "soft savings"? - The possibility of dollars to the bottom line in the future
The choice which is FALSE concerning HCFA Common Procedural Coding System
(HCPCS) - States coding system for medical procedures
Which of the following event is NOT an SRE criminal event on the NQF list? - Hostility
toward a practitioner
The best description of per diem reimbursement is: - A daily rate of payment based on
acuity
Which best describes how personal change affects organizational change? - Personal
change and organizational change are concomitant
Which of these is the meaning of the phrase "Primum non nocere"? - "First, do no harm"
Which of these is true for Medicare (Part D)? - Pays some of the costs of prescription
medications
Which of the following is documented as the origin of Blue Cross? - A teachers plan at
Baylor Hospital in the 1930s
Which of the following does not apply to Protected Health Information? - The patient
decides what is private and what can be made public
Which of the following is true of manual ratings? - Based on average claims data with
adjustments for certain factors and rating method using the plan's average experience
with all groups and may include the experience of other health plans to calculate the
group's premium
Which of the following is an emancipated minor? - Married
Select the choice that most accurately reflects the enrollment of U.S. Citizens in
managed care as of 2010: - More than 90%
Which of the following does not apply to self funding? - Requires an insurance company
