CCM Question Bank
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1200+
Questions in CCM
Question Bank
4
CCM predictor exams
that gauge exam readiness
100%
Questions follow
CCM blueprint
98%
Avg pass rate for those
who complete the whole course
1200+
Questions in CCM
Question Bank
4
CCM predictor exams
that gauge exam readiness
100%
Questions follow
CCM blueprint
98%
Avg pass rate for those
who complete the whole course
Exam Sections Covered in BoardCerts CCM Question Bank
Comprehensive coverage of all exam domains with detailed topic breakdowns to ensure your success.
Care Management
Key topics and concepts covered in this module
Develop client-centered care plans
Apply evidence-based case management and care management models, processes, and tools
Perform comprehensive assessments including social, behavioral, and physical function
Assess client acuity and severity levels
Understand age-specific care differences and population health concepts
Manage clients based on length and type of care including acute, chronic, disability, and behavioral health
Coordinate medication management including access, reconciliation, and education
Understand levels of care and features of care settings such as inpatient, outpatient, skilled nursing facilities, rehabilitation, group homes, hospice, and palliative care
Collaborate with interdisciplinary and interprofessional teams
Identify and manage transitions of care and care coordination across the continuum
Apply cost containment principles
Understand advanced care planning including power of attorney, health care surrogate, and living wills
Collaborate with community-based support service agencies and providers
Exam blueprint areas coveredCCM
Reimbursement Methods
Key topics and concepts covered in this module
Recognize reimbursement and payment methodologies including bundled payments, case rates, prospective payment systems, value-based care, financial risk models, and workers’ compensation
Understand accountable care organizations and managed care concepts
Identify private benefit programs such as pharmacy benefit management, indemnity plans, employer-sponsored insurance, individually purchased insurance, home care benefits, and COBRA
Identify military and veteran benefit programs including TRICARE and Veterans Administration
Identify public benefit programs including Medicare, Medicaid, SSI, and SSDI
Recognize available financial resources such as waiver programs, special needs trusts, and viatical settlements
Apply utilization review and utilization management principles, guidelines, and tools
Recognize coding methodologies including DRG, DSM, ICD, and CPT
Identify negotiation techniques including single case agreements and fee schedule agreements
Define key insurance principles including benefits and copays
Exam blueprint areas coveredCCM
Psychosocial Concepts and Support Systems
Key topics and concepts covered in this module
Recognize signs of abuse and neglect
Apply behavioral change theories and models related to client readiness
Understand behavioral health concepts including mental health diagnoses, dual diagnoses, co-occurring disorders, and substance use
Promote client empowerment, engagement, and self-care management through education and shared decision making
Apply tools such as motivational interviewing, goal setting, active listening, reflection, health coaching, and person-centered care approaches
Apply crisis intervention strategies
Identify health-related social needs and resources
Assess support system dynamics including formal and informal supports
Assess health literacy, education needs, and language barriers
Apply interpersonal communication strategies including conflict resolution and group dynamics
Recognize cultural, spiritual, and religious influences on care
Assess psychological and cognitive capacity
Understand psychosocial aspects of chronic illness and disability
Identify supportive care programs including support groups, bereavement services, spiritual care, and caregiver resources
Apply wellness, illness prevention, trauma-informed care principles, and social drivers of health concepts including equity and disparities
Recognize how gender health influences care needs
Exam blueprint areas coveredCCM
Quality and Outcomes Evaluation and Measurements
Key topics and concepts covered in this module
Understand accreditation standards and requirements including The Joint Commission, CMS, and NCQA
Describe basic cost-benefit analysis
Participate in data gathering, interpretation, evaluation, and reporting such as readmission rates, denials, and population reports
Describe health care analytics including health risk assessments, predictive modeling, and adjusted clinical groups
Identify sources of quality indicators including CMS, HEDIS, URAC, NCQA, NQF, AHRQ, and National Quality Strategy
Describe quality indicators and performance improvement methods related to clinical, financial, productivity, utilization, and client experience outcomes
Apply quality and performance improvement tools, methods, and processes
Understand the impact of case management practices on value-based care
Exam blueprint areas coveredCCM
Rehabilitation Concepts and Strategies
Key topics and concepts covered in this module
Understand adaptive and assistive technologies
Determine functional capacity using ADLs, IADLs, and cognitive status
Identify care coordination needs related to rehabilitation settings including LTAC, acute rehabilitation, and skilled nursing facilities
Understand rehabilitation considerations for individuals with disabilities and chronic illnesses including job analysis, accommodations, life care planning, and developmental needs
Understand vocational rehabilitation programs and resources including workers’ compensation and catastrophic injury programs
Differentiate between types of rehabilitation programs including medical, substance use, governmental, non-governmental, return-to-work, and school-based programs
Exam blueprint areas coveredCCM
Ethical, Legal, and Practice Standards
Key topics and concepts covered in this module
Apply ethical standards related to care management including end-of-life care and refusal of treatment
Demonstrate professional conduct including cultural and linguistic sensitivity and adherence to scope of practice
Understand health care and disability-related legislation including ADA, OSHA, HIPAA, ACA, No Surprises Act, EMTALA, and FMLA
Understand legal and regulatory requirements including compliance, mandatory reporting, and appropriate use of technology
Apply best practices for privacy, confidentiality, and risk management
Understand documentation and case summary responsibilities
Practice professional self-care, safety, and well-being
Apply standards of practice including CMSA and NASW standards
Advocate for clients and their support systems
Exam blueprint areas coveredCCM
Exam Sections Covered in BoardCerts CCM Question Bank
Comprehensive coverage of all exam domains with detailed topic breakdowns to ensure your success.
SECTION 1
Care Management
- Develop client-centered care plans
- Apply evidence-based case management and care management models, processes, and tools
- Perform comprehensive assessments including social, behavioral, and physical function
- Assess client acuity and severity levels
- Understand age-specific care differences and population health concepts
- Manage clients based on length and type of care including acute, chronic, disability, and behavioral health
- Coordinate medication management including access, reconciliation, and education
- Understand levels of care and features of care settings such as inpatient, outpatient, skilled nursing facilities, rehabilitation, group homes, hospice, and palliative care
- Collaborate with interdisciplinary and interprofessional teams
- Identify and manage transitions of care and care coordination across the continuum
- Apply cost containment principles
- Understand advanced care planning including power of attorney, health care surrogate, and living wills
- Collaborate with community-based support service agencies and providers
Exam blueprint areas coveredCCM
SECTION 2
Reimbursement Methods
- Recognize reimbursement and payment methodologies including bundled payments, case rates, prospective payment systems, value-based care, financial risk models, and workers’ compensation
- Understand accountable care organizations and managed care concepts
- Identify private benefit programs such as pharmacy benefit management, indemnity plans, employer-sponsored insurance, individually purchased insurance, home care benefits, and COBRA
- Identify military and veteran benefit programs including TRICARE and Veterans Administration
- Identify public benefit programs including Medicare, Medicaid, SSI, and SSDI
- Recognize available financial resources such as waiver programs, special needs trusts, and viatical settlements
- Apply utilization review and utilization management principles, guidelines, and tools
- Recognize coding methodologies including DRG, DSM, ICD, and CPT
- Identify negotiation techniques including single case agreements and fee schedule agreements
- Define key insurance principles including benefits and copays
Exam blueprint areas coveredCCM
SECTION 3
Psychosocial Concepts and Support Systems
- Recognize signs of abuse and neglect
- Apply behavioral change theories and models related to client readiness
- Understand behavioral health concepts including mental health diagnoses, dual diagnoses, co-occurring disorders, and substance use
- Promote client empowerment, engagement, and self-care management through education and shared decision making
- Apply tools such as motivational interviewing, goal setting, active listening, reflection, health coaching, and person-centered care approaches
- Apply crisis intervention strategies
- Identify health-related social needs and resources
- Assess support system dynamics including formal and informal supports
- Assess health literacy, education needs, and language barriers
- Apply interpersonal communication strategies including conflict resolution and group dynamics
- Recognize cultural, spiritual, and religious influences on care
- Assess psychological and cognitive capacity
- Understand psychosocial aspects of chronic illness and disability
- Identify supportive care programs including support groups, bereavement services, spiritual care, and caregiver resources
- Apply wellness, illness prevention, trauma-informed care principles, and social drivers of health concepts including equity and disparities
- Recognize how gender health influences care needs
Exam blueprint areas coveredCCM
SECTION 4
Quality and Outcomes Evaluation and Measurements
- Understand accreditation standards and requirements including The Joint Commission, CMS, and NCQA
- Describe basic cost-benefit analysis
- Participate in data gathering, interpretation, evaluation, and reporting such as readmission rates, denials, and population reports
- Describe health care analytics including health risk assessments, predictive modeling, and adjusted clinical groups
- Identify sources of quality indicators including CMS, HEDIS, URAC, NCQA, NQF, AHRQ, and National Quality Strategy
- Describe quality indicators and performance improvement methods related to clinical, financial, productivity, utilization, and client experience outcomes
- Apply quality and performance improvement tools, methods, and processes
- Understand the impact of case management practices on value-based care
Exam blueprint areas coveredCCM
SECTION 5
Rehabilitation Concepts and Strategies
- Understand adaptive and assistive technologies
- Determine functional capacity using ADLs, IADLs, and cognitive status
- Identify care coordination needs related to rehabilitation settings including LTAC, acute rehabilitation, and skilled nursing facilities
- Understand rehabilitation considerations for individuals with disabilities and chronic illnesses including job analysis, accommodations, life care planning, and developmental needs
- Understand vocational rehabilitation programs and resources including workers’ compensation and catastrophic injury programs
- Differentiate between types of rehabilitation programs including medical, substance use, governmental, non-governmental, return-to-work, and school-based programs
Exam blueprint areas coveredCCM
SECTION 6
Ethical, Legal, and Practice Standards
- Apply ethical standards related to care management including end-of-life care and refusal of treatment
- Demonstrate professional conduct including cultural and linguistic sensitivity and adherence to scope of practice
- Understand health care and disability-related legislation including ADA, OSHA, HIPAA, ACA, No Surprises Act, EMTALA, and FMLA
- Understand legal and regulatory requirements including compliance, mandatory reporting, and appropriate use of technology
- Apply best practices for privacy, confidentiality, and risk management
- Understand documentation and case summary responsibilities
- Practice professional self-care, safety, and well-being
- Apply standards of practice including CMSA and NASW standards
- Advocate for clients and their support systems
Exam blueprint areas coveredCCM
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The CCM Question Bank features high-quality practice questions, detailed rationales and references, meticulously aligned with the CCM exam blueprint to ensure effective preparation and build your confidence.