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CCMC CCM Exam Questions
Page 8 of 25
141.
What is the mission of CARF?
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Promoting quality and values in rehabilitation programs
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Evaluating the efficacy of electronic medical records (EMR)
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Promoting equitable payment strategies in rehabilitation programs
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Auditing payments for rehabilitation programs
Correct answer: Promoting quality and values in rehabilitation programs
The Commission for Accreditation of Rehabilitation Facilities (CARF) was founded in 1966. It is an organization that promotes quality and values in rehabilitation programs, accrediting services in aging, child and youth services, opioid treatment, and others.
CARF's role is not to evaluate EMRs or to deal with payments or payment strategies per se.
142.
Is there a restriction to practice on those nurses participating in the Nursing Licensure Compact (NLC)?
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Yes, their license must not be restricted
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No, the NLC allows full range of unrestricted practice
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Yes, their license must undergo a formal review to participate
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No, unless the nurse intends to practice outside their usual setting
Correct answer: Yes, their license must not be restricted
The Nursing Licensure Compact (NLC) allows nurses in participating states to practice in states with full reciprocity with their existing state license, as long as that license is not restricted by disciplinary action.
There is no formal review component or practice setting requirement to participate.
143.
Which takes precedence under HIPAA between state and federal law?
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Whichever is more strict
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State law
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Federal law
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Whichever is less strict
Correct answer: Whichever is more strict
According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), when there is a difference in standard between state and federal law, whichever standard is more strict takes precedence.
144.
What is the main requirement for eligibility for vocational rehabilitational services?
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Disability
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Criminal record
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Low income
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Geographic area
Correct answer: Disability
The main requirement for eligibility for vocational rehabilitational services is a disability, but not one so severe that it will prevent one from being able to have a job.
Criminal record, low income, and geographic area are not essential eligibility markers for vocational rehabilitational services.
145.
Which of the following situations best describes the legal connotation of "abandonment" in health care?
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Suddenly stopping visits to a patient without notification
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Leaving a patient's residence or living situation in a dangerous state
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Not informing authorities of imminent danger to a patient
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Passing a patient along to another provider
Correct answer: Suddenly stopping visits to a patient without notification
In the context of health care, abandonment refers to the cessation of services without reasonable notice to the patient, without giving the patient the opportunity to acquire an alternative.
Leaving a patient's residence or living situation in a dangerous state or not informing authorities of imminent danger to a patient are both ethical problems, but are not considered abandonment per se. Passing a patient along to another provider does not constitute abandonment if done properly.
146.
Which part of Medicare pays for pharmaceutical drugs?
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Part D
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Part A
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Part B
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Part C
Correct answer: Part D
Medicare Part D pays for pharmaceutical drugs.
Part A covers hospital care, laboratory services, surgery, and hospice, among other areas. Part B covers professional fees, diagnostics, and outpatient services. Part C refers to a Managed Medicare plan.
147.
Is Supplemental Security Income constant or variable from recipient to recipient?
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Variable
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Constant
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It varies by recipient, but not by state
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It varies by state, but not by recipient
Correct answer: Variable
The amount of Supplemental Security Income (SSI) varies from recipient to recipient, as well as from state to state.
148.
Which of the following is addressed by the Stark Law?
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Physician referrals
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Drug treatment
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Confidentiality
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Sexual harassment
Correct answer: Physician referrals
The Stark Law of 1989 deals with physician referrals, specifically to ensure that physicians do not financially benefit from referrals to other entities, or referrals to entities with which the physician has a financial relationship.
149.
Which of the following is not a requirement to continue rehabilitation treatments?
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Physician must certify disability
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Patient must be able to complete more than three hours of treatment
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Patient must engage with the treatment plan
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Physician's notes must indicate progress
Correct answer: Physician must certify disability
In order to continue rehabilitation treatments for a patient, there are several requirements. The patient must be able to complete more than three hours of treatment in various modalities, the patient must engage with the treatment plan, and the physician's notes concerning the therapy must indicate progress.
A physician does not need to certify disability per se to continue rehabilitation treatment once established.
150.
About how many adults in the United States have what is defined as a proficient health literacy level?
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12%
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25%
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6%
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50%
Correct answer: 12%
Health literacy, the ability to effectively deal with healthcare information as a patient, is a useful gauge of how effective a patient can be as a partner in their own care. The National Assessment of Adult Literacy has measured the level of health literacy proficiency among adults in the United States at 12%.
151.
Which of the following would be an example of soft cost savings?
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Prevention of medical complications
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Decrease in length of stay
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Successful negotiation for a lower rate of service
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Transfer to a lower level of care
Correct answer: Prevention of medical complications
Soft cost savings are those potential costs that have been avoided due to the case manager's intervention, such as the prevention of medical complications. These are different from hard cost savings, which are actual savings resulting from a case manager's direct intervention such as lower rate of service, or transfer to a lower level of care.
152.
Is a copay ever required when receiving services through the VA?
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Yes, under some circumstances
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No, under no circumstances
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Yes, in cases of dishonorable discharge
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Yes, in almost all circumstances
Correct answer: Yes, under some circumstances
A copay is sometimes required of those receiving services through the VA (Veterans Health Administration), most notably when care is provided for a non-service related condition.
This copay is not a function of dishonorable discharge, which would, in most circumstances, disqualify a person for VA services.
153.
Who is helped by the Area Agency on Aging?
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60 years of age or older and those with disabilities
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50 years of age or older
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60 years of age or older
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50 years of age or older and suffering from mental illness
Correct answer: 60 years of age or older and those with disabilities
The Area Agency on Aging is an organization that serves those who are 60 years of older and those with disabilities, with a view toward helping them stay in their homes in the community for as long as possible.
A mental illness may be one of the disabilities considered, but the Area Agency on Aging serves most disabilities.
154.
Which of the following is most characteristic of prospective utilization management?
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Prior determination of necessity
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Reviewing current care
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Review of care that has already happened
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Appeal of a utilization decision
Correct answer: Prior determination of necessity
There are three types of utilization review: prospective, concurrent, and retrospective. Prospective utilization review engages in a prior determination of necessity to authorize an upcoming treatment.
Concurrent utilization review deals with care that is underway. Retrospective utilization review deals with care that has already taken place. An appeal might be possible at any stage of utilization review, and is not necessarily part of any in particular.
155.
What is the purpose of the Ticket to Work program?
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To assist those returning to work
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To provide incentive to return to work
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To provide counseling for those returning to work
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To provide accountability for those receiving public assistance
Correct answer: To assist those returning to work
The Ticket to Work program is designed to provide assistance and training for those returning to work. SSI (Supplemental Security Income) and SSDI (Social Service Disability Income) recipients are eligible.
The program does not provide incentives or counseling. The program is not based on accountability for those receiving public assistance.
156.
Assuming average risk, when should men and women of average risk begin screening for colorectal cancer?
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Age 50
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Age 45
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Age 30
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Age 60
Correct answer: Age 50
Given an average level of risk, men and women should both begin screening for colorectal cancer at age 50.
157.
Which of the following most accurately defines the main purpose of the Patient Self-Determination Act (PSDA)?
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To inform patients of their rights in healthcare decision making
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To protect patient information
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To describe patient rights in long-term care
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To address various issues of diversity in healthcare
Correct answer: To inform patients of their rights in healthcare decision making
The main purpose of the Patient Self-Determination Act? (PSDA) of 1990 is to inform patients of their rights in healthcare decision making, as well as to inquire about the status of such things as end-of-life or loss-of-capacity emergency decisions.
The main purpose of this legislation is not to protect patient information or to deal with patient rights in long-term care. It does not address diversity issues per se.
158.
Which of the following accurately describes a Permissible Prescription?
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An electronic prescription allowed by the Department of Justice
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A physical prescription allowed by the Department of Justice
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Any prescription not specifically prohibited by the Department of Justice
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A prescription given in accordance with local law
Correct answer: An electronic prescription allowed by the Department of Justice
A Permissible Prescription is one which is allowed by the current restrictions of the Department of Justice on e-prescribing. Any substance not included under Schedule II to V would be considered such a prescription.
Such prescriptions are electronic in character and must already be given in accordance with all laws concerned.
159.
Which of the following is false with respect to crisis management?
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It is a long-term process
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It provides client systems with resources
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It allows for the expression of emotions
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It arrives at a concrete plan of action
Correct answer: It is a long-term process
Crisis management is a short-term process designed to assist a client in navigating an immediate experience that has exceeded that client's mental or physical resources. It allows for the expression of emotions related to the crisis, it provides client systems with helpful resources that are solution-focused, and it arrives at a concrete plan of action for resolving the immediate situation.
Crisis management is not a long-term process; it is limited to the individual crisis.
160.
Which of the following most distinguishes an adaptive from a maladaptive family?
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The ability to adapt to change
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The presence of substance abuse
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Abuse or neglect
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Access to support networks
Correct answer: The ability to adapt to change
Adaptive families are those which are enabled by their structure and the nature of the relationships within the family to adapt to change. A maladaptive family is unable to adapt to change without a high degree of stress and conflict.
The presence of substance abuse, abuse or neglect, and access to support networks are less important in determining adaptive versus nonadaptive. Many adaptive families have negative characteristics or challenges.