×

Quiz Session - Attempts With Random Questions

CCMC CCM Exam Questions

Page 9 of 25

161.

What is the purpose of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)?

  • It is a new reimbursement framework

  • It establishes standards for electronic medical records

  • It establishes standards for medical technology

  • It is broad-based legislation meant to improve access to Medicare benefits

Correct answer: It is a new reimbursement framework

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) of 2015 is federal legislation that suggests a new reimbursement framework for clinicians. It moves toward a more value-based reimbursement apparatus rather than the previous sustainable growth model.

MACRA does not deal with medical records or medical technology per se, and though it improves the overall functioning of Medicare, it does not directly improve access to Medicare benefits.

162.

Which of the following is not an accrediting body?

  • Centers for Medicare and Medicaid Services

  • Joint Commission

  • Commission on Accreditation of Rehabilitation Facilities

  • National Committee for Quality Assurance

Correct answer: Centers for Medicare and Medicaid Services 

An accrediting body is an organization which reviews the processes, structure, and compliance of a given organization to determine its compliance with standards held by that body; Joint Commission, the Commission on Accreditation of Rehabilitation Facilities, and the National Committee for Quality Assurance are all examples.

The Centers for Medicare and Medicaid Services is a federal agency.

163.

Which of the following would not be part of a justification for continuation of intervention?

  • Cost savings

  • Pre-intervention status

  • Current data

  • Goal of intervention

Correct answer: Cost savings

A justification for intervention should reflect the pre-intervention status, current data about the intervention, and the goals of intervention.

Cost savings per se are not part of this justification.

164.

Which of the following refers to the general connection between telecommunications and informatics?

  • Telematics

  • Telecare

  • Telehealth

  • Telenursing

Correct answer: Telematics

Telematics refers to the general connection between telecommunications (remote communications) and informatics (data processing and retrieval). 

Telecare is support and assistance offered at a distance in order to assist a person to maintain living in their own home. Telehealth refers to the remote delivery of healthcare services and clinical information. Telenursing refers to the provision of services remotely by one or more nursing professionals.

165.

What is the Mini-Cog test used to assess?

  • Cognitive impairment

  • Depression

  • Mental status

  • Schizophrenia

Correct answer: Cognitive impairment

The Mini-Cog test is a 3-step test designed to measure a person's level of cognitive impairment, including Alzheimer's and related dementia.

It does not assess depression, mental status, or schizophrenia.

166.

Which of the following best indicates clinical chronic disability? 

  • When the impairment is not expected to be eliminated

  • When the disability has been legally defined as chronic

  • When the impairment becomes suddenly worse 

  • When the disability goes on longer than one year 

Correct answer: When the impairment is not expected to be eliminated

The chronicity of a disability refers to the status of the disability as a permanent condition in some way. Though the status of the disability may fluctuate, chronicity refers to the expectation that it will not be fully eliminated.

Specific timing is less important than this clinical expectation in arriving at a distinction of chronicity. The legal status of whether a disability is chronic or not is a separate matter from the clinical. 

167.

Which of the following is transcranial magnetic stimulation used for? 

  • Recovery of physical and cognitive function

  • Treatment of depression

  • Recovery from gross tissue loss 

  • Treatment of epilepsy in older adults

Correct answer: Recovery of physical and cognitive function

Transcranial magnetic stimulation is a rehabilitation technique in which magnetic impulses are delivered through the skull to stimulate the brain and support the recovery of physical and/or cognitive function.

This technique is not used to treat depression, to assist patients in recovery from gross tissue loss, or to treat epilepsy in older adults.

168.

About how long do short-term disability policies provide protection for? 

  • Two years

  • Four years

  • Three years

  • Five years

Correct answer: Two years

Short-term disability policies generally provide protection for loss of income for a period of about two years. 

169.

Which of the following does the Rancho Los Amigos scale measure?

  • Recovery from traumatic brain injury

  • Level of coma

  • General cognitive functioning

  • Depression

Correct answer: Recovery from traumatic brain injury

The Rancho Los Amigos scale measures recovery from traumatic brain injury. It defines eight stages of functioning that describe a patient's ability to engage in appropriate behavior and response to stimuli.

170.

What is the normal limit on inpatient days per benefit period?

  • 90 days

  • 30 days

  • 60 days

  • There is no limit per se

Correct answer: 90 days

The normal limit on inpatient days per Medicare benefit period is 90 days. In some cases, a beneficiary can tap a "lifetime reserve" of up to 60 days.

171.

Which of the following most accurately describes the ethical value of beneficence?

  • The doing of good things

  • Not doing bad things

  • To treat others fairly 

  • To tell the truth

Correct answer: The doing of good things

The ethical value of beneficence is the doing of good things, or to take positive action or promote good in general.

Not doing bad things refers to the ethical value of nonmaleficence. To treat others fairly refers to the ethical value of justice. To tell the truth refers to the ethical value of veracity.

172.

Which of the following correctly defines the acronym DEATH as it refers to Activities of Daily Living (ADL)?

  • Dressing/bathing, Eating, Ambulating, Toileting, Hygiene

  • Dressing/bathing, Eliminating, Ambulating, Transitioning, Hygiene

  • Diagnosis, Exacerbation, Achievement, Tasks, Health

  • Diagnosis, Exacerbation, Achievement, Treatment, Health

Correct answer: Dressing/bathing, Eating, Ambulating, Toileting, Hygiene

Assessing a person's ability to meet their functional needs on a daily basis is referred to as the Activities of Daily Living (ADL) and is part of a functional case management assessment. A helpful acronym to help remember these functional activities is DEATH: Dressing/bathing, Eating, Ambulating, Toileting, Hygiene.

173.

Between orthotics and prosthetics, which is the more concerned with aesthetics?

  • Prosthetics

  • Orthotics

  • They are equally concerned with aesthetics

  • Neither is concerned with aesthetics

Correct answer: Prosthetics

Prosthetics are external devices that are meant to replace an absent or deficient part of the body; this can have to do with preserving structure or function, but it can also address aesthetics alone.

Orthotics are devices that are meant to support structure and function and rarely have to do with aesthetics per se.

174.

Which of the following is the most accurate description of supported employment?

  • To allow employment support for individuals with severe disabilities

  • To allow employment support for individuals with any disability

  • To allow employment support for individuals with psychiatric disabilities

  • To allow employment support for individuals with severe physical disabilities

Correct answer: To allow employment support for individuals with severe disabilities

Supported employment is designed to allow employment support for individuals with severe disabilities, whether or not those severe disabilities are psychiatric or physical. The condition must be severe enough to need extensive support, and many milder disabilities might not qualify.

175.

Which of the following would be most characteristic of a teach-back technique?

  • A demonstration of skill

  • An interactive computer training

  • A verbal repetition

  • A written exam

Correct answer: A demonstration of skill

A teach-back technique is one in which a client is taught a skill and then demonstrates it back to the teacher. Through this process, the client and teacher can refine technique and ensure competency.

Interactive computer trainings can lack the interactive benefit of the teacher-client dynamic. Verbal repetition would not ensure knowledge of a skill. Written exams do not involve a demonstration of skill. 

176.

What is the "righting reflex"?

  • The urge to fix a client's problems

  • The way clients seem to solve their own problems

  • The self-correction of substance abuse behavior

  • The way client's families heal in times of crisis

Correct answer: The urge to fix a client's problems

The "righting reflex" refers to the way healthcare providers often feel motivated to step in and solve a client's problems before the client has had a chance to have a meaningful, self-determined role. 

It does not refer to clients solving their own problems, substance abuse phenomena, or client family behavior.

177.

Does the data in the CAHPS survey have financial implications for healthcare systems?

  • Yes, it is used to formulate annual payments

  • No, it is only reported to the public

  • No, unless deficiencies are noted

  • Yes, but only in deficiency-free cases

Correct answer: Yes, it is used to formulate annual payments 

The Hospital Consumer Assessment of Healthcare Providers and Systems (CAHPS or HCAHPS) is a nationally standardized survey of the experience of consumers in healthcare. It is used in a public way to inform consumers about the quality of healthcare being offered in venues they might need to use. It is used by the government to formulate annual payments within the Inpatient Prospective Payment System (IPPS) and is included by the Affordable Care Act among the measures used to calculate value-based incentive payments.

Deficiencies are not an item directly dealt with by the CAHPS survey.

178.

Which of the following disciplines is most likely to use motion analysis as a guide?

  • Physical therapy 

  • Rehabilitation counseling

  • Therapeutic recreation 

  • Neuropsychiatry

Correct answer: Physical therapy 

Physical therapists often use motion analysis to study human motion with the aim of guiding the assessment and treatment involved in physical therapy. 

Rehabilitation counselors, therapeutic recreation specialists, and neuropsychiatrists are less likely to use motion analysis as a guide to assessment and treatment within their disciplines.

179.

Who or what was responsible for the implementation of the Diagnosis Related Group (DRG) system?

  • Medicare

  • Medicaid

  • American Medical Association

  • American Psychiatric Association

Correct answer: Medicare

Medicare implemented the Diagnosis Related Group (DRG) system as a way to link costs to diagnosis in an attempt to control costs. In this system, the cost is paid per diagnosis regardless of what treatment is provided.

Medicaid, the American Medical Association, and the American Psychiatric Association were not responsible for this implementation.

180.

Which of the following refers to the meaningfulness of the data being measured?

  • Validity

  • Reliability

  • Integrity

  • Repeatability

Correct answer: Validity 

The validity of data refers to the meaningfulness of that data; in other words, is this data what we intend to measure? 

Reliability refers to the accuracy of the instrument measuring the data. Integrity and repeatability are not terms used in this context.

×