CCM Study Guide 2026–2027 — Redesigned Illustrated Edition | 200 Practice Questions

Prepare for the Certified Case Manager (CCM®) exam with a complete, illustrated study guide built on the Commission's current six-domain exam blueprint, with 200 scenario-based practice questions and a detailed explanation for every answer.

WHAT'S INSIDE

• 196 pages, 8.5 × 11 in, print-ready PDF with a clickable table of contents
• Current exam facts: 180 questions (150 scored, 30 pretest), 3 hours in two sections with a 10-minute break, a blend of three- and four-option questions, the six domains and their weights, eligibility categories, April/August/December testing windows, Pearson VUE and OnVUE delivery, fees, retakes, and renewal (80 CE hours including 8 in ethics)
• Care management: the case management process, caseload selection and acuity, case management models, cost containment, levels of care and observation status, long-term care, transitions of care and readmission prevention, medication management, HIV care, population health across the lifespan, palliative care and hospice, and advance care planning
• Reimbursement methods: insurance principles and cost-sharing, managed care, DRGs, capitation, bundled and value-based payment, ACOs, utilization management and appeals, Medicare, Medicaid, SSDI and SSI, COBRA, pharmacy benefits, TRICARE and VA, special needs trusts and viatical settlements, coding, and single case agreements
• Psychosocial concepts and support systems: behavioral health and co-occurring disorders, stages of change, motivational interviewing, crisis intervention, abuse and neglect, trauma-informed care, capacity assessment, caregivers, social determinants of health, cultural and spiritual factors, health literacy, gender health, conflict resolution, and prevention
• Quality and outcomes: Donabedian, PDSA, Lean, Six Sigma, root cause analysis and FMEA, control charts, HEDIS, CAHPS, CMS, NCQA, URAC, and Joint Commission roles, risk stratification and the ACG System, case management metrics, and ROI
• Rehabilitation: the rehabilitation team, IRF versus SNF versus LTACH, functional capacity and physical demand levels, disability insurance and return to work, workers' compensation, vocational rehabilitation, life care planning, and assistive technology
• Ethical, legal, and practice standards: ethical principles and dignity of risk, the CCMC Code of Professional Conduct, CMSA Standards of Practice, the ADA, EMTALA, FMLA, COBRA, the No Surprises Act, HIPAA and 42 CFR Part 2, fraud and abuse laws, mandatory reporting, documentation, advocacy, and professional well-being
• 125 quick-reference tables and 33 process diagrams and charts
• A final review checklist of key concepts
• 2 practice tests with 100 exam-level, scenario-based questions each (200 total), weighted like the real exam and mixing three- and four-option items
• Complete answer keys with an explanation for every question
• 8- and 12-week study schedules, a sample study week, FAQs, test-taking strategies, and test-anxiety techniques

WHO IT'S FOR

• Registered nurses, social workers, rehabilitation counselors, and other health and human services professionals preparing for the CCM exam
• Hospital, health plan, workers' compensation, and community case managers pursuing the Board-Certified Case Manager credential
• Case management leaders and educators supporting certification preparation

FORMAT

Instant digital download. Study on any device or print at home. No physical item will be shipped.

PLEASE NOTE

CCM® is a registered trademark of the Commission for Case Manager Certification. This product is not affiliated with or endorsed by the Commission for Case Manager Certification or any testing organization.