Free CHCM Practice Questions

Question 1

At 8 a.m., an RN calls out for a home visit that must occur by 10 a.m. A nearby RN is qualified for the care and has reviewed the patient's plan. Her conflicting routine visit may safely move to the afternoon; the clinical supervisor and that client have approved the change. A float RN or a contract RN could cover, but either would add labor cost. Which staffing plan preserves the required care without unnecessary expense?

Accepted Answer

Move the routine visit and confirm the nearby RN's replacement assignment.

Answer

Ask the ordering practitioner to postpone the time-sensitive visit until its assigned RN returns.

Answer

Use the float RN so the nearby RN can keep her original route unchanged.

Answer

Obtain a contract RN for the time-sensitive visit and preserve both original appointments.

Question 2

A new personal-care client complains that her aide arrives at 9:30 a.m. rather than 8 a.m. The aide is following the approved route, and the signed agreement specifies an 8-to-10 a.m. arrival window. All care needs can safely be met within that window. The admissions representative confirms having promised an 8 a.m. arrival every day. The client wants the aide disciplined. Which reply should the manager give?

Accepted Answer

We gave you conflicting information. Let's agree on an arrival window we can reliably provide that meets your needs.

Answer

I will ask the supervisor to address the aide's punctuality because our staff should meet the promised arrival time.

Answer

I will restore the promised 8 a.m. start tomorrow. We can work out the necessary route changes after your visit is secured.

Answer

The signed agreement permits arrival until 10 a.m. The aide has complied, so the complaint appears resolved.

Question 3

At a HIPAA-covered home health agency, a verified cardiologist treating a patient requests the current medication list and recent nursing assessments through the agency's secure exchange. The patient has not signed a separate release. No additional legal restriction applies to these records. An intake supervisor proposes sending only the medication list, citing HIPAA's minimum-necessary rule. How should the request be handled?

Accepted Answer

Provide both requested records for treatment without requiring a separate patient authorization.

Answer

Send only the medication list because the minimum-necessary rule excludes the nursing assessments.

Answer

Require a business associate agreement before releasing patient records to the treating cardiologist.

Answer

Withhold both records until the patient signs an authorization specifically naming the requesting cardiologist.

Question 4

An agency asks 120 clients, 'Did staff arrive within your agreed arrival window?' Its monthly punctuality score is the percentage of valid respondents answering Yes; the agency's target is 80%. Responses are:
North: 60 Yes, 20 No.
South: 18 Yes, 2 No.
No response: 20 clients. Which entry correctly reports the agency-wide result?

Accepted Answer

78%; below the agency's target.

Answer

83.3%; above the agency's target.

Answer

82.5%; above the agency's target.

Answer

65%; below the agency's target.

Question 5

Payroll flags a home-care employee's nonbillable time for possible exclusion. The verified record for one workweek contains 34 hours of client care, 5 hours of travel between clients, 3 hours of mandatory agency training for the current job, and 4 hours of ordinary commuting. The employee is FLSA-covered and nonexempt, with a regular rate of $24 per hour. No other compensation or more protective wage rule applies. What gross pay must be approved?

Accepted Answer

$1,032

Answer

$1,008

Answer

$1,176

Answer

$936

Question 6

After a software change, experienced schedulers begin missing authorization-renewal deadlines. Each correctly performs the renewal procedure during observed practice. An audit shows that reminders disappear when a client file is reassigned, and late renewals cluster in reassigned files across all schedulers. Before commissioning another training session, which explanation should the manager investigate first?

Accepted Answer

A workflow defect is removing the prompt needed to initiate renewals.

Answer

The training has not taught staff how to complete the renewal procedure.

Answer

Individual schedulers are choosing to disregard reminders they find inconvenient.

Answer

The team needs additional staffing to absorb a general increase in renewal volume.

Question 7

A supply-and-delivery budget allows $2,400 in fixed monthly costs plus $10 per completed visit. It was prepared for 800 visits. The agency completes 1,000 comparable visits and spends $11,900, including the unchanged $2,400 fixed cost. Required supplies were provided, and there were no inventory-timing differences. The owner sees spending above the original budget and concludes that purchasing efficiency deteriorated. What does a volume-adjusted comparison show?

Accepted Answer

A $500 favorable variance; spending was below the allowance for the completed visits.

Answer

A $500 unfavorable variance, showing actual spending exceeded the volume-adjusted allowance.

Answer

A $1,500 unfavorable variance, showing overspending at the actual visit volume.

Answer

A $2,000 unfavorable variance, equal to the extra visits' standard supply allowance.

Question 8

Near the end of a home visit, a nurse sustains a puncture from a used needle contaminated with the client's blood. She washes the site and calls the manager. The client's infection status is unknown, remaining visits have qualified coverage, and an after-hours service can evaluate occupational exposures now. Which arrangement takes priority over completing the incident investigation?

Accepted Answer

Immediate confidential post-exposure evaluation, with the agency bearing the cost.

Answer

Prior workers' compensation authorization for payment of the evaluation.

Answer

An occupational-health review next business day, because the nurse has already washed the site.

Answer

Testing the client first to determine whether the nurse needs an evaluation.

Question 9

A manager rates an RN's annual documentation timeliness as poor based on two late December notes, disregarding monthly audits showing timely completion from January through November. Which rating error is illustrated?

Accepted Answer

Recency bias: recent incidents dominate the assessment of the full review period.

Answer

Horns effect: one weakness lowers ratings for unrelated aspects of the employee's work.

Answer

Central tendency: meaningful differences in performance are compressed into middle-range ratings.

Answer

Contrast error: performance is judged against the employee evaluated immediately beforehand.

Question 10

A hospital patient selects an independent home health agency. It and the hospital-owned agency are Medicare-certified, in the patient's insurance network, available, and able to meet the patient's needs. The discharge planner nevertheless sends the referral to the hospital-owned agency, saying the patient can transfer after the first visit. Its manager is asked to arrange admission. Which response is consistent with federal discharge-planning requirements?

Accepted Answer

Have the planner honor the patient's selection and disclose the hospital's ownership interest.

Answer

Request a hospital-administration exception to its preferred-provider policy before redirecting the referral.

Answer

Accept the referral, then offer a transfer at the first care-plan review.

Answer

Require a physician's written agency-selection order before honoring the patient's preference.

Free CHCM Practice Questions

Domain 1: LEADERSHIP SKILLS 10% of exam

Question 1

Domain 2: CUSTOMER SERVICE 15% of exam

Question 2

Question 3

Domain 3: MANAGEMENT SKILLS 30% of exam

Question 4

Question 5

Domain 4: MARKETING AND SALES 5% of exam

Question 6

Domain 5: REGULATORY PROCESSES FOR HOME CARE AGENCIES 10% of exam

Question 7

Domain 6: FINANCIAL MANAGEMENT AND BUDGETING 10% of exam

Question 8

Domain 7: HUMAN RESOURCE BASIC PRACTICES AND LAW 15% of exam

Question 9

Domain 8: RISK MANAGEMENT 5% of exam

Question 10

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