Ethical, Legal and Practice Standards
(Comprises 15% of the Exam, approximately 23 questions)
Case managers are licensed professionals who are obligated to work within ethical, legal, and practice standards as required by their license, governing bodies, and accrediting organizations. The board-certified case manager must have a good understanding of these standards; therefore, the Commission for Case Management Certification (CCMC) dedicates 15% of the CCM Exam to this topic.
Because of the board-certified case manager’s role in protecting the rights, dignity, and public interest of his or her clients, the CCMC now requires CCMs to earn ethics-related continuing education credits for recertification.
- Affordable Care Act (ACA) (new)
- Case recording and documentation
- Clinical pathways, standards of care, practice guidelines, and treatment guidelines
- Ethics related to care delivery (e.g., advocacy, experimental treatments and protocols, end of life, refusal of treatment/services)
- Ethics related to professional practice
- Health care and disability related legislation (including):
- Legal and regulatory requirements
- Meaningful use (e.g., electronic exchanges of summary of care, reporting specific cases to specialized client registries, structured electronic transmission of laboratory test results, use of electronic discharge prescriptions) (new)
- Privacy and Confidentiality (new)
- Risk management
- Self-care and well-being as a professional (new)
- Standards of practice