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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Psychosocial Concepts and Support Systems | 20% | - Behavioral change theories and models - Mental health and substance use considerations - Cultural competence and diversity - Abuse and neglect recognition - Family dynamics and support systems |
| Topic 2: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Interdisciplinary collaboration - Community-based services and resources - Healthcare policy and systems |
| Topic 3: Care Management | 30% | - Cost containment principles - Client-centered care plan development - Age-specific care application - Medication management - Caseload assignment and selection criteria - Evidence-based case management models and tools - Care coordination and collaboration |
| Topic 4: Ethics, Legal, and Practice Standards | 18% | - Legal and regulatory requirements - Professional ethics and conduct - Scope of practice and roles - Confidentiality and privacy - Advocacy and patient rights |
| Topic 5: Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards - Outcome measurement and analysis - Data collection and reporting |
| Topic 6: Reimbursement Methods | 12% | - Payment and reimbursement methodologies - Coding and utilization review principles - Managed care and accountable care concepts - Insurance principles and benefit structures - Financial resources and negotiation |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Which two statements are true under the FIDIC Red Book (edition 1999)?
(Choose all of the correct answers - multiple possibilities)
A) The Performance Certificate is deemed to be issued on fulfilment of certain conditions stated in the respective Sub-Clause.
B) The Performance Certificate constitutes acceptance of the Works and full performance of all obligations of each Party.
C) The Performance Certificate is deemed to constitute the acceptance of the Works.
D) The Engineer shall issue the Performance Certificate within 28 days at the latest: by the end of the Defects Notification Periods, and once the Contractor has supplied all the Contractor ' s Documents and completed and tested all Works including remedying any defects in accordance with the Contract.
2. Towards the end of implementing a varied work (initiated originally by the Contractor as a " Value Engineering Proposal " , relevant designs provided by the Contractor) it turned out, that there is some part of it not complying with the otherwise prevailing standards. Which statements are correct in this situation?
[FIDIC Red Book, 2017 Edition]
Choose all of the correct answers (multiple possibilities).
A) In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
B) Since the design was approved by the Engineer, the Contractor might not be found responsible for such discrepancy, hence, to be fully compensated.
C) The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.
D) In case it is necessary, the Contractor shall prepare designs for works subject to the Value Engineering, hence, it is up to the Contractor to ensure that the works are fit for the purposes, including that the designs are correct, regardless of any approval or " no-objection " of the Engineer.
3. You are the Contract Manager in a highway project using FIDIC Red Book (edition 1999). You work for the Employer - a highway management agency. During the tender period, you are informed of a specific Commencement Date required by the directors of the agency. Which two of the following approaches to inform the tenderers of this date are clearly and unambiguously drafted?
Choose all of the correct answers (multiple possibilities).
A) Inform the Commencement Date to the tenderers by email, and attach that email in the list of Contract Documents.
B) Specify Commencement Date in the Minutes of Meeting of Contract Negotiation.
C) Specify Commencement Date in the Particular Conditions.
D) Specify Commencement Date in the Contract Agreement.
4. Upon review of the revised programme, submitted by the Contractor, if the Engineer (under FIDIC Red or Yellow Books) or Employer (under FIDIC Silver Book) does not give a Notice of Non-Compliance within 14 days after receiving a revised programme, then ... [complete the sentence, thereby considering FIDIC Red, Yellow, and Silver Books (edition 2017)]. (1 correct answer applies)
A) The Contractor cannot proceed in accordance with the Programme.
B) The Engineer shall be deemed to have given a Consent and the revised programme shall be the Programme.
C) The Contractor shall submit a Notice to the Engineer or the Employer reminding him to give its approval on the revised programme.
D) The Engineer is deemed to have no objection to use the revised programme submitted by the Contractor, for the Works.
5. (Under the FIDIC Red, Yellow, and Silver Books (edition 1999), which of the following entitlements of the Employer can result in a deduction of the Contract Price and Payment Certificates subject to Sub-Clause 2.5?
(2 correct answers apply))
A) Paying the Nominated Subcontractor directly.
B) Cost of using the Employer ' s materials.
C) Delay Damages.
D) Compensation for the costs of the initial review of the Contractor ' s Documents.
Solutions:
| Question # 1 Answer: A,D | Question # 2 Answer: C,D | Question # 3 Answer: C,D | Question # 4 Answer: D | Question # 5 Answer: A,C |







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