Simple language
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Self-learning and self-evaluation functions
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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards - Data collection and reporting - Outcome measurement and analysis |
| Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Community-based services and resources - Interdisciplinary collaboration - Healthcare policy and systems |
| Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Scope of practice and roles - Legal and regulatory requirements - Advocacy and patient rights - Professional ethics and conduct |
| Reimbursement Methods | 12% | - Financial resources and negotiation - Coding and utilization review principles - Payment and reimbursement methodologies - Insurance principles and benefit structures - Managed care and accountable care concepts |
| Care Management | 30% | - Evidence-based case management models and tools - Cost containment principles - Age-specific care application - Caseload assignment and selection criteria - Care coordination and collaboration - Client-centered care plan development - Medication management |
| Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems - Behavioral change theories and models - Abuse and neglect recognition |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Which one of the following statements is NOT correct in respect of FIDIC Yellow Book (both editions)?
A) The General Conditions allocate the risks between the parties on a fair and equitable basis.
B) The Contract typically becomes legally effective when the Employer issues the Letter of Acceptance to the Contractor.
C) A disproportionate amount of risks is allocated to the Contractor under the General Conditions.
D) The Contractor provides plant and designs (except as otherwise specified) and executes the other works, all in accordance with the Contract, which includes its Proposal and the Employer ' s Requirements.
2. You are the Contract Manager of the Employer ' s Representative in a Thermal Power Plant Project. The Contract for this project is EPC Turnkey Contract using the FIDIC Silver Book (edition 2017) with a Contract Price of 28 million USD. The Employer ' s Requirements require that: " the Contractor design in accordance with international and national technical regulations, and standards, [etc.] " .
For piling works, the Employer ' s Requirements state that the Contractor will design according to a specific national standard for piling works NTS-PW-01. After all piles for the jetty have been installed, a pile load test on lateral bearing capacity shows that actual lateral bearing capacity is much lower than the calculated lateral bearing capacity. It was later revealed by the Technical Standard Committee that there was a typo mistake during preparation of the NTS-PW-01 (translated from a foreign standard). The lateral bearing capacity of installed piles had been substantially overestimated as a result of this typo. Contractor submits a claim for
200,000 USD regarding extra costs for installing additional piles as a result of errors in the Employer ' s Requirements.
In the hydrological information of Site Data provided by the Employer, the annual high water level is 4.0m.
However, during the design stage, with updated data from local stations along the rivers, the Contractor found out there was a mistake in the calculation. The annual high water level should be 4.5m. As a result, the Contractor has to design and build additional flood walls along the river to protect the Plant from flooding.
The Contractor claims an amount of 300,000 USD to construct the flood wall, based on Unforeseeable difficulties.
As the Employer ' s Representative, after you have consulted with both Parties but failed to reach agreement, you will make a fair determination of the Claims of the Contractor.
In your " Notice of the Employer ' s Representative ' s determination " , what is your determination for the Contractor?
A) The Contractor is entitled to the Claim for the additional flood wall based on Unforeseeable difficulties only.
B) The Contractor is entitled to both Claims.
C) The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer ' s Requirement only.
D) The Contractor is not entitled to either of the Claims.
3. In a construction project using the FIDIC Silver Book (edition 1999), if the Parties prefer the dispute board to be appointed on an " ad-hoc " basis instead of as a standing Dispute Avoidance and Adjudication Board (DAAB), what is it called? (1 correct answer applies)
A) Ad-hoc DB
B) Ad-hoc arbitration
C) Ad-hoc DAAB
D) DAB
4. If defects are identified during the Tests on Completion, which one of the following options is not available to the Parties under the Contract?
A) The Employer can request to take over the Works.
B) If the defects do not affect the use of the Works for their intended purpose, the Engineer can issue the Taking-Over Certificate.
C) The Party which is not liable for the cost of rectifying defects can expect the other Party to pay the cost of performing the repeated tests.
D) By giving reasons, the Engineer can refuse to accept the Works until repeated tests have been successfully performed.
5. In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
" In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction. " What GP(s) is/are breached?
A) GP1 only
B) GP3 only
C) GP1 and GP3
D) GP1, GP2 and GP3
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |








