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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Ethics, Legal, and Practice Standards18%- Advocacy and patient rights
- Legal and regulatory requirements
- Professional ethics and conduct
- Confidentiality and privacy
- Scope of practice and roles
Reimbursement Methods12%- Managed care and accountable care concepts
- Financial resources and negotiation
- Insurance principles and benefit structures
- Payment and reimbursement methodologies
- Coding and utilization review principles
Quality and Outcomes Evaluation and Measurements10%- Cost-benefit and effectiveness analysis
- Accreditation and regulatory standards
- Outcome measurement and analysis
- Data collection and reporting
- Performance improvement
Psychosocial Concepts and Support Systems20%- Family dynamics and support systems
- Mental health and substance use considerations
- Cultural competence and diversity
- Abuse and neglect recognition
- Behavioral change theories and models
Healthcare Delivery Systems and Community Resources10%- Community-based services and resources
- Healthcare policy and systems
- Continuum of care settings
- Interdisciplinary collaboration
Care Management30%- Client-centered care plan development
- Care coordination and collaboration
- Medication management
- Evidence-based case management models and tools
- Caseload assignment and selection criteria
- Cost containment principles
- Age-specific care application

Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:

Question 1

(You are the Contract Manager of the Employer ' s Representative in a Thermal Power Plant Project under FIDIC Silver Book (edition 2017). The Contractor submits two claims:
(1) USD 200,000 for additional costs due to an error in national piling standard NTS-PW-01 referenced in the Employer's Requirements.
(2) USD 300,000 for constructing an additional flood wall due to incorrect hydrological data in Site Data (water level miscalculated).
What is your determination for the Contractor?)

A. The Contractor is entitled to the Claim for the additional floodwall based on Unforeseeable difficulties only.
B. The Contractor is entitled to both claims.
C. The Contractor is not entitled to either of the Claims.
D. The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer ' s Requirements only.


Question 2

Under both FIDIC Yellow Book (YB) and Silver Book (SB) (edition 1999), if the Engineer (YB) / Employer (SB) instructs the Contractor based on Sub-Clause 8.6 to provide a revised programme, the acceptance by the Engineer (YB) / Employer (SB) of a revised programme with a completion within Time of Completion entitles the Contractor to a payment of the needed extra costs. Is this statement true or false?

A. True
B. False


Question 3

The procurement process of a project executed based on any FIDIC Contract model is exactly the same in terms of definitions, time and steps, which makes it universal and more easy to use worldwide. Is this statement true or false?

A. True
B. False


Question 4

(In a FIDIC Red Book, the Employer shall have prepared (or have prepared by a design consultant) all the design for the Works. Which of the listed documents form the basis for this design (2 correct answers apply))

A. The Breakdown of Lump-Sum
B. Schedule of Subcontractors
C. The form of Contract Agreement
D. The Bill of Quantities
E. The Specifications


Question 5

(In FIDIC contracts, a number of time limits are included for the Parties and the Engineer to perform various obligations. How are failures to comply with these time limits most typically being dealt with in these forms of contracts? [2017 Edition] (1 correct answer))

A. If a Party fails to perform an obligation within the allocated time limit, then the failing party shall pay damages to the other Party.
B. In these cases, there is a " deemed " outcome if the stakeholder does not take action within the pre-set period of time - all enabling to secure continuity of contractual processes.
C. A Party ' s failure to perform an obligation within the allocated time limit would mean that the Engineer
' s or Employer's decision becomes automatically binding.
D. In all these cases, the stakeholder not performing a required action within the allocated time limit loses all of his/her related rights that he/she otherwise would have in relation to this matter.


Solutions:

Question 1
Answer: D
Question 2
Answer: B
Question 3
Answer: B
Question 4
Answer: D,E
Question 5
Answer: B

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