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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Concepts and Support Systems | 20% | - Cultural competence and diversity - Behavioral change theories and models - Family dynamics and support systems - Abuse and neglect recognition - Mental health and substance use considerations |
| Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration - Healthcare policy and systems - Continuum of care settings - Community-based services and resources |
| Ethics, Legal, and Practice Standards | 18% | - Scope of practice and roles - Professional ethics and conduct - Confidentiality and privacy - Advocacy and patient rights - Legal and regulatory requirements |
| 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 |
| Care Management | 30% | - Care coordination and collaboration - Client-centered care plan development - Age-specific care application - Medication management - Evidence-based case management models and tools - Caseload assignment and selection criteria - Cost containment principles |
| Reimbursement Methods | 12% | - Coding and utilization review principles - Insurance principles and benefit structures - Payment and reimbursement methodologies - Financial resources and negotiation - Managed care and accountable care concepts |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. 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 DAAB
B) DAB
C) Ad-hoc arbitration
D) Ad-hoc DB
2. (You are the Contract Manager of the Employer ' s Representative for a project using FIDIC Silver Book (edition 1999). The Contract Agreement does not define the Commencement Date. The Contract has been legally effective for 4 weeks. You are writing a letter urging the Employer to issue a Notice of Commencement Date. Why is this important? (2 correct answers apply))
A) If no notified Commencement Date were more than 8 weeks since the Contract became legally effective, the Contractor will be entitled to financial compensation.
B) The Employer's failure to notify the Commencement Date within 6 weeks after the date on which the Contract comes into full force and effect would constitute a breach of the Contract.
C) If no notified Commencement Date were more than 8 weeks since the Contract was legally effective, the Contractor will be entitled to extension of time.
D) The Contractor shall be entitled to give notice of termination if the Contractor does not receive a Notice of Commencement Date within 12 weeks after both Parties signed the Contract Agreement.
3. Under the FIDIC Red Book (edition 2017), if the Contractor fails to comply with Site clearance obligation, what two options does the Employer have?
Choose all of the correct answers (multiple possibilities)
A) The Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
B) The Employer cannot reinstate and clear the Site and dispose the remaining Contractor ' s items on the Site if the Contractor fails, as this is the Contractor ' s obligation.
C) The Employer may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
D) The Employer is entitled to the cost of reinstating, clearing the Site and disposal cost to the extent they exceed the money received from selling the remaining Contractor ' s items on the Site.
4. Under the FIDIC Silver Contract (edition 2017), which two of the answers provide for preconditions for certification and payment of the Interim Payment Certificate?
Choose all of the correct answers (multiple possibilities).
A) The appointment of the Contractor ' s Representative and receipt of the Performance Security, by the Employer, in the form, and issued by an entity, in accordance with Sub-Clause 4.2.1.
B) Receipt of a statement and supporting documents.
C) The appointment of the Contractor and receipt of the Advance Payment Guarantee, by the Employer, in the form, and issued by an entity, in accordance with Sub-Clause 14.2.1.
D) Receipt of a statement via a letter showing the amounts to which the Contractor considers itself to be entitled.
5. You are the Contract Manager for the Engineer in a hotel project using FIDIC Red Book (edition 1999). The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during construction. Which one of the following is NOT considered as a Variation?
A) The Engineer requests a proposal regarding a change in type of windows and doors of the business centre.
B) The Employer verbally instructs a change in the layout of the rooftop restaurant. The Engineer issued an Instruction describing the required change with revised design drawings.
C) The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.
D) The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C,D | Question # 3 Answer: C,D | Question # 4 Answer: B,C | Question # 5 Answer: D |


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