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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Confidentiality and privacy - Advocacy and patient rights - Legal and regulatory requirements - Scope of practice and roles |
| Topic 2: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources |
| Topic 3: Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Cultural competence and diversity - Family dynamics and support systems - Mental health and substance use considerations - Behavioral change theories and models |
| Topic 4: Care Management | 30% | - Care coordination and collaboration - Age-specific care application - Evidence-based case management models and tools - Client-centered care plan development - Medication management - Caseload assignment and selection criteria - Cost containment principles |
| Topic 5: Reimbursement Methods | 12% | - Managed care and accountable care concepts - Insurance principles and benefit structures - Coding and utilization review principles - Financial resources and negotiation - Payment and reimbursement methodologies |
| Topic 6: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Performance improvement - Data collection and reporting - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (Under the FIDIC Red Book, which of the following statements are correct? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).)
A) The FIDIC Red Book ' s General Conditions specify a standing DAAB.
B) A decision by a DAAB is not final and binding on the Parties until it is confirmed by an arbitration award.
C) If the Employer or the Contractor fails to notify its dissatisfaction with an Engineer ' s ruling within the specified time, the DAAB ' s decision is final and binding.
D) An attempt to reach an amicable settlement is a mandatory requirement before an Engineer ' s ruling can be referred to a DAAB.
E) A DAAB member nominated by one of the Parties must be agreed by the other Party.
2. You are the Contract Manager of the Engineer and person Y is the Contract Manager of the Employer in a construction project under FIDIC 2017 Red Book. The project is late in schedule and Y has issued Employer ' s claim on Delay Damages. You have asked Y to consider whether the Contractor ' s delay to completion is a reflection of cash-flow shortfall from interim payments before making deductions to the Contractor ' s payment. Y replied that even if the Contractor pays Delay Damages to the Employer, the Contractor is still obliged to complete the Works and is not relieved from its duties and obligations. You warned Y of the risks of further reduction of cash-flow by the deduction of Delay Damages from payments. As this could worsen the situation of the Contractor, leading to further delays to the completion of the Works. Who is right?
A) You are wrong, Y is correct.
B) Both you and Y are both correct.
C) Both you and Y are wrong.
D) You are correct, Y is wrong.
3. Which one of the following statements best describes the requirements of Time for Completion?
A) This is one of the Contractor ' s obligations, namely the completion of most of the Works (except minor outstanding works), within the Time for Completion calculated from the Effective Date.
B) This is the Contractor ' s fundamental time-related obligation, namely completion the whole of the Works within the Time for Completion calculated from the Commencement Date.
C) This is one of the Contractor ' s obligations, namely the completion of most of the Works (except minor outstanding works), within the Time for Completion calculated from the Commencement Date.
D) This is the Contractor ' s fundamental time-related obligation, namely the completion of most of the Works (except minor outstanding works), within the Time for Completion calculated from the Commencement Date.
4. (Which two of the following statements are correct regarding types of Claims under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).)
A) If a Claim is submitted as per sub-paragraphs (a) or (b) of Sub-Clause 20.1, it is dealt with in accordance with Sub-Clause 20.2, which specifically covers claims for time and/or money. Part of the procedure under Sub-Clause 20.2 is for a payment and/or an extension of time-related claim to be agreed or determined by the Engineer/Employer's Representative (in case of the FIDIC Silver Book) in accordance with Sub-Clause 3.7/3.5.
B) If a Claim is submitted as per sub-paragraph (c) of Sub-Clause 20.1, this is dealt with by the Engineer or Employer's Representative (in case of FIDIC Silver Book) as per Sub-Clause 3.7/3.5.
C) The time bar only applies to Contractor's Claims and not to Employer's Claims.
D) The limit in time referred to in Sub-Clause 20.2.1 (also known as time bar) applies to all types of Claims.
5. In the FIDIC Silver Book (both editions), the Notice of the Commencement Date will be informed by whom?
(1 correct response applies)
A) The Engineer
B) The Employer
C) The Engineer ' s Resident Engineer
D) The Employer ' s Representative
Solutions:
| Question # 1 Answer: A,E | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A,D | Question # 5 Answer: B |



