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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Continuum of care settings - Community-based services and resources - Interdisciplinary collaboration |
| Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Legal and regulatory requirements - Confidentiality and privacy - Professional ethics and conduct - Scope of practice and roles |
| Reimbursement Methods | 12% | - Financial resources and negotiation - Coding and utilization review principles - Payment and reimbursement methodologies - Managed care and accountable care concepts - Insurance principles and benefit structures |
| Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Cultural competence and diversity - Family dynamics and support systems - Behavioral change theories and models - Mental health and substance use considerations |
| Care Management | 30% | - Care coordination and collaboration - Medication management - Client-centered care plan development - Age-specific care application - Evidence-based case management models and tools - Cost containment principles - Caseload assignment and selection criteria |
| Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Data collection and reporting - Performance improvement - Accreditation and regulatory standards |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
Question 1
You are the Contract Manager of the Engineer for a contract using FIDIC Yellow Book (edition 2017). You are drafting a notice holding the Commencement Date. Which one of the following approaches has the most clear and unambiguous drafting?
A. The Contractor is kindly notified that the project shall be started by 17 April 2023.
B. The commencement date of this project under Sub-Clause 8.1 of the Conditions of Contract will be 10 days from 7 April 2023.
C. I hereby give notice, in accordance with Sub-Clause 1.1.84 and 8.2 of the Conditions of Contract, that the Time for Completion shall commence from 17 April 2023.
D. I hereby give notice, in accordance with Sub-Clause 8.1 of the Conditions of Contract, the Commencement Date shall be 17 April 2023.
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
Which one of the following is not a required document to be submitted by the Contractor if the Employer requests a proposal, prior to instructing a Variation, for FIDIC 2017 Yellow Book?
A. A Programme for execution of the varied work.
B. A description of the varied work.
C. Details of the resources and methods to be adopted by the Contractor.
D. A description of the proposed design.
Question 4
In case a Variation is initiated by the Engineer for prompt implementation ...... [FIDIC Red, and Yellow Books, 2017 Editions] Choose all of the correct answers (multiple possibilities).
A. ... the Contractor is not bound to start implementing the varied works right up until the price for the varied works is fully agreed (or determined)
B. ... the Contractor within 28 days after receiving such instruction shall submit to the Engineer a description of the varied work, a programme for its execution and a proposal for adjustment of the Contract Price.
C. ... the Contractor may send a Notice to the Engineer, that the subject of the Variation was Unforeseeable (having regard to the scope and nature of the Works), hence, the Contractor is not to start implementing the varied work promptly.
D. ... the Contractor is required to commence implementing the varied works even if it would pose immediate hazard to the safety of public areas surrounding the Site
E. ... the Contractor is required to commence implementing the varied works and take records of all the details ( ... regarding the details of the varied works executed, expenditures incurred, and impact on progress etc.)
Question 5
(You are the Contract Manager for the Engineer in a highway project using FIDIC Red Book (edition 1999).
There is a Schedule of cost indexation included in the Contract. The project must be completed by 31 December of this year. If the Contractor fails to complete the Works by then, how will the adjustment of prices take place thereafter? (1 correct answer applies))
A. The current index or price.
B. Either the current index/price, or index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works, whichever is more favourable to the Employer.
C. Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
D. Either the current index/price, or index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works, whichever agreed by Parties.
Solutions:
| Question 1 Answer: D | Question 2 Answer: B | Question 3 Answer: D | Question 4 Answer: B,E | Question 5 Answer: B |







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