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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration - Continuum of care settings - Healthcare policy and systems - Community-based services and resources |
| Topic 2: Care Management | 30% | - Care coordination and collaboration - Age-specific care application - Client-centered care plan development - Medication management - Cost containment principles - Evidence-based case management models and tools - Caseload assignment and selection criteria |
| Topic 3: Reimbursement Methods | 12% | - Insurance principles and benefit structures - Coding and utilization review principles - Financial resources and negotiation - Payment and reimbursement methodologies - Managed care and accountable care concepts |
| Topic 4: Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Abuse and neglect recognition - Cultural competence and diversity - Family dynamics and support systems - Behavioral change theories and models |
| Topic 5: Ethics, Legal, and Practice Standards | 18% | - Legal and regulatory requirements - Scope of practice and roles - Advocacy and patient rights - Professional ethics and conduct - Confidentiality and privacy |
| Topic 6: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards - Data collection and reporting - Performance improvement |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (Please select the one answer in which the mentioned documents are in the correct order (hierarchy), as mentioned in the standard Contract Agreement form of the FIDIC Silver Book (edition 1999).)
A) Contract Agreement, Addenda, Conditions of Contract, Employer's Requirements, Contractor ' s Tender.
B) Contract Agreement, Conditions of Contract, Addenda, Employer's Requirements, Contractor ' s Tender.
C) Contract Agreement, Conditions of Contract, Employer's Requirements, Contractor ' s Tender, Addenda.
D) Contract Agreement, Conditions of Contract, Addenda, Contractor ' s Tender, Employer's Requirements.
2. Which of the following situations form legally binding contracts? (2 correct answers apply) Choose all of the correct answers (multiple possibilities)
A) The Employer received the Contractor ' s Letter of Tender and issued Letter of Acceptance.
B) The Employer received the Contractor ' s Letter of Tender and issued a conditional Letter of Acceptance.
C) The Employer and the Contractor signed the Contract Agreement.
D) The Employer received the Contractor ' s Letter of Tender and issued a Letter of Intent.
3. Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?
A) Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.
B) The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.
C) People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
D) The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.
4. (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) Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
B) The current index or price.
C) 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.
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 is more favourable to the Employer.
5. 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) Both you and Y are wrong.
B) Both you and Y are both correct.
C) You are wrong, Y is correct.
D) You are correct, Y is wrong.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A,C | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: B |



