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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
| Reimbursement Methods | 12% | - Financial resources and negotiation
- Coding and utilization review principles
- Insurance principles and benefit structures
- Payment and reimbursement methodologies
- Managed care and accountable care concepts
|
| Care Management | 30% | - Medication management
- Evidence-based case management models and tools
- Caseload assignment and selection criteria
- Care coordination and collaboration
- Client-centered care plan development
- Age-specific care application
- Cost containment principles
|
| Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy
- Advocacy and patient rights
- Scope of practice and roles
- Professional ethics and conduct
- Legal and regulatory requirements
|
| Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement
- Accreditation and regulatory standards
- Cost-benefit and effectiveness analysis
- Data collection and reporting
- Outcome measurement and analysis
|
| Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems
- Mental health and substance use considerations
- Abuse and neglect recognition
- Behavioral change theories and models
- Cultural competence and diversity
|
| Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings
- Healthcare policy and systems
- Interdisciplinary collaboration
- Community-based services and resources
|
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) DAB
B) Ad-hoc arbitration
C) Ad-hoc DB
D) Ad-hoc DAAB
2. (Both FIDIC Silver Book (SB) and Yellow Book (YB) (edition 1999) mention the Contractor scrutinising the Employer ' s Requirements. Which statement is correct?)
A) Scrutinising in FIDIC Yellow Book 1999 means the same as in FIDIC Silver Book 1999; in both models it means that after the contract closes and before starting the actual making of the design, the Contractor has to read the Employer's Requirements very thoroughly and check on any errors, omissions or conflicts.
B) Scrutinising in FIDIC Silver Book 1999 means that the Contractor should read the Employer's Requirements very thoroughly after the contract closes and see if the Employer's Requirements is complete or if something is missing.
C) Scrutinising in FIDIC Yellow Book 1999 means that the Contractor has the opportunity after the contract close to report on any errors, mistakes or conflicts in the Employer's Requirements. In the FIDIC Silver Book 1999 scrutinising provides that obligation during the tender period; the Contractor has to review and verify the Employer's Requirements more strictly before submitting the tender.
D) Scrutinising in FIDIC Yellow Book 1999 and Silver Book 1999 means that the Contractor must ask the Employer to check the Employer's Requirements very well to see if the Works can be built on that location according to the Employer's Requirements.
3. 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?
A) 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.
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) The current index or price.
D) Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
4. (What is the maximum period for the Engineer to issue the Notice of Commencement Date?)
A) 14 days
B) 42 days
C) 21 days
D) 84 days
5. Which two of the following statements are correct regarding Dispute under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities)
A) The Dispute must be submitted to the Dispute Avoidance and Adjudication Board (DAAB) within 42 days, otherwise the NOD is deemed to have lapsed and is no longer valid.
B) If a Party is dissatisfied with the determination and has given Notice of Dissatisfaction (NOD) to the other party within a strict 28-day time limit, a Dispute arises and either Party may proceed under Sub- Clause 21.4 to obtain a DAAB decision on it.
C) In case the Engineer refuses to issue a Performance Certificate or to issue one with a correct date under Sub-Clause 11.9, and the Contractor has disagreed with the requested entitlement or relief in connection with this refusal, Dispute shall be deemed to have arisen.
D) Both ' Disagreement ' and ' Dispute ' are defined terms under the Conditions of Contract.
Solutions:
Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: B,C |