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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Quality and Outcomes Evaluation and Measurements | 10% | - Data collection and reporting - Outcome measurement and analysis - Performance improvement - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards |
| Care Management | 30% | - Care coordination and collaboration - Caseload assignment and selection criteria - Evidence-based case management models and tools - Age-specific care application - Medication management - Cost containment principles - Client-centered care plan development |
| Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Legal and regulatory requirements - Scope of practice and roles - Confidentiality and privacy - Advocacy and patient rights |
| 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 |
| Reimbursement Methods | 12% | - Insurance principles and benefit structures - Financial resources and negotiation - Coding and utilization review principles - Payment and reimbursement methodologies - Managed care and accountable care concepts |
| Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration - Continuum of care settings - Healthcare policy and systems - Community-based services and resources |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Under the FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the initial time Programme?
A) All key delivery dates of Plant and Materials.
B) The date on which the right of access to and possession of (each part of) the Site is to be given to the Contractor.
C) The sequence and timing of the remedial work.
D) The actual progress to date, any delay to such progress and the effects of such delay on other activities (if any).
2. Is the Employer obliged under FIDIC Silver Book (edition 1999) to describe which Documents are to be submitted to the Employer? (1 correct response applies)
A) Yes, because otherwise the Contractor doesn ' t have to submit any Document until Completion of the Works as stated in Sub-Clause 1.8.
B) No, because the Contractor has a duty to supply the Employer with every Document, given Sub-Clause
7.4.
C) Yes, the Employer should define which documents it wants to receive from the Contractor as Contractor ' s Documents in the Employer ' s Requirements, as stated in Sub-Clause 5.2.
D) No, according to Sub-Clause 5.7 provisional operation and maintenance manuals are always required.
3. You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?
A) DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.
B) DAAB is to provide for a fair, timely and efficient resolution of Disputes.
C) Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.
D) The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
4. (The Employer is a leading company in the hospital and medical care sector who wishes to build a new hospital. The Employer is considering approaching a financial institute to secure most of the funds; therefore, he requires clarity and stability in terms of the Project ' s budget and time for completion. Which book do you recommend?)
A) All the above
B) Silver Book
C) Red Book
D) Yellow Book
5. 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 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.
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 Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
Solutions:
| Question # 1 Answer: A,B | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: A,C |



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