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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Behavioral change theories and models - Abuse and neglect recognition - Family dynamics and support systems - 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 |
| Ethics, Legal, and Practice Standards | 18% | - Scope of practice and roles - Advocacy and patient rights - Legal and regulatory requirements - Confidentiality and privacy - Professional ethics and conduct |
| Care Management | 30% | - Evidence-based case management models and tools - Caseload assignment and selection criteria - Cost containment principles - Medication management - Care coordination and collaboration - Client-centered care plan development - Age-specific care application |
| Reimbursement Methods | 12% | - Payment and reimbursement methodologies - Managed care and accountable care concepts - Coding and utilization review principles - Insurance principles and benefit structures - Financial resources and negotiation |
| Quality and Outcomes Evaluation and Measurements | 10% | - Accreditation and regulatory standards - Performance improvement - Data collection and reporting - Outcome measurement and analysis - Cost-benefit and effectiveness analysis |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Which one of the following statements is correct regarding the Provisional Sum under the FIDIC Red, Yellow, and Silver Books (edition 1999)?
A) The Provisional Sum cannot be issued by instruction either by the Engineer (or Employer in case of FIDIC Silver Book).
B) Each Provisional Sum shall not be used, in whole or in part, in accordance with instructions from the Engineer.
C) The Contractor shall, when required by the Engineer, produce proof to substantiate how it has used the Provisional Sum.
2. (Which two statements are correct for the FIDIC Red Book (edition 2017)?
Choose all of the correct answers (multiple possibilities).)
A) The Contract includes the General Conditions and Particular Conditions, and no other documentation.
B) Contract Data is part of General Conditions of Contract.
C) Contract Agreement, Letter of Acceptance and Letter of Tender are part of the Contract.
D) Conditions of Contract means these General Conditions as amended by Particular Conditions.
3. If the Engineer is required to obtain the Employer ' s prior approval to issue determinations (including such requirement in the Particular Conditions) and such approval was not given by the Employer, what possible options are at stake for the Engineer to proceed? [1999 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
A) Issuing the determination to the Contractor in the form and with the content agreeable to the Employer, with a remark, that it is the Employer ' s determination and not the Engineer ' s determination.
B) The Engineer should refer the matter in subject to the DAB.
C) Remain silent and not do anything in the subject.
D) Informing the Contractor of their inability of issuing the determination, in lack of the Employer ' s necessary approval.
4. (Which one of the following statements regarding FIDIC Golden Principles is correct?)
A) The Particular Conditions can be changed under the condition that the balance of risk/reward allocation provided in the General Conditions provides for significantly less risk to the Contractor.
B) The Particular Conditions do not have to be drafted clearly and unambiguously, as long as the Employer understands the meaning of the risk allocation.
C) The Particular Conditions must not change the balance of risk/reward allocation provided in the General Conditions.
D) The FIDIC Golden Principles only apply to handling the General Conditions of a contract and should not be taken into account when preparing the Particular Conditions.
5. (Which two FIDIC Books (edition 2017) should especially be considered for use if the Employer needs the Contractor to take responsibility for the design and execution of the project. The construction will involve substantial work underground or work in other areas which tenderers cannot inspect.
Choose all of the correct answers (multiple possibilities).)
A) Silver Book by amending Sub-Clause 4.12 in the Particular Conditions
B) Yellow Book
C) Silver Book without amending Sub-Clause 4.12 in the Particular Conditions
D) Red Book
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C,D | Question # 3 Answer: A,D | Question # 4 Answer: C | Question # 5 Answer: A,B |
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