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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal, and Practice Standards | 18% | - Scope of practice and roles - Legal and regulatory requirements - Advocacy and patient rights - Confidentiality and privacy - Professional ethics and conduct |
| Topic 2: Quality and Outcomes Evaluation and Measurements | 10% | - Accreditation and regulatory standards - Cost-benefit and effectiveness analysis - Data collection and reporting - Outcome measurement and analysis - Performance improvement |
| Topic 3: Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems - Behavioral change theories and models - Abuse and neglect recognition - Cultural competence and diversity - Mental health and substance use considerations |
| Topic 4: Reimbursement Methods | 12% | - Financial resources and negotiation - Coding and utilization review principles - Payment and reimbursement methodologies - Insurance principles and benefit structures - Managed care and accountable care concepts |
| Topic 5: Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources - Continuum of care settings |
| Topic 6: Care Management | 30% | - Caseload assignment and selection criteria - Care coordination and collaboration - Cost containment principles - Age-specific care application - Evidence-based case management models and tools - Medication management - Client-centered care plan development |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (What is the maximum period for the Engineer to issue the Notice of Commencement Date?)
A) 84 days
B) 42 days
C) 21 days
D) 14 days
2. Which two statements reflect an INCORRECT application of a Golden Principle?
A) When applying the FIDIC Red Book or Yellow Book, the Commencement Date shall be within 60 days after the Contractor receives the Letter of Acceptance, in lieu of 42 days.
B) Deleting all the clauses in the General Conditions that refer to the DAAB/DAB.
C) The Contractor ' s right to suspend work (or reduce the rate of work) effective after giving not less than
3 months (in lieu of 21 days) notice to the Employer.
D) Any deletions of General Conditions (GC) must be replaced with Particular Conditions (PC) that cover the same scope, and do not leave any roles, duties, obligations, rights, and risk allocation undefined.
3. You are the Contract Manager of the Contractor in a building project. The Contract has been awarded to your firm, but the Engineer has not been selected. The Contract Agreement states that the Commencement Date shall be notified by the Engineer, which must be done within 14 days after the signing of the Contract Agreement. The Employer requested your firm to commence works on the 14th day after signing the Contract Agreement. Your director, Y, wants to wait with commencing the works until the Engineer has been selected or until the 42 days since the date your firm receives Letter of Acceptance. Is Y correct?
A) No
B) Yes
4. Under the FIDIC Red, Yellow, and Silver Books (edition 2017), if a Dispute is referred to the Dispute Avoidance and Adjudication Board (DAAB) to obtain its decision, the Parties shall suspend performing their obligations in accordance with the Contract, until they receive further directions from the DAAB. Is this statement true or false?
A) False
B) True
5. What are two differences between a notice and other communications under the FIDIC Red Book (edition
2017)? (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).
A) Both ' Notice ' and ' Other Communications ' are defined terms under the Conditions of Contract.
B) The Parties and Engineer shall be given original or copy of any Notice, Notice of Dissatisfaction (NOD) and Certificates, which is not always the case for other communications.
C) Contractually there is no difference between a notice and other communications.
D) Notice is a defined term, while other communications are not defined as a term in the General Conditions.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A,B | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: B,D |
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