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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Concepts and Support Systems20%- Cultural competence and diversity
- Behavioral change theories and models
- Mental health and substance use considerations
- Family dynamics and support systems
- Abuse and neglect recognition
Topic 2: Ethics, Legal, and Practice Standards18%- Scope of practice and roles
- Confidentiality and privacy
- Legal and regulatory requirements
- Advocacy and patient rights
- Professional ethics and conduct
Topic 3: Healthcare Delivery Systems and Community Resources10%- Community-based services and resources
- Continuum of care settings
- Interdisciplinary collaboration
- Healthcare policy and systems
Topic 4: Quality and Outcomes Evaluation and Measurements10%- Accreditation and regulatory standards
- Data collection and reporting
- Cost-benefit and effectiveness analysis
- Performance improvement
- Outcome measurement and analysis
Topic 5: Reimbursement Methods12%- Coding and utilization review principles
- Insurance principles and benefit structures
- Managed care and accountable care concepts
- Payment and reimbursement methodologies
- Financial resources and negotiation
Topic 6: Care Management30%- Age-specific care application
- Care coordination and collaboration
- Medication management
- Client-centered care plan development
- Evidence-based case management models and tools
- Caseload assignment and selection criteria
- Cost containment principles

Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:

Which two statements are correct regarding the FIDIC Red Book (edition 2017)?

  • A. Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.
  • B. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
  • C. There is never a difference in effect whether in the Particular Conditions when the term " Works " is used, or when the term " works " is used.
  • D. In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.
Reveal Solution  Discussion  0

Correct Answer: A,D  🗳️

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The FIDIC Books are evolutions of earlier contract models, and although the different versions of a specific model are not the same, familiarity in definitions and structure makes it easier to work with different FIDIC books as well as with their different editions.
Is this statement true or false?

  • A. False
  • B. True
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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You are the Contract Manager for the Engineer in a hospital project using FIDIC Yellow Book (edition 2017).
The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during design and construction. Which one of the following is considered to be a valid Variation?

  • A. The Contractor submits a Value Engineering proposal regarding the lighting system for the operation rooms. The Engineer is positive about the proposal and tells the Contractor they need to look into it.
  • B. The Engineer requests a proposal regarding a change in type of windows and doors. The Contractor submitted the proposal accordingly to the Engineer. The Engineer instructs the Variation.
  • C. The Employer verbally instructs a change in the type of doors. The Engineer issued a Notice describing the required change and denying any costs for the Contractor.
  • D. The Engineer instructs a change in slopes of the access road to the intensive care unit to meet the Employer ' s Requirement. The Engineer does so with a Notice in accordance with Sub-Clause 3.5.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?

  • A. " The Contractor should take advantage of its bargaining power every time possible " AND " Disputes are avoided to the extent achievable, minimised when they do arise, and resolved efficiently. "
  • B. " The Employer obtains the best value for money " AND " Disputes should be avoided to the extent achievable. "
  • C. " Only the Employer should be the one to obtain the best value for money " AND " The Contractor
    /Subcontractor is paid adequately and timely in accordance with the Contract to maintain its cash flow. "
  • D. " The Contractor/Subcontractor is paid adequately and in a timely manner in accordance with the Contract to maintain its cash flow " AND " The terms of the Contract are comprehensive and fair to primarily the Employer " .
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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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, 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.
  • B. No, because the Contractor has a duty to supply the Employer with every Document, given Sub-Clause
    7.4.
  • C. Yes, because otherwise the Contractor doesn ' t have to submit any Document until Completion of the Works as stated in Sub-Clause 1.8.
  • D. No, according to Sub-Clause 5.7 provisional operation and maintenance manuals are always required.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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