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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Quality and Outcomes Evaluation and Measurements | 10% | - Accreditation and regulatory standards - Data collection and reporting - Performance improvement - Cost-benefit and effectiveness analysis - Outcome measurement and analysis |
| Topic 2: Care Management | 30% | - Cost containment principles - Age-specific care application - Client-centered care plan development - Medication management - Caseload assignment and selection criteria - Care coordination and collaboration - Evidence-based case management models and tools |
| Topic 3: Reimbursement Methods | 12% | - Coding and utilization review principles - Payment and reimbursement methodologies - Financial resources and negotiation - Managed care and accountable care concepts - Insurance principles and benefit structures |
| Topic 4: Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Scope of practice and roles - Confidentiality and privacy - Professional ethics and conduct - Legal and regulatory requirements |
| Topic 5: Psychosocial Concepts and Support Systems | 20% | - Cultural competence and diversity - Behavioral change theories and models - Mental health and substance use considerations - Abuse and neglect recognition - Family dynamics and support systems |
| Topic 6: Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Continuum of care settings - Interdisciplinary collaboration - Community-based services and resources |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
Regarding FIDIC Yellow and Silver Books (edition 1999) the Contractor has submitted its design proposal through the Contractor ' s Proposal. Which two of the following statements are true in this respect, after it has been submitted?
Choose all of the correct answers (multiple possibilities).
- A. The Contractor is entitled to change the design by optimising the design, without approval of the Employer/Engineer.
- B. The Contractor is not allowed to submit a proposal for Value Engineering, as any value engineering should already have taken place before submitting its design proposal.
- C. The Contractor is not allowed to make any changes regarding the design to optimise the design, unless approved by the Engineer/Employer.
- D. The Contractor may submit a proposal for Value Engineering.
Correct Answer: C,D 🗳️
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(Which one of the following statements is correct regarding the Employer ' s Representative under the FIDIC Silver Book (edition 1999)?)
- A. The Representatives of both the Employer and the Engineer have no authority to amend the Contract at all.
- B. The Employer may appoint an Employer ' s Representative to act on his behalf under the Contract but has to consult the Contractor to agree to this Representative.
- C. The Employer must always appoint an Employer ' s Representative to act on his behalf under the Contract.
- D. The Employer may appoint an Employer ' s Representative to act on his behalf under the Contract.
Correct Answer: D 🗳️
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Under the FIDIC Construction Contract (Red Book), which of the following amendments do NOT comply with the FIDIC Golden Principles? [1999 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
- A. The DAB Decision is final and binding
- B. The Payment shall be released by the Employer within 180 days calculated from receiving the Contractor ' s Monthly Statement
- C. Deletion of Sub-Clauses 20.2 - 20.4 for a Project constructed in United Arab Emirates
- D. The Contractor is responsible for the performance of the Nominated Subcontractors
Correct Answer: B,C 🗳️
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(Under the FIDIC Red, Yellow, and Silver Books (edition 1999), which of the following entitlements of the Employer can result in a deduction of the Contract Price and Payment Certificates subject to Sub-Clause 2.5?
(2 correct answers apply))
- A. Paying the Nominated Subcontractor directly.
- B. Compensation for the costs of the initial review of the Contractor ' s Documents.
- C. Delay Damages.
- D. Cost of using the Employer ' s materials.
Correct Answer: A,C 🗳️
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A Contractor under the FIDIC Silver Book (edition 1999) has not been able to finish the Works within the Time for Completion as mentioned in the Contract and has overrun the Time for Completion by 3 months.
This results in a significant claim of $4,500,000 from the Employer. The Employer has submitted this claim to the Contractor according to the procedures as mentioned in the Contract. The Contractor asks you for advice and refers to Clause 8. Which one of the following statements is NOT true?
- A. The root cause of the delay has to be determined by the Contractor, thereby especially verifying if the cause of the delay lies in a delay caused by the Authorities.
- B. If there are Variations agreed between the Contractor and the Employer, the Contractor should check if an adjustment for Time for Completion was part of any of these Variations.
- C. If the delay is entirely caused by the Employer having instructed the Contractor to suspend progress during the Works, while the cause of the suspension is not the responsibility of the Contractor, the claim for delay damages was wrongfully issued.
- D. In addition to the delay damages as mentioned in Sub-Clause 2.5, the Employer has the right to claim any extra costs it has to make due to the delay, as delay damages are not seen as compensation for costs incurred by the Employer, but only as an incentive for the Contractor to perform on time.
Correct Answer: D 🗳️
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