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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Healthcare Delivery Systems and Community Resources | 10% | - Community-based services and resources - Continuum of care settings - Healthcare policy and systems - Interdisciplinary collaboration |
| Topic 2: Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Behavioral change theories and models - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems |
| Topic 3: Reimbursement Methods | 12% | - Insurance principles and benefit structures - Coding and utilization review principles - Managed care and accountable care concepts - Payment and reimbursement methodologies - Financial resources and negotiation |
| Topic 4: Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Advocacy and patient rights - Professional ethics and conduct - Legal and regulatory requirements - Scope of practice and roles |
| Topic 5: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Data collection and reporting - Accreditation and regulatory standards - Performance improvement |
| Topic 6: Care Management | 30% | - Care coordination and collaboration - Caseload assignment and selection criteria - Age-specific care application - Evidence-based case management models and tools - Client-centered care plan development - Medication management - Cost containment principles |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
Question 1
Which two statements are correct regarding the FIDIC Red Book (edition 2017)?
A. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
B. Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.
C. In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.
D. 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.
Question 2
(What is the maximum period for the Engineer to issue the Notice of Commencement Date?)
A. 42 days
B. 84 days
C. 21 days
D. 14 days
Question 3
Under the FIDIC Silver Contract (edition 2017), which two of the answers provide for preconditions for certification and payment of the Interim Payment Certificate?
Choose all of the correct answers (multiple possibilities).
A. Receipt of a statement via a letter showing the amounts to which the Contractor considers itself to be entitled.
B. The appointment of the Contractor ' s Representative and receipt of the Performance Security, by the Employer, in the form, and issued by an entity, in accordance with Sub-Clause 4.2.1.
C. Receipt of a statement and supporting documents.
D. The appointment of the Contractor and receipt of the Advance Payment Guarantee, by the Employer, in the form, and issued by an entity, in accordance with Sub-Clause 14.2.1.
Question 4
(Which two of the following statements are correct regarding types of Claims under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).)
A. The limit in time referred to in Sub-Clause 20.2.1 (also known as time bar) applies to all types of Claims.
B. If a Claim is submitted as per sub-paragraphs (a) or (b) of Sub-Clause 20.1, it is dealt with in accordance with Sub-Clause 20.2, which specifically covers claims for time and/or money. Part of the procedure under Sub-Clause 20.2 is for a payment and/or an extension of time-related claim to be agreed or determined by the Engineer/Employer's Representative (in case of the FIDIC Silver Book) in accordance with Sub-Clause 3.7/3.5.
C. The time bar only applies to Contractor's Claims and not to Employer's Claims.
D. If a Claim is submitted as per sub-paragraph (c) of Sub-Clause 20.1, this is dealt with by the Engineer or Employer's Representative (in case of FIDIC Silver Book) as per Sub-Clause 3.7/3.5.
Question 5
Upon review of the revised programme, submitted by the Contractor, if the Engineer (under FIDIC Red or Yellow Books) or Employer (under FIDIC Silver Book) does not give a Notice of Non-Compliance within 14 days after receiving a revised programme, then ... [complete the sentence, thereby considering FIDIC Red, Yellow, and Silver Books (edition 2017)]. (1 correct answer applies)
A. The Engineer is deemed to have no objection to use the revised programme submitted by the Contractor, for the Works.
B. The Contractor cannot proceed in accordance with the Programme.
C. The Contractor shall submit a Notice to the Engineer or the Employer reminding him to give its approval on the revised programme.
D. The Engineer shall be deemed to have given a Consent and the revised programme shall be the Programme.
Solutions:
| Question 1 Answer: B,C | Question 2 Answer: A | Question 3 Answer: C,D | Question 4 Answer: A,B | Question 5 Answer: A |




