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Medical Professional CCM Exam Syllabus Topics:

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

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

Question 1

When is the Employer obliged to return the Performance Security (PS) under the FIDIC Red Book (edition
1999)?

A. Within 21 days after the issuance of the Taking-Over Certificate.
B. Without undue delay after the issuance of the Performance Certificate.
C. Without undue delay after the issuance of the Taking-Over Certificate.
D. Within 21 days after the issuance of the Performance Certificate.


Question 2

(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. Cost of using the Employer ' s materials.
B. Delay Damages.
C. Compensation for the costs of the initial review of the Contractor ' s Documents.
D. Paying the Nominated Subcontractor directly.


Question 3

You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

A. The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
B. DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.
C. Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.
D. DAAB is to provide for a fair, timely and efficient resolution of Disputes.


Question 4

(You are the Contract Manager in a contract using the FIDIC Red Book with a Dispute Avoidance and Adjudication Board. The DAAB is already appointed (standing DAAB). You are coaching your team on the steps to be followed to request for informal assistance from the DAAB during a Site visit. Which one of the following does NOT belong to those steps?)

A. Both Parties should be present at the meeting in which the DAAB provides assistance.
B. The Engineer has made a non-objection letter, in which it is stated that the issue/disagreement does not concern the matter that is being dealt with by the Engineer.
C. The Employer and the Contractor have made a " joint request " in writing before the DAAB gives the requested assistance.
D. The Employer and the Contractor have identified an issue and disagreement, and have agreed between themselves that they want the DAAB to provide assistance and/or informally discuss and attempt to resolve that issue/disagreement.


Question 5

Which one statement is correct regarding the FIDIC Red Book (edition 2017)?

A. Instructions to Tenderers may require the tenderer to provide information on matters in Sub-Clause 4.3 on Contractor ' s Representative and Sub-Clause 6.12 on Key Personnel.
B. Instructions to Tenderers are part of the Employer ' s Requirements.
C. No Data other than required by the General Conditions of Contract may be entered in the Contract Data.
D. General Conditions of Contract cannot be amended as it may imbalance the obligations and rights of the Parties.


Solutions:

Question 1
Answer: D
Question 2
Answer: B,D
Question 3
Answer: B
Question 4
Answer: B
Question 5
Answer: A

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