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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Professional ethics and conduct - Scope of practice and roles - Legal and regulatory requirements - Confidentiality and privacy |
| Care Management | 30% | - Caseload assignment and selection criteria - Cost containment principles - Evidence-based case management models and tools - Medication management - Client-centered care plan development - Age-specific care application - Care coordination and collaboration |
| Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Abuse and neglect recognition - Family dynamics and support systems - Behavioral change theories and models - Cultural competence and diversity |
| Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Data collection and reporting - Cost-benefit and effectiveness analysis - Performance improvement - Accreditation and regulatory standards |
| Reimbursement Methods | 12% | - Payment and reimbursement methodologies - Financial resources and negotiation - Coding and utilization review principles - Managed care and accountable care concepts - Insurance principles and benefit structures |
| Healthcare Delivery Systems and Community Resources | 10% | - Community-based services and resources - Healthcare policy and systems - Continuum of care settings - Interdisciplinary collaboration |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
Question 1
(Under the FIDIC Red, Yellow, and Silver Books (both editions), the Contractor has a contractual obligation to give notice to the Employer if it discovers errors or defects of a technical nature. Is this statement true or false?)
A. False
B. True
Question 2
In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
" In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction. " What GP(s) is/are breached?
A. GP1, GP2 and GP3
B. GP1 and GP3
C. GP1 only
D. GP3 only
Question 3
The details of all the matters that have been clarified and agreed between the Employer and tenderers during the tender stage are recorded by, for instance, a memorandum of understanding. The Employer may award the contract to the tenderer through a letter of formal acceptance, signed by the Employer. This process is in compliance with which one of the following Golden Principles (GP ' s)?
A. GP 1
B. GP 2
C. GP 3
D. GPA
Question 4
Choose which one statement consists of an example of an unclear and ambiguously drafted Particular Conditions.
A. All deletions of a General Conditions are replaced with new Particular Conditions that cover the same scope.
B. Clarifications to the meaning of tender documents together with answers to tenderers ' inquiries made during the tender period by the Employer should be e-mailed in a Excel table in both PDF and XLS file format.
C. Provisions of the General Conditions are deleted and replaced in the Particular Conditions solely by the words " not used " .
D. The clarifications to the Contract given during the tender period are never to be attached to the Contract, as such clarifications are reflected by amending the Particular Conditions.
Question 5
(FIDIC Red Book (edition 2017) stipulates that the measurement shall be made as per the actual quantities executed at Site. Which one of the following statements is correct?)
A. The measurement shall be made of actual quantity of each item of the Permanent Works with allowance of shrinkage of the used materials.
B. None of the above are correct.
C. Measurements of the actual quantity of an item of the Permanent Works that was not specified in the Bill of Quantities, the Contractor will choose the appropriate price.
D. The measurement shall be always made of the net actual quantity of each item of the Permanent Works.
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: A | Question 4 Answer: C | Question 5 Answer: D |
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