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Medical Professional CCM Exam Syllabus Topics:

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

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

1. (Which two statements are correct for the FIDIC Red Book (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

A) Contract Data is part of General Conditions of Contract.
B) The Contract includes the General Conditions and Particular Conditions, and no other documentation.
C) Conditions of Contract means these General Conditions as amended by Particular Conditions.
D) Contract Agreement, Letter of Acceptance and Letter of Tender are part of the Contract.


2. 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) 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.
B) DAAB is to provide for a fair, timely and efficient resolution of Disputes.
C) The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
D) DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.


3. When does discharge become effective under the FIDIC Red Book (edition 1999)? (1 correct answer applies)

A) When the Contractor receives full payment certified through the Final Payment Certificate and return of the Performance Security.
B) When the Employer counter signs a discharge notice as issued by the Contractor, following full payment and return of the Performance Security.
C) When the Contractor receives its Performance Security from the Employer.
D) When the Contractor receives full payment certified through the Final Payment Certificate.


4. (The Employer is a leading company in the hospital and medical care sector who wishes to build a new hospital. The Employer is considering approaching a financial institute to secure most of the funds; therefore, he requires clarity and stability in terms of the Project ' s budget and time for completion. Which book do you recommend?)

A) Yellow Book
B) Red Book
C) Silver Book
D) All the above


5. Which of the following cases will allow the Employer to claim under the Performance Security? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A) The Engineer had issued instruction to replace part of the Works.
B) The Contractor failed to extend the validity of the Performance Security.
C) The Contractor abandons the Works and the Employer did not issue Notice of termination.
D) The Contractor failed to renew the Tender Security.
E) The Employer had submitted a claim under Sub-Clause 20.2.


Solutions:

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

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