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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Quality and Outcomes Evaluation and Measurements18%- Caseload calculation metrics and tracking standards
- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
Topic 2: Ethical, Legal, and Practice Standards15%- CCMC Code of Professional Conduct parameters
- Regulatory compliance requirements and frameworks
  • 1. Affordable Care Act impacts
  • 2. Patient privacy mandates and HIPAA
Topic 3: Care Delivery and Reimbursement Methods31%- Reimbursement pathways and utilization management tools
  • 1. Managed care models and funding sources
  • 2. Government and commercial insurance plans
- Case management concepts, processes, and principles
Topic 4: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Chronic illness and disability support models
  • 2. Assistive device adaptation strategies
- Worker recovery and return-to-work solutions
Topic 5: Psychosocial Concepts and Support Systems27%- Behavioral health conditions and dependencies
- Client dynamics and social determinants of health
  • 1. Crisis intervention techniques
  • 2. Family and support system evaluation
  • 3. Cultural competency and spiritual influences

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

1. Under the FIDIC Red, Yellow, and Silver Books (edition 2017), if a Dispute is referred to the Dispute Avoidance and Adjudication Board (DAAB) to obtain its decision, the Parties shall suspend performing their obligations in accordance with the Contract, until they receive further directions from the DAAB. Is this statement true or false?

A) True
B) False


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

A) The Contract includes the General Conditions and Particular Conditions, and no other documentation.
B) Contract Data is part of General Conditions of Contract.
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.


3. 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 not allowed to submit a proposal for Value Engineering, as any value engineering should already have taken place before submitting its design proposal.
B) The Contractor is entitled to change the design by optimising the design, without approval of the Employer/Engineer.
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.


4. The amount of an advance payment guarantee provided for pursuant to FIDIC Red and Yellow Books (both editions) may be reduced as of:

A) The date on which the entire advance payment is repaid as stated in the Payment Certificate
B) The Commencement Date
C) The date on which an amount is repaid by the Contractor as stated in the Payment Certificates
D) The date of the Taking Over Certificate


5. You are the Contract Manager for the Engineer in a hotel project using FIDIC Red Book (edition 1999). The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during construction. Which one of the following is NOT considered as a Variation?

A) The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.
B) The Engineer requests a proposal regarding a change in type of windows and doors of the business centre.
C) The Employer verbally instructs a change in the layout of the rooftop restaurant. The Engineer issued an Instruction describing the required change with revised design drawings.
D) The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.


Solutions:

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

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