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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources |
| Topic 2: Care Management | 30% | - Care coordination and collaboration - Evidence-based case management models and tools - Caseload assignment and selection criteria - Medication management - Age-specific care application - Client-centered care plan development - Cost containment principles |
| Topic 3: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Accreditation and regulatory standards - Cost-benefit and effectiveness analysis - Performance improvement - Data collection and reporting |
| Topic 4: Reimbursement Methods | 12% | - Insurance principles and benefit structures - Coding and utilization review principles - Payment and reimbursement methodologies - Managed care and accountable care concepts - Financial resources and negotiation |
| Topic 5: Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Confidentiality and privacy - Advocacy and patient rights - Legal and regulatory requirements - Scope of practice and roles |
| Topic 6: Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems - Behavioral change theories and models |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. You are the Contract Manager for the Engineer in a hospital project using FIDIC Yellow Book (edition 2017).
The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during design and construction. Which one of the following is considered to be a valid Variation?
A) The Contractor submits a Value Engineering proposal regarding the lighting system for the operation rooms. The Engineer is positive about the proposal and tells the Contractor they need to look into it.
B) The Engineer requests a proposal regarding a change in type of windows and doors. The Contractor submitted the proposal accordingly to the Engineer. The Engineer instructs the Variation.
C) The Employer verbally instructs a change in the type of doors. The Engineer issued a Notice describing the required change and denying any costs for the Contractor.
D) The Engineer instructs a change in slopes of the access road to the intensive care unit to meet the Employer ' s Requirement. The Engineer does so with a Notice in accordance with Sub-Clause 3.5.
2. (Under the FIDIC Red Book, which of the following statements are correct? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).)
A) If the Employer or the Contractor fails to notify its dissatisfaction with an Engineer ' s ruling within the specified time, the DAAB ' s decision is final and binding.
B) A DAAB member nominated by one of the Parties must be agreed by the other Party.
C) A decision by a DAAB is not final and binding on the Parties until it is confirmed by an arbitration award.
D) An attempt to reach an amicable settlement is a mandatory requirement before an Engineer ' s ruling can be referred to a DAAB.
E) The FIDIC Red Book ' s General Conditions specify a standing DAAB.
3. You are the Contract Manager of the Engineer and person Y is the Contract Manager of the Employer in a construction project under FIDIC 2017 Red Book. The project is late in schedule and Y has issued Employer ' s claim on Delay Damages. You have asked Y to consider whether the Contractor ' s delay to completion is a reflection of cash-flow shortfall from interim payments before making deductions to the Contractor ' s payment. Y replied that even if the Contractor pays Delay Damages to the Employer, the Contractor is still obliged to complete the Works and is not relieved from its duties and obligations. You warned Y of the risks of further reduction of cash-flow by the deduction of Delay Damages from payments. As this could worsen the situation of the Contractor, leading to further delays to the completion of the Works. Who is right?
A) You are correct, Y is wrong.
B) Both you and Y are both correct.
C) You are wrong, Y is correct.
D) Both you and Y are wrong.
4. You are the Contract Manager of the Engineer in a condominium project under FIDIC Yellow Book (edition
2017), with Time for Completion of 5 months.
The Contractor received a Letter of Acceptance on 1 May 2022. The Contract Agreement was signed on 1 June 2022. The Contract Agreement states that the Commencement Date shall be notified by the Engineer, but it shall be no later than 14 days after the signing of the Contract Agreement, subject to the issuance of the construction permit.
1 July 2022 is the first day the Engineer was at Site. On the same day, the Engineer issued a Notice to the Contractor that the Commencement Date shall be 15 July 2022. However, the construction permit was issued only on 1 August 2022.
The Project was completed on 1 December 2022. After completion, the Employer submitted a claim for Delay Damages. Following consultations, the Parties could not reach agreement on the Commencement Date.
What is the correct Commencement Date?
A) 1 August 2022
B) 15 July 2022
C) 12 June 2022
D) 15 June 2022
5. In which one of the following circumstances is it recommended to select the Contractor after a two-stage procurement procedure (pre-qualification + tender procedure)?
A) In case of large scale works, where there are several companies likely to have an interest in submitting an offer.
B) When the works are simple and of short duration.
C) When there is a limited number of capable experienced contractors available and ready to take part in the procurement.
D) If there is international financing for the project, it is always necessary to conduct a two-stage procurement procedure.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B,E | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: A |






