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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
| Topic 1: Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems
- Cultural competence and diversity
- Abuse and neglect recognition
- Mental health and substance use considerations
- Behavioral change theories and models
|
| Topic 2: Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration
- Healthcare policy and systems
- Community-based services and resources
- Continuum of care settings
|
| Topic 3: Care Management | 30% | - Age-specific care application
- Care coordination and collaboration
- Caseload assignment and selection criteria
- Evidence-based case management models and tools
- Medication management
- Client-centered care plan development
- Cost containment principles
|
| Topic 4: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis
- Accreditation and regulatory standards
- Performance improvement
- Cost-benefit and effectiveness analysis
- Data collection and reporting
|
| Topic 5: Ethics, Legal, and Practice Standards | 18% | - Scope of practice and roles
- Professional ethics and conduct
- Advocacy and patient rights
- Legal and regulatory requirements
- Confidentiality and privacy
|
| Topic 6: Reimbursement Methods | 12% | - Insurance principles and benefit structures
- Managed care and accountable care concepts
- Payment and reimbursement methodologies
- Coding and utilization review principles
- Financial resources and negotiation
|
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (Both FIDIC Silver Book (SB) and Yellow Book (YB) (edition 1999) mention the Contractor scrutinising the Employer ' s Requirements. Which statement is correct?)
A) Scrutinising in FIDIC Yellow Book 1999 means the same as in FIDIC Silver Book 1999; in both models it means that after the contract closes and before starting the actual making of the design, the Contractor has to read the Employer's Requirements very thoroughly and check on any errors, omissions or conflicts.
B) Scrutinising in FIDIC Silver Book 1999 means that the Contractor should read the Employer's Requirements very thoroughly after the contract closes and see if the Employer's Requirements is complete or if something is missing.
C) Scrutinising in FIDIC Yellow Book 1999 and Silver Book 1999 means that the Contractor must ask the Employer to check the Employer's Requirements very well to see if the Works can be built on that location according to the Employer's Requirements.
D) Scrutinising in FIDIC Yellow Book 1999 means that the Contractor has the opportunity after the contract close to report on any errors, mistakes or conflicts in the Employer's Requirements. In the FIDIC Silver Book 1999 scrutinising provides that obligation during the tender period; the Contractor has to review and verify the Employer's Requirements more strictly before submitting the tender.
2. When does discharge become effective under the FIDIC Red Book (edition 1999)? (1 correct answer applies)
A) When the Contractor receives its Performance Security from the Employer.
B) When the Contractor receives full payment certified through the Final Payment Certificate and return of the Performance Security.
C) When the Contractor receives full payment certified through the Final Payment Certificate.
D) When the Employer counter signs a discharge notice as issued by the Contractor, following full payment and return of the Performance Security.
3. If defects are identified during the Tests on Completion, which one of the following options is not available to the Parties under the Contract?
A) If the defects do not affect the use of the Works for their intended purpose, the Engineer can issue the Taking-Over Certificate.
B) The Employer can request to take over the Works.
C) By giving reasons, the Engineer can refuse to accept the Works until repeated tests have been successfully performed.
D) The Party which is not liable for the cost of rectifying defects can expect the other Party to pay the cost of performing the repeated tests.
4. Which one of the following is not a required document to be submitted by the Contractor if the Employer requests a proposal, prior to instructing a Variation, for FIDIC 2017 Yellow Book?
A) Details of the resources and methods to be adopted by the Contractor.
B) A Programme for execution of the varied work.
C) A description of the proposed design.
D) A description of the varied work.
5. Under FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the revised programme?
Choose all of the correct answers (multiple possibilities)
A) The sequence and timing of the remedial work.
B) Only the delivery dates of Plant and Materials which have not been delivered on Site yet.
C) All internationally recognized holiday periods.
D) The actual progress to date, any delay to such progress and the effects of such delay on other activities (if any).
Solutions:
Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C,D |