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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: 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
Topic 2: Reimbursement Methods12%- Insurance principles and benefit structures
- Managed care and accountable care concepts
- Payment and reimbursement methodologies
- Coding and utilization review principles
- Financial resources and negotiation
Topic 3: Ethics, Legal, and Practice Standards18%- Scope of practice and roles
- Advocacy and patient rights
- Professional ethics and conduct
- Confidentiality and privacy
- Legal and regulatory requirements
Topic 4: Care Management30%- Caseload assignment and selection criteria
- Cost containment principles
- Medication management
- Client-centered care plan development
- Evidence-based case management models and tools
- Care coordination and collaboration
- Age-specific care application
Topic 5: Quality and Outcomes Evaluation and Measurements10%- Performance improvement
- Outcome measurement and analysis
- Data collection and reporting
- Accreditation and regulatory standards
- Cost-benefit and effectiveness analysis
Topic 6: Healthcare Delivery Systems and Community Resources10%- 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:

1. Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?

A) Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.
B) People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
C) The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.
D) The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.


2. Under the FIDIC Red Book (edition 1999), as part of the Contractor submission of Statement, any amount to be deducted for retention, will be calculated by applying the percentage of retention stated in the Appendix to Tender to the total of: (two correct answers apply) Choose all of the correct answers (multiple possibilities).

A) The estimated contract value of the Works executed.
B) Any amounts to be added and deducted for changes in legislation and changes in cost.
C) Any amounts to be added and deducted for Plant and Materials in accordance with Sub-Clause 14.5.
D) Any amounts to be added and/or deducted for the advance payment and repayments under Sub-Clause
14.2.


3. Which of the following documents form part of a FIDIC Construction Contract [ " Red Book " (1999)], hence, to be drafted and included among the Tender Documents? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A) Schedule of Baselines
B) Specifications
C) Schedule of Guarantees
D) Bill of Quantities
E) Employer ' s Requirements


4. (In FIDIC contracts, a number of time limits are included for the Parties and the Engineer to perform various obligations. How are failures to comply with these time limits most typically being dealt with in these forms of contracts? [2017 Edition] (1 correct answer))

A) In all these cases, the stakeholder not performing a required action within the allocated time limit loses all of his/her related rights that he/she otherwise would have in relation to this matter.
B) If a Party fails to perform an obligation within the allocated time limit, then the failing party shall pay damages to the other Party.
C) A Party ' s failure to perform an obligation within the allocated time limit would mean that the Engineer
' s or Employer's decision becomes automatically binding.
D) In these cases, there is a " deemed " outcome if the stakeholder does not take action within the pre-set period of time - all enabling to secure continuity of contractual processes.


5. (During the execution of certain Works under a FIDIC Yellow Book (edition 1999), a Contract in a historical area along the silk route, one of the workers discovers a possible ancient treasure on the Site. The supervisor stops the Works, secures the Site, and informs the Engineer. How should the Engineer react?)

A) You thank the supervisor, secure the Site, instruct guarding measures, inform the Employer and authorities, and issue a Variation to cover the costs of protection measures.
B) You inform the supervisor that a formal written notice under Sub-Clause 4.24 is required and no further instruction can be given until then.
C) You instruct the supervisor to cover the finding and resume the Works immediately, and make a determination later.
D) You compliment the supervisor and ask him to excavate further and personally deliver the treasure to a university. No extension of time is granted.


Solutions:

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

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