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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Community-based services and resources - Continuum of care settings - Interdisciplinary collaboration |
| Topic 2: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Performance improvement - Data collection and reporting - Accreditation and regulatory standards - Cost-benefit and effectiveness analysis |
| Topic 3: Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Advocacy and patient rights - Legal and regulatory requirements - Professional ethics and conduct - Scope of practice and roles |
| Topic 4: Care Management | 30% | - Client-centered care plan development - Cost containment principles - Age-specific care application - Care coordination and collaboration - Medication management - Caseload assignment and selection criteria - Evidence-based case management models and tools |
| Topic 5: Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Family dynamics and support systems - Abuse and neglect recognition - Behavioral change theories and models - Cultural competence and diversity |
| Topic 6: Reimbursement Methods | 12% | - Managed care and accountable care concepts - Payment and reimbursement methodologies - Insurance principles and benefit structures - Coding and utilization review principles - Financial resources and negotiation |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Which of the following obligations are relevant to the Engineer ' s roles with regards to insurance? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
A) The Engineer shall immediately suspend all construction activities at the Site, in case the Contractor failed to take out any necessary insurance.
B) The Engineer should continuously monitor that the Contractor ' s insurance policies are kept valid, and extensions are duly arranged, when necessary.
C) The Engineer shall receive a copy of the evidence(s) demonstrating Contractor ' s payment of the necessary insurance premiums.
D) The Engineer is entitled to take out an insurance on behalf of the Contractor, in case the Contractor fails to extend the validity of a specific insurance.
2. Through which two of the following documents may the Employer give information to the Contractor of a planned timetable of meetings such as management meetings, site meetings, technical meetings, and progress meetings?
Choose all of the correct answers (multiple possibilities).
A) Specification
B) Special Conditions
C) Employer ' s Requirements
D) General Conditions of Contract
3. A large sewage pump installation has been constructed under the FIDIC Yellow Book (edition 1999). Prior to commencement of the Tests on Completion, the Employer requires the Contractor to issue the Operation and Maintained Manuals. All contract documents are to be drafted in the English language as per Sub-Clause 1.4.
However, the Employer discovers all documents are drafted in a different language: French. The Contractor explains that the territory where the Plant was constructed is a region with French as a second official language, as result of which, this approach is acceptable. This also works for the proposed maintenance company, which is Paris-based. The Employer is surprised and asks you what to do. Select the best fitting advice you should give the Employer.
A) As the Contract is written in the English language, Sub-Clause 1.4 dictates that the Operation and Maintenance Manuals should be written in English as well.
B) If French is indeed an official second language of the region where the Plant is built, the Contractor is entitled to deliver the documents in French. The usability in terms of language is not described in Sub- Clause 5.7, so the Employer should accept the Operation and Mantained Manuals in French.
C) The Employer should check on the Appendix to Tender, Employer ' s Requirements and / or Particular Conditions. There could very well be specific requirements regarding the language in those. If that is not the case, the language of the Contract determined in Sub-Clause 1.4 and the language of the Operation and Maintained Manuals should in this case be English.
D) Golden Principle no. 1 states: The duties, rights, obligations, roles and responsibilities of all the Contract Participants must be generally as implied in the General Conditions, and appropriate to the requirements of the project. In this case this means it is appropriate that the Operation and Maintenance Manuals are in French, as the maintenance is based in France.
4. 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 that the Contractor has the opportunity after 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; Contractor has the opportunity to report on any errors, mistakes or conflicts in the Employer ' s Requirements and for Employer to change it; for after contract closes this is not a duty anymore of Employer.
B) 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.
C) 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.
D) 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.
5. Which two of the following statements are correct regarding the dayworks under FIDIC Red, Yellow, and Silver Books (both editions)?
Choose all of the correct answers (multiple possibilities).
A) The Engineer (or the Employer in case of FIDIC Silver Book) may instruct that " a Variation shall " be executed on a daywork basis.
B) The dayworks related Sub-Clause is also applicable to other types of works.
C) If a Daywork Schedule is not included in the Contract, the Sub-Clause related to dayworks shall not apply.
D) The dayworks related Sub-Clause is only used for remeasurement in the FIDIC Red Book (both editions) only.
Solutions:
| Question # 1 Answer: B,C | Question # 2 Answer: B,C | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: A,B |








