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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems - Behavioral change theories and models - Abuse and neglect recognition |
| 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: Quality and Outcomes Evaluation and Measurements | 10% | - Data collection and reporting - Outcome measurement and analysis - Accreditation and regulatory standards - Cost-benefit and effectiveness analysis - Performance improvement |
| Topic 4: Ethics, Legal, and Practice Standards | 18% | - Legal and regulatory requirements - Advocacy and patient rights - Scope of practice and roles - Professional ethics and conduct - Confidentiality and privacy |
| Topic 5: Care Management | 30% | - Medication management - Client-centered care plan development - Care coordination and collaboration - Cost containment principles - Age-specific care application - Evidence-based case management models and tools - Caseload assignment and selection criteria |
| Topic 6: Reimbursement Methods | 12% | - Payment and reimbursement methodologies - Coding and utilization review principles - Financial resources and negotiation - Managed care and accountable care concepts - Insurance principles and benefit structures |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Under the FIDIC Red and Yellow Books (edition 1999), which two of the following statements are correct regarding the issuance of Interim Payment by the Engineer?
(Choose all correct answers - multiple possibilities)
A) If the Employer considers itself entitled to claim against the Contractor, notice and particulars must first be submitted under Sub-Clause 2.5. The Employer ' s entitlement is then to be agreed or determined by the Engineer, and then, incorporated as a deduction in a Payment Certificate.
B) The Employer is not bound by the Certificate issued by the Engineer.
C) The Employer is bound by the Certificate issued by the Engineer and must make payment in full, irrespective of any entitlement to compensation arising from any claim which the Employer may have against the Contractor.
D) The Employer is bound by the Certificate issued by the Engineer, and must make payment in full, except for any compensation arising from any claim which the Employer may have against the Contractor.
2. Which of the following cases will allow the Employer to claim under the Performance Security? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
A) The Engineer had issued instruction to replace part of the Works.
B) The Contractor failed to renew the Tender Security.
C) The Contractor failed to extend the validity of the Performance Security.
D) The Contractor abandons the Works and the Employer did not issue Notice of termination.
E) The Employer had submitted a claim under Sub-Clause 20.2.
3. In case a Variation is initiated by the Engineer for prompt implementation ...... [FIDIC Red, and Yellow Books, 2017 Editions] Choose all of the correct answers (multiple possibilities).
A) ... the Contractor is required to commence implementing the varied works even if it would pose immediate hazard to the safety of public areas surrounding the Site
B) ... the Contractor is not bound to start implementing the varied works right up until the price for the varied works is fully agreed (or determined)
C) ... the Contractor within 28 days after receiving such instruction shall submit to the Engineer a description of the varied work, a programme for its execution and a proposal for adjustment of the Contract Price.
D) ... the Contractor is required to commence implementing the varied works and take records of all the details ( ... regarding the details of the varied works executed, expenditures incurred, and impact on progress etc.)
E) ... the Contractor may send a Notice to the Engineer, that the subject of the Variation was Unforeseeable (having regard to the scope and nature of the Works), hence, the Contractor is not to start implementing the varied work promptly.
4. You are the Contract Manager of the Engineer in a hotel project. In May 2020, the Employer and the Contractor signed a Contract based on the FIDIC Yellow Book (edition 2017), as per which the Contractor will design and build a hotel project with Contract Price of 5,100,000 USD. The Time for Completion for this project is 12 months (May 2021). The Contract also named a nominated Subcontractor (as referred to in Sub- Clause 4.5) who provides mechanical, electrical, and plumbing services for the project (including the fire fighting system), which was accepted by the Contractor without any discussions.
The Project was delayed due to issues with the fire fighting system, and you issued the Taking-Over Certificate in June 2022.
The Employer sent a Notice of Claim to the Contractor on Delay Damages with a maximum value equal to
10% of Contract Price (510,000 USD). The Employer also gave a Notice to the Contractor stating that the Contractor has failed to submit the evidence of payment to the nominated Subcontractor as well as the reason for withholding payment to the nominated Subcontractor. Therefore, the Employer has paid the nominated Subcontractor directly the entire amount due, coming to 100,000 USD. The Employer intends to include this amount as a deduction in the Final Payment to the Contractor.
As Contract Manager of the Engineer, you are tasked to make a fair determination of the Notices of the Employer. In your " Notice of the Engineer ' s determination " , what is your determination for the deduction of the next Interim Payment to the Contractor in relation to the amount directly paid to the nominated Subcontractor?
A) The Employer is entitled to deduct the amount directly paid.
B) The Employer is not entitled to deduct the amount directly paid.
5. Which two of the following statements are correct, regarding the Programme under FIDIC Red, Yellow and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).
A) The Contractor is required to proceed in accordance with the Programme and the Employer ' s Personnel shall be entitled to rely upon the Programme in planning their activities.
B) The Engineer/Employer is not required to review the Programme, and also not required to inform the Contractor if the Programme does not comply with the Contract.
C) The Programme is a contract document, and thus, considered binding on the Parties.
D) Nothing in any Programme will relieve the Contractor from any obligations to give contractual notice under the Conditions of Contract.
Solutions:
| Question # 1 Answer: A,D | Question # 2 Answer: B,C | Question # 3 Answer: C,D | Question # 4 Answer: A | Question # 5 Answer: A,D |


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