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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Care Delivery and Reimbursement Methods31%- Case management concepts, processes, and principles
- Reimbursement pathways and utilization management tools
  • 1. Managed care models and funding sources
  • 2. Government and commercial insurance plans
Topic 2: Psychosocial Concepts and Support Systems27%- Behavioral health conditions and dependencies
- Client dynamics and social determinants of health
  • 1. Family and support system evaluation
  • 2. Cultural competency and spiritual influences
  • 3. Crisis intervention techniques
Topic 3: Quality and Outcomes Evaluation and Measurements18%- Caseload calculation metrics and tracking standards
- Quality indicator metrics and performance tools
  • 1. Cost-benefit analysis algorithms
  • 2. Accreditation standard configurations
Topic 4: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Assistive device adaptation strategies
  • 2. Chronic illness and disability support models
- Worker recovery and return-to-work solutions
Topic 5: Ethical, Legal, and Practice Standards15%- Regulatory compliance requirements and frameworks
  • 1. Patient privacy mandates and HIPAA
  • 2. Affordable Care Act impacts
- CCMC Code of Professional Conduct parameters

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 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.
D) 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.


2. 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 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.
B) 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.
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 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.


3. (Which two statements are correct for the FIDIC Red Book (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

A) Contract Agreement, Letter of Acceptance and Letter of Tender are part of the Contract.
B) Contract Data is part of General Conditions of Contract.
C) The Contract includes the General Conditions and Particular Conditions, and no other documentation.
D) Conditions of Contract means these General Conditions as amended by Particular Conditions.


4. (Based on Clause 8 in both FIDIC Yellow and Silver Books (edition 1999), is the Contractor allowed to start the design of the Works before the Commencement Date? (1 correct answer applies))

A) No, because any design or execution before the Commencement Date is prohibited in Clause 8.
B) Yes, but Contractor will do so on Employer ' s risk.
C) Yes, but Contractor will do so on its own risk.
D) Yes, Contractor can start design and execution of the Works to make sure it won ' t lose any time.


5. Which FIDIC Book (edition 2017) should be considered first by an Employer that is an experienced employer who knows exactly what they want from a design & engineering perspective?

A) Yellow Book
B) Yellow or Silver Book
C) Silver Book
D) Red Book


Solutions:

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

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