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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems - Cultural competence and diversity - Behavioral change theories and models - Mental health and substance use considerations - Abuse and neglect recognition |
| Care Management | 30% | - Client-centered care plan development - Care coordination and collaboration - Medication management - Caseload assignment and selection criteria - Cost containment principles - Evidence-based case management models and tools - Age-specific care application |
| Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources - Continuum of care settings |
| Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Cost-benefit and effectiveness analysis - Data collection and reporting - Outcome measurement and analysis - Accreditation and regulatory standards |
| Reimbursement Methods | 12% | - Coding and utilization review principles - Managed care and accountable care concepts - Insurance principles and benefit structures - Payment and reimbursement methodologies - Financial resources and negotiation |
| Ethics, Legal, and Practice Standards | 18% | - Legal and regulatory requirements - Confidentiality and privacy - Professional ethics and conduct - Scope of practice and roles - Advocacy and patient rights |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
(You are the Contract Manager in a contract using the FIDIC Red Book with a Dispute Avoidance and Adjudication Board. The DAAB is already appointed (standing DAAB). You are coaching your team on the steps to be followed to request for informal assistance from the DAAB during a Site visit. Which one of the following does NOT belong to those steps?)
- A. Both Parties should be present at the meeting in which the DAAB provides assistance.
- B. The Employer and the Contractor have made a " joint request " in writing before the DAAB gives the requested assistance.
- C. The Employer and the Contractor have identified an issue and disagreement, and have agreed between themselves that they want the DAAB to provide assistance and/or informally discuss and attempt to resolve that issue/disagreement.
- D. The Engineer has made a non-objection letter, in which it is stated that the issue/disagreement does not concern the matter that is being dealt with by the Engineer.
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(You are the Contract Manager for the Engineer in a highway project using FIDIC Red Book (edition 1999).
There is a Schedule of cost indexation included in the Contract. The project must be completed by 31 December of this year. If the Contractor fails to complete the Works by then, how will the adjustment of prices take place thereafter? (1 correct answer applies))
- A. Either the current index/price, or index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works, whichever agreed by Parties.
- B. Either the current index/price, or index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works, whichever is more favourable to the Employer.
- C. The current index or price.
- D. Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
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You are the Contract Manager in a highway project using FIDIC Red Book (edition 1999). You work for the Employer - a highway management agency. During the tender period, you are informed of a specific Commencement Date required by the directors of the agency. Which two of the following approaches to inform the tenderers of this date are clearly and unambiguously drafted?
Choose all of the correct answers (multiple possibilities).
- A. Specify Commencement Date in the Particular Conditions.
- B. Inform the Commencement Date to the tenderers by email, and attach that email in the list of Contract Documents.
- C. Specify Commencement Date in the Contract Agreement.
- D. Specify Commencement Date in the Minutes of Meeting of Contract Negotiation.
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Under both FIDIC Yellow Book (YB) and Silver Book (SB) (edition 1999), if the Engineer (YB) / Employer (SB) instructs the Contractor based on Sub-Clause 8.6 to provide a revised programme, the acceptance by the Engineer (YB) / Employer (SB) of a revised programme with a completion within Time of Completion entitles the Contractor to a payment of the needed extra costs. Is this statement true or false?
- A. True
- B. False
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Under the FIDIC Red and Yellow Books (edition 1999): if the Engineer gives an instruction which requires the Employer ' s prior approval, the Contractor is required to verify whether the Engineer has obtained the Employer ' s prior approval or not. Is this statement true or false?
- A. True
- B. False
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