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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Psychosocial Concepts and Support Systems | 20% | - Behavioral change theories and models - Mental health and substance use considerations - Family dynamics and support systems - Cultural competence and diversity - Abuse and neglect recognition |
| Topic 2: Care Management | 30% | - Cost containment principles - Medication management - Care coordination and collaboration - Age-specific care application - Caseload assignment and selection criteria - Evidence-based case management models and tools - Client-centered care plan development |
| Topic 3: Reimbursement Methods | 12% | - Coding and utilization review principles - Insurance principles and benefit structures - Payment and reimbursement methodologies - Financial resources and negotiation - Managed care and accountable care concepts |
| Topic 4: Quality and Outcomes Evaluation and Measurements | 10% | - Data collection and reporting - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards - Outcome measurement and analysis - Performance improvement |
| Topic 5: Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Scope of practice and roles - Confidentiality and privacy - Professional ethics and conduct - Legal and regulatory requirements |
| Topic 6: Healthcare Delivery Systems and Community Resources | 10% | - Community-based services and resources - Interdisciplinary collaboration - Healthcare policy and systems - Continuum of care settings |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. The Employer has prepared a contract for a waste-to-energy project based on the FIDIC Yellow Book (edition
1999). You are preparing negotiations on behalf of one of the Subcontractors with the Contractor. The main Contractor will manage the design and build of the Works, whereby the Subcontractor will deliver critical systems regarding power generation and cooling. The Contractor intends to contract the main Contract back- to-back with the Subcontractor. In the proposed back-to-back subcontract, the following amendment is proposed through Particular Conditions:
" Sub-Clause 4.4. The following paragraph is added: The Subcontractor is required to scrutinize the Employer
' s Requirements in a manner identical to the obligations of the Contractor as stated in Sub-Clause 5.1 of the Main Contract. The Subcontractor will indemnify and hold harmless (up to the maximum liability of the Subcontractor) the Contractor with regard to any error, fault or other defect found in the Employer ' s Requirements, its items of reference or Contractor ' s design of the Works for the scope part for which Subcontractor is contracted. " What is your advice to the Subcontractor (SC) in regard to entering this proposed subcontract?
A) I would advise the SC not to enter this contract because the Contractor is obliged to act in accordance with good faith. A proposed paragraph like this opposes good faith.
B) I would advise the SC to enter the Contract with the request to the Contractor to delete this amendment in the Particular Conditions. If the Contractor does not agree to do so, at least the Subcontractor has tried its best.
C) I would advise the SC not to enter this contract, because Sub-Clause 4.4 describes the obligations of SC towards Contractor, but this amendment positions the SC in a vulnerable position for claims regarding all errors, faults or other Defects (whether originating from the Employer ' s Requirements or the design of the Contractor). Essentially, this means the SC becomes liable for the design part, which is within the scope of Contractor even without SC having the opportunity to review it.
D) I would advise the SC to discuss this amendment with the insurance company just to be sure there will be no transfer of risks. This amendment is mainly a consequence of the FIDIC Yellow Book structure, where the Contractor has obligations in terms of scrutinizing the Employer ' s Requirements. This amendment makes this obligation more explicit. If the insurance company has no problems with insuring the parts which will be delivered by SC to Contractor, the SC can accept this risk and enter into the subcontract.
2. (The Employer is a leading company in the hospital and medical care sector who wishes to build a new hospital. The Employer is considering approaching a financial institute to secure most of the funds; therefore, he requires clarity and stability in terms of the Project ' s budget and time for completion. Which book do you recommend?)
A) Yellow Book
B) Red Book
C) Silver Book
D) All the above
3. (What is the maximum period for the Engineer to issue the Notice of Commencement Date?)
A) 42 days
B) 84 days
C) 21 days
D) 14 days
4. 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 or Silver Book
B) Yellow Book
C) Red Book
D) Silver Book
5. In a construction project using the FIDIC Silver Book (edition 1999), if the Parties prefer the dispute board to be appointed on an " ad-hoc " basis instead of as a standing Dispute Avoidance and Adjudication Board (DAAB), what is it called? (1 correct answer applies)
A) Ad-hoc DAAB
B) DAB
C) Ad-hoc DB
D) Ad-hoc arbitration
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: B |







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