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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Performance improvement - Data collection and reporting - Accreditation and regulatory standards |
| Topic 2: Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Professional ethics and conduct - Legal and regulatory requirements - Scope of practice and roles - Confidentiality and privacy |
| Topic 3: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Interdisciplinary collaboration - Community-based services and resources - Healthcare policy and systems |
| Topic 4: Care Management | 30% | - Age-specific care application - Cost containment principles - Caseload assignment and selection criteria - Evidence-based case management models and tools - Client-centered care plan development - Medication management - Care coordination and collaboration |
| Topic 5: Psychosocial Concepts and Support Systems | 20% | - Cultural competence and diversity - Abuse and neglect recognition - Family dynamics and support systems - Behavioral change theories and models - Mental health and substance use considerations |
| Topic 6: Reimbursement Methods | 12% | - Insurance principles and benefit structures - Financial resources and negotiation - Managed care and accountable care concepts - Payment and reimbursement methodologies - Coding and utilization review principles |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (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) 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.
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) Both Parties should be present at the meeting in which the DAAB provides assistance.
2. Which one of the following statements is NOT correct in respect of FIDIC Red Book (both editions)?
A) The Letter of Tender may be worded by the Contractor (at its discretion) so as to allow for the alternative of the Contract to become effective when the Employer issues a Letter of Acceptance.
B) The Contract typically becomes legally effective when the Employer issues the Letter of Acceptance to the Contractor.
C) The Contract is administered by the Engineer who is appointed by the Employer. If disputes arise, they are referred to a Dispute Adjudication Board (DAB) for its decisions.
D) The General Conditions allocate the risks between the parties on a fair and equitable basis.
3. (Under the FIDIC Yellow Book (edition 1999), any delay caused by Authorities will be considered as a cause of Delay under sub paragraph (b) of Sub-Clause 8.5 under the only condition that the Contractor has diligently followed the procedures laid down by the public authorities in the Country. Is this statement true or false?)
A) True
B) False
4. Which one statement is correct regarding the FIDIC Red Book (edition 2017)?
A) General Conditions of Contract cannot be amended as it may imbalance the obligations and rights of the Parties.
B) Instructions to Tenderers may require the tenderer to provide information on matters in Sub-Clause 4.3 on Contractor ' s Representative and Sub-Clause 6.12 on Key Personnel.
C) Instructions to Tenderers are part of the Employer ' s Requirements.
D) No Data other than required by the General Conditions of Contract may be entered in the Contract Data.
5. (What is the maximum period for the Engineer to issue the Notice of Commencement Date?)
A) 42 days
B) 14 days
C) 84 days
D) 21 days
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: A |






