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Medical Professional CCM Exam Syllabus Topics:

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

Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:

1. For the FIDIC Red Book (both editions), the Contractor is required to submit a progress report monthly.
When does the Contractor ' s reporting requirement end?

A) After issuance of the Taking-Over Certificate.
B) At the Date of Completion of the Works (irrespective of whether there is minor outstanding work to be performed).
C) After issuance of the Performance Certificate.
D) Until all outstanding works as stated in the Taking-Over Certificate are completed.


2. Under the FIDIC Red, Yellow, and Silver Books (both editions), the Employer has an obligation to give a detailed notice to the Contractor about intended changes that are material to its financial arrangements.

A) False
B) True


3. (You are the Contract Manager of the Employer ' s Representative in a Thermal Power Plant Project under FIDIC Silver Book (edition 2017). The Contractor submits two claims:
(1) USD 200,000 for additional costs due to an error in national piling standard NTS-PW-01 referenced in the Employer's Requirements.
(2) USD 300,000 for constructing an additional flood wall due to incorrect hydrological data in Site Data (water level miscalculated).
What is your determination for the Contractor?)

A) The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer ' s Requirements only.
B) The Contractor is not entitled to either of the Claims.
C) The Contractor is entitled to the Claim for the additional floodwall based on Unforeseeable difficulties only.
D) The Contractor is entitled to both claims.


4. You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

A) Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.
B) The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
C) DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.
D) DAAB is to provide for a fair, timely and efficient resolution of Disputes.


5. (Under the FIDIC Red, Yellow, and Silver Books (1999 editions), the Engineer/Employer shall be entitled to withhold from the release of retention money the estimated cost of any work which remains to be executed under Clause 11 (Defects Liability) in the Red Book or under Clause 12 (Tests after Completion) in the Yellow and Silver Books. Is this statement true or false?)

A) False
B) True


Solutions:

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

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