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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
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
Psychosocial Concepts and Support Systems27%- Behavioral health conditions and dependencies
- Client dynamics and social determinants of health
  • 1. Crisis intervention techniques
  • 2. Family and support system evaluation
  • 3. Cultural competency and spiritual influences
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
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
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

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

1. 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) Red Book
C) Yellow Book
D) Silver Book


2. (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) Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
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 agreed by Parties.
C) 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.
D) The current index or price.


3. Under the FIDIC Red Book (edition 1999), as part of the Contractor submission of Statement, any amount to be deducted for retention, will be calculated by applying the percentage of retention stated in the Appendix to Tender to the total of: (two correct answers apply) Choose all of the correct answers (multiple possibilities).

A) Any amounts to be added and deducted for Plant and Materials in accordance with Sub-Clause 14.5.
B) The estimated contract value of the Works executed.
C) Any amounts to be added and deducted for changes in legislation and changes in cost.
D) Any amounts to be added and/or deducted for the advance payment and repayments under Sub-Clause
14.2.


4. You are the Contract Manager of the Engineer for a contract using FIDIC Yellow Book (edition 2017). You are drafting a notice holding the Commencement Date. Which one of the following approaches has the most clear and unambiguous drafting?

A) The Contractor is kindly notified that the project shall be started by 17 April 2023.
B) The commencement date of this project under Sub-Clause 8.1 of the Conditions of Contract will be 10 days from 7 April 2023.
C) I hereby give notice, in accordance with Sub-Clause 1.1.84 and 8.2 of the Conditions of Contract, that the Time for Completion shall commence from 17 April 2023.
D) I hereby give notice, in accordance with Sub-Clause 8.1 of the Conditions of Contract, the Commencement Date shall be 17 April 2023.


5. Which one of the following claim events does NOT allow profit?

A) Under the Plant and Design-Build Contract, errors in the Employer ' s requirements.
B) Under the Construction Contract, interference by the Employer with Tests on Completion.
C) Under the Construction Contract, the relevant authority had unnecessarily delayed the approval.
D) Under the Construction Contract, the Engineer ' s delay in supplying drawings or issuing instructions.
E) Under the Construction Contract, the failure of the Employer to give right of access to the site.


Solutions:

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

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