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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Community-based services and resources - Healthcare policy and systems - Interdisciplinary collaboration |
| Topic 2: Reimbursement Methods | 12% | - Insurance principles and benefit structures - Payment and reimbursement methodologies - Financial resources and negotiation - Managed care and accountable care concepts - Coding and utilization review principles |
| Topic 3: Care Management | 30% | - Cost containment principles - Care coordination and collaboration - Evidence-based case management models and tools - Caseload assignment and selection criteria - Medication management - Client-centered care plan development - Age-specific care application |
| Topic 4: Psychosocial Concepts and Support Systems | 20% | - Behavioral change theories and models - Abuse and neglect recognition - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems |
| Topic 5: Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Confidentiality and privacy - Legal and regulatory requirements - Professional ethics and conduct - Scope of practice and roles |
| Topic 6: Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Outcome measurement and analysis - Data collection and reporting - Cost-benefit and effectiveness analysis - Accreditation and regulatory standards |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (If a Section or Part has been taken-over but the Taking-Over Certificate has not been issued for the Works, the Engineer has the right to instruct a Variation to that Section/Part. Is this statement true or false?)
A) False
B) True
2. In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
" In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction. " What GP(s) is/are breached?
A) GP1 and GP3
B) GP3 only
C) GP1, GP2 and GP3
D) GP1 only
3. 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) Inform the Commencement Date to the tenderers by email, and attach that email in the list of Contract Documents.
B) Specify Commencement Date in the Minutes of Meeting of Contract Negotiation.
C) Specify Commencement Date in the Particular Conditions.
D) Specify Commencement Date in the Contract Agreement.
4. (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
5. (Sub-Clause 12.3(a) of FIDIC Red Book (edition 1999) specifies four criteria which are applicable without reference to Clause 13. A new rate shall only be appropriate if all four criteria are satisfied. Is this statement true or false?)
A) False
B) True
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: C,D | Question # 4 Answer: B | Question # 5 Answer: A |
