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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Behavioral change theories and models - Family dynamics and support systems - Cultural competence and diversity - Mental health and substance use considerations |
| Quality and Outcomes Evaluation and Measurements | 10% | - Data collection and reporting - Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Performance improvement - Accreditation and regulatory standards |
| Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Confidentiality and privacy - Legal and regulatory requirements - Scope of practice and roles - Advocacy and patient rights |
| Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Community-based services and resources - Interdisciplinary collaboration - Continuum of care settings |
| Care Management | 30% | - Care coordination and collaboration - Age-specific care application - Medication management - Evidence-based case management models and tools - Cost containment principles - Client-centered care plan development - Caseload assignment and selection criteria |
| Reimbursement Methods | 12% | - Insurance principles and benefit structures - Managed care and accountable care concepts - Financial resources and negotiation - Coding and utilization review principles - Payment and reimbursement methodologies |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Under the FIDIC Red Book (edition 1999): the Contractor submitted Final Statement in accordance with the Contract and the Contractor wants to correct it. Can the Contractor correct the Final Statement?
A) Yes
B) No
2. 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 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.
C) 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.
D) 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.
3. 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?
A) 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.
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 is more favourable to the Employer.
C) Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
D) The current index or price.
4. You are the Contract Manager of the Engineer and person Y is the Contract Manager of the Employer in a construction project under FIDIC 2017 Red Book. The project is late in schedule and Y has issued Employer ' s claim on Delay Damages. You have asked Y to consider whether the Contractor ' s delay to completion is a reflection of cash-flow shortfall from interim payments before making deductions to the Contractor ' s payment. Y replied that even if the Contractor pays Delay Damages to the Employer, the Contractor is still obliged to complete the Works and is not relieved from its duties and obligations. You warned Y of the risks of further reduction of cash-flow by the deduction of Delay Damages from payments. As this could worsen the situation of the Contractor, leading to further delays to the completion of the Works. Who is right?
A) You are correct, Y is wrong.
B) You are wrong, Y is correct.
C) Both you and Y are both correct.
D) Both you and Y are wrong.
5. (Which two of the following items are new features introduced in FIDIC Red and Yellow Books (edition
2017) in respect to the procedures relating to the Programme?
Choose all of the correct answers (multiple possibilities).)
A) The requirement that any revised programmes to be submitted by the Contractor is to reflect accurately the actual progress of the works.
B) Specifying the programming software that shall be used by the Contractor in preparation of the Programme.
C) The requirement to submit a revised programme by the Contractor whenever the previous programme is inconsistent with actual progress.
D) Submission by the Contractor of a detailed time Programme to the Engineer within 28 days after receiving the notice under Sub-Clause 8.1.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: A,C |
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