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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Care Management | 30% | - Medication management - Cost containment principles - Age-specific care application - Caseload assignment and selection criteria - Care coordination and collaboration - Client-centered care plan development - Evidence-based case management models and tools |
| Reimbursement Methods | 12% | - Payment and reimbursement methodologies - Managed care and accountable care concepts - Coding and utilization review principles - Financial resources and negotiation - Insurance principles and benefit structures |
| Quality and Outcomes Evaluation and Measurements | 10% | - Accreditation and regulatory standards - Outcome measurement and analysis - Data collection and reporting - Performance improvement - Cost-benefit and effectiveness analysis |
| Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources - Continuum of care settings |
| Psychosocial Concepts and Support Systems | 20% | - Cultural competence and diversity - Family dynamics and support systems - Mental health and substance use considerations - Abuse and neglect recognition - Behavioral change theories and models |
| Ethics, Legal, and Practice Standards | 18% | - Legal and regulatory requirements - Confidentiality and privacy - Scope of practice and roles - Advocacy and patient rights - Professional ethics and conduct |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (Under FIDIC Red Book (edition 1999) a notice may be delivered to which two addresses?
Choose all of the correct answers (multiple possibilities).)
A) The address of the Contractor ' s Representative.
B) The address provided for by the recipient of the notice.
C) The address stated in the Contract Data.
D) The address of the Site.
2. (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) True
B) False
3. Which of the following obligations are relevant to the Engineer ' s roles with regards to insurance? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
A) The Engineer is entitled to take out an insurance on behalf of the Contractor, in case the Contractor fails to extend the validity of a specific insurance.
B) The Engineer shall receive a copy of the evidence(s) demonstrating Contractor ' s payment of the necessary insurance premiums.
C) The Engineer should continuously monitor that the Contractor ' s insurance policies are kept valid, and extensions are duly arranged, when necessary.
D) The Engineer shall immediately suspend all construction activities at the Site, in case the Contractor failed to take out any necessary insurance.
4. In the FIDIC Silver Book (edition 1999), if the Employer has instructed the Contractor as per Sub-Clause 8.6 to provide a revised programme to stay within Time of Completion, the Employer can claim additional costs.
This only applies if the revised programme is still too slow to complete the Works within the Time for Completion. Is this statement true or false?
A) True
B) False
5. (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) True
B) False
Solutions:
| Question # 1 Answer: B,C | Question # 2 Answer: B | Question # 3 Answer: B,C | Question # 4 Answer: A | Question # 5 Answer: B |
