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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Abuse and neglect recognition - Cultural competence and diversity - Behavioral change theories and models - Family dynamics and support systems |
| Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Community-based services and resources - Interdisciplinary collaboration - Healthcare policy and systems |
| Ethics, Legal, and Practice Standards | 18% | - Scope of practice and roles - Confidentiality and privacy - Advocacy and patient rights - Legal and regulatory requirements - Professional ethics and conduct |
| Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Accreditation and regulatory standards - Outcome measurement and analysis - Cost-benefit and effectiveness analysis - Data collection and reporting |
| Care Management | 30% | - Caseload assignment and selection criteria - Cost containment principles - Medication management - Care coordination and collaboration - Evidence-based case management models and tools - Age-specific care application - Client-centered care plan development |
| Reimbursement Methods | 12% | - Managed care and accountable care concepts - Coding and utilization review principles - Financial resources and negotiation - Insurance principles and benefit structures - Payment and reimbursement methodologies |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. Choose which one statement consists of an example of an unclear and ambiguously drafted Particular Conditions.
A) All deletions of a General Conditions are replaced with new Particular Conditions that cover the same scope.
B) Provisions of the General Conditions are deleted and replaced in the Particular Conditions solely by the words " not used " .
C) The clarifications to the Contract given during the tender period are never to be attached to the Contract, as such clarifications are reflected by amending the Particular Conditions.
D) Clarifications to the meaning of tender documents together with answers to tenderers ' inquiries made during the tender period by the Employer should be e-mailed in a Excel table in both PDF and XLS file format.
2. 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) Silver Book
B) Red Book
C) Yellow Book
D) Yellow or Silver Book
3. Which of the following situations form legally binding contracts? (2 correct answers apply) Choose all of the correct answers (multiple possibilities)
A) The Employer received the Contractor ' s Letter of Tender and issued a conditional Letter of Acceptance.
B) The Employer and the Contractor signed the Contract Agreement.
C) The Employer received the Contractor ' s Letter of Tender and issued a Letter of Intent.
D) The Employer received the Contractor ' s Letter of Tender and issued Letter of Acceptance.
4. (Both FIDIC Silver Book (SB) and Yellow Book (YB) (edition 1999) mention the Contractor scrutinising the Employer ' s Requirements. Which statement is correct?)
A) Scrutinising in FIDIC Yellow Book 1999 and Silver Book 1999 means that the Contractor must ask the Employer to check the Employer's Requirements very well to see if the Works can be built on that location according to the Employer's Requirements.
B) Scrutinising in FIDIC Silver Book 1999 means that the Contractor should read the Employer's Requirements very thoroughly after the contract closes and see if the Employer's Requirements is complete or if something is missing.
C) Scrutinising in FIDIC Yellow Book 1999 means that the Contractor has the opportunity after the contract close to report on any errors, mistakes or conflicts in the Employer's Requirements. In the FIDIC Silver Book 1999 scrutinising provides that obligation during the tender period; the Contractor has to review and verify the Employer's Requirements more strictly before submitting the tender.
D) Scrutinising in FIDIC Yellow Book 1999 means the same as in FIDIC Silver Book 1999; in both models it means that after the contract closes and before starting the actual making of the design, the Contractor has to read the Employer's Requirements very thoroughly and check on any errors, omissions or conflicts.
5. (Under the FIDIC Red Book, which of the following statements are correct? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).)
A) If the Employer or the Contractor fails to notify its dissatisfaction with an Engineer ' s ruling within the specified time, the DAAB ' s decision is final and binding.
B) The FIDIC Red Book ' s General Conditions specify a standing DAAB.
C) An attempt to reach an amicable settlement is a mandatory requirement before an Engineer ' s ruling can be referred to a DAAB.
D) A DAAB member nominated by one of the Parties must be agreed by the other Party.
E) A decision by a DAAB is not final and binding on the Parties until it is confirmed by an arbitration award.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B,D | Question # 4 Answer: C | Question # 5 Answer: B,D |





