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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Quality and Outcomes Evaluation and Measurements | 10% | - Cost-benefit and effectiveness analysis - Outcome measurement and analysis - Accreditation and regulatory standards - Performance improvement - Data collection and reporting |
| Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Mental health and substance use considerations - Behavioral change theories and models - Cultural competence and diversity - Family dynamics and support systems |
| Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Continuum of care settings - Community-based services and resources - Interdisciplinary collaboration |
| Reimbursement Methods | 12% | - Financial resources and negotiation - Insurance principles and benefit structures - Payment and reimbursement methodologies - Managed care and accountable care concepts - Coding and utilization review principles |
| Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Scope of practice and roles - Advocacy and patient rights - Legal and regulatory requirements - Confidentiality and privacy |
| Care Management | 30% | - Evidence-based case management models and tools - Client-centered care plan development - Age-specific care application - Care coordination and collaboration - Medication management - Caseload assignment and selection criteria - Cost containment principles |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
Question 1
Under the FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the initial time Programme?
A. The sequence and timing of the remedial work.
B. All key delivery dates of Plant and Materials.
C. The actual progress to date, any delay to such progress and the effects of such delay on other activities (if any).
D. The date on which the right of access to and possession of (each part of) the Site is to be given to the Contractor.
Question 2
Under both FIDIC Yellow Book (YB) and Silver Book (SB) (edition 1999), if the Engineer (YB) / Employer (SB) instructs the Contractor based on Sub-Clause 8.6 to provide a revised programme, the acceptance by the Engineer (YB) / Employer (SB) of a revised programme with a completion within Time of Completion entitles the Contractor to a payment of the needed extra costs. Is this statement true or false?
A. False
B. True
Question 3
(Which two of the following statements are correct regarding the dayworks under FIDIC Red, Yellow, and Silver Books (both editions)? Choose all correct answers.)
A. The Engineer (or the Employer in case of FIDIC Silver Book) may instruct that a Variation shall be executed on a daywork basis.
B. The dayworks related Sub-Clause is only used for remeasurement in the FIDIC Red Book (both editions) only.
C. The dayworks related Sub-Clause is also applicable to other types of works.
D. If a Daywork Schedule is not included in the Contract, the Sub-Clause related to dayworks shall not apply.
Question 4
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 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.
B. 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.
C. 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.
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.
Question 5
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. Any amounts to be added and deducted for changes in legislation and changes in cost.
C. The estimated contract value of the Works executed.
D. Any amounts to be added and/or deducted for the advance payment and repayments under Sub-Clause
14.2.
Solutions:
| Question 1 Answer: B,D | Question 2 Answer: A | Question 3 Answer: A,D | Question 4 Answer: A | Question 5 Answer: A,C |




