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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Ethical, Legal, and Practice Standards15%- Regulatory compliance requirements and frameworks
  • 1. Affordable Care Act impacts
  • 2. Patient privacy mandates and HIPAA
- CCMC Code of Professional Conduct parameters
Topic 2: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Assistive device adaptation strategies
  • 2. Chronic illness and disability support models
- Worker recovery and return-to-work solutions
Topic 3: Psychosocial Concepts and Support Systems27%- Behavioral health conditions and dependencies
- Client dynamics and social determinants of health
  • 1. Crisis intervention techniques
  • 2. Family and support system evaluation
  • 3. Cultural competency and spiritual influences
Topic 4: Quality and Outcomes Evaluation and Measurements18%- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
- Caseload calculation metrics and tracking standards
Topic 5: Care Delivery and Reimbursement Methods31%- Case management concepts, processes, and principles
- Reimbursement pathways and utilization management tools
  • 1. Government and commercial insurance plans
  • 2. Managed care models and funding sources

Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:

1. Which of the following cases will allow the Employer to claim under the Performance Security? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A) The Employer had submitted a claim under Sub-Clause 20.2.
B) The Engineer had issued instruction to replace part of the Works.
C) The Contractor abandons the Works and the Employer did not issue Notice of termination.
D) The Contractor failed to renew the Tender Security.
E) The Contractor failed to extend the validity of the Performance Security.


2. Regarding FIDIC Yellow and Silver Books (edition 1999) the Contractor has submitted its design proposal through the Contractor ' s Proposal. Which two of the following statements are true in this respect, after it has been submitted?
Choose all of the correct answers (multiple possibilities).

A) The Contractor is not allowed to submit a proposal for Value Engineering, as any value engineering should already have taken place before submitting its design proposal.
B) The Contractor is not allowed to make any changes regarding the design to optimise the design, unless approved by the Engineer/Employer.
C) The Contractor may submit a proposal for Value Engineering.
D) The Contractor is entitled to change the design by optimising the design, without approval of the Employer/Engineer.


3. Under the FIDIC Construction Contract, which one of the following statements is correct?

A) A DAB must give its decision in writing on any dispute when requested by one of the Parties.
B) Payment to DAB Members must be certified by the Employer.
C) For an ad-hoc DAB, a retainer fee for each DAB Member must be paid to the Member on the first day of each calendar month.
D) If all persons nominated to serve as members of an ad hoc DAB do not sign a DAB Agreement, an appointing entity can make appointments.
E) Payments of a DAB Member ' s retainer fee is the sole responsibility of the Contractor.


4. (Which two of the following statements are correct regarding the first step of an Employer ' s Claim, considering that the Employer is entitled to a reduction in the Contract Price and/or an extension of the Defects Notification Period under any Clause of the Conditions of Contracts or otherwise in connection with the Contract, under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

A) A Notice from the Employer is not required in order to give a Notice to the Engineer for services requested by the Contractor.
B) The Notice shall be given to the Engineer, as soon as practicable, and no later than 28 days after the claiming Party became aware, or should have become aware, of the event or circumstance.
C) The Notice given by the Employer must also include the legal or contractual basis of the claim, including the clause of the Contract under which it is made.
D) The Employer shall give a Notice to the Engineer, describing the event or circumstance giving rise to the cost, loss, delay or extension of the Defects Notification Period for which the Claim is made.


5. What does discharge confirm under the FIDIC Red Book (edition 1999)?

A) None of the above three statements is correct.
B) It confirms the immediate end to the Contract unconditionally whenever issued.
C) It confirms interim settlement of all money due to the Contractor
D) It confirms full and final settlement of all money due to the Contractor.


Solutions:

Question # 1
Answer: D,E
Question # 2
Answer: B,C
Question # 3
Answer: A
Question # 4
Answer: B,D
Question # 5
Answer: D

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