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Medical Professional CCM Exam Syllabus Topics:

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

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

1. You are the Contract Manager in a highway project using FIDIC Red Book (edition 1999). You work for the Employer - a highway management agency. During the tender period, you are informed of a specific Commencement Date required by the directors of the agency. Which two of the following approaches to inform the tenderers of this date are clearly and unambiguously drafted?
Choose all of the correct answers (multiple possibilities).

A) Specify Commencement Date in the Minutes of Meeting of Contract Negotiation.
B) Inform the Commencement Date to the tenderers by email, and attach that email in the list of Contract Documents.
C) Specify Commencement Date in the Particular Conditions.
D) Specify Commencement Date in the Contract Agreement.


2. Which two statements are true under the FIDIC Red Book (edition 1999)?
(Choose all of the correct answers - multiple possibilities)

A) The Performance Certificate is deemed to be issued on fulfilment of certain conditions stated in the respective Sub-Clause.
B) The Engineer shall issue the Performance Certificate within 28 days at the latest: by the end of the Defects Notification Periods, and once the Contractor has supplied all the Contractor ' s Documents and completed and tested all Works including remedying any defects in accordance with the Contract.
C) The Performance Certificate is deemed to constitute the acceptance of the Works.
D) The Performance Certificate constitutes acceptance of the Works and full performance of all obligations of each Party.


3. Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?

A) " Only the Employer should be the one to obtain the best value for money " AND " The Contractor
/Subcontractor is paid adequately and timely in accordance with the Contract to maintain its cash flow. "
B) " The Contractor/Subcontractor is paid adequately and in a timely manner in accordance with the Contract to maintain its cash flow " AND " The terms of the Contract are comprehensive and fair to primarily the Employer " .
C) " The Contractor should take advantage of its bargaining power every time possible " AND " Disputes are avoided to the extent achievable, minimised when they do arise, and resolved efficiently. "
D) " The Employer obtains the best value for money " AND " Disputes should be avoided to the extent achievable. "


4. (In the FIDIC Yellow Book (edition 1999), the Contractor has to provide the Engineer with documents as stated in Sub-Clause 5.2. Who is responsible for ensuring there is sufficient time allocated for reviewing these documents in relation to the Schedule of the Works?)

A) Employer
B) Contractor
C) Engineer


5. FIDIC Red, Yellow, and Silver Books (both editions) contain a provision for the Engineer or Employer to instruct the Contractor to employ a subcontractor, thereby also permitting the Contractor to refuse to employ such proposed subcontractor on the basis of a reasonable objection by a notice. Is this statement true or false?

A) True
B) False


Solutions:

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

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