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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal, and Practice Standards | 18% | - Professional ethics and conduct - Advocacy and patient rights - Scope of practice and roles - Confidentiality and privacy - Legal and regulatory requirements |
| Topic 2: Care Management | 30% | - Caseload assignment and selection criteria - Care coordination and collaboration - Medication management - Cost containment principles - Evidence-based case management models and tools - Client-centered care plan development - Age-specific care application |
| Topic 3: Psychosocial Concepts and Support Systems | 20% | - Mental health and substance use considerations - Cultural competence and diversity - Family dynamics and support systems - Abuse and neglect recognition - Behavioral change theories and models |
| Topic 4: Reimbursement Methods | 12% | - Coding and utilization review principles - Financial resources and negotiation - Managed care and accountable care concepts - Insurance principles and benefit structures - Payment and reimbursement methodologies |
| Topic 5: Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Continuum of care settings - Interdisciplinary collaboration - Community-based services and resources |
| Topic 6: Quality and Outcomes Evaluation and Measurements | 10% | - Cost-benefit and effectiveness analysis - Outcome measurement and analysis - Data collection and reporting - Accreditation and regulatory standards - Performance improvement |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
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
Correct Answer: A 🗳️
Explanation: Only visible for BootcampPDF members. You can sign-up / login (it's free).
The Contractor is entitled to an advance payment. Applying FIDIC Red Book (edition 1999), which two of the following statements are correct?
Choose all of the correct answers (multiple possibilities):
- A. The advance payment is to help the Contractor to finance some of its early cost and expenditure until it becomes entitled to first (non-interim) payment.
- B. The advance payment reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.
- C. Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.
- D. Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.
Correct Answer: A,C 🗳️
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Which of the following documents form part of a FIDIC Construction Contract [ " Red Book " (1999)], hence, to be drafted and included among the Tender Documents? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
- A. Bill of Quantities
- B. Specifications
- C. Schedule of Baselines
- D. Schedule of Guarantees
- E. Employer ' s Requirements
Correct Answer: A,B 🗳️
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Which one statement is correct regarding the FIDIC Red Book (edition 2017)?
- A. Instructions to Tenderers are part of the Employer ' s Requirements.
- B. Instructions to Tenderers may require the tenderer to provide information on matters in Sub-Clause 4.3 on Contractor ' s Representative and Sub-Clause 6.12 on Key Personnel.
- C. General Conditions of Contract cannot be amended as it may imbalance the obligations and rights of the Parties.
- D. No Data other than required by the General Conditions of Contract may be entered in the Contract Data.
Correct Answer: B 🗳️
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Which of the following situations form legally binding contracts? (2 correct answers apply) Choose all of the correct answers (multiple possibilities)
- A. The Employer and the Contractor signed the Contract Agreement.
- B. The Employer received the Contractor ' s Letter of Tender and issued Letter of Acceptance.
- 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 a conditional Letter of Acceptance.
Correct Answer: A,B 🗳️
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