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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Professional ethics and conduct - Scope of practice and roles - Confidentiality and privacy - Legal and regulatory requirements |
| Topic 2: Healthcare Delivery Systems and Community Resources | 10% | - Community-based services and resources - Continuum of care settings - Healthcare policy and systems - Interdisciplinary collaboration |
| Topic 3: Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems - Abuse and neglect recognition - Mental health and substance use considerations - Cultural competence and diversity - Behavioral change theories and models |
| Topic 4: Quality and Outcomes Evaluation and Measurements | 10% | - Outcome measurement and analysis - Accreditation and regulatory standards - Cost-benefit and effectiveness analysis - Performance improvement - Data collection and reporting |
| Topic 5: Care Management | 30% | - Care coordination and collaboration - Age-specific care application - Client-centered care plan development - Medication management - Cost containment principles - Caseload assignment and selection criteria - Evidence-based case management models and tools |
| Topic 6: Reimbursement Methods | 12% | - Financial resources and negotiation - Payment and reimbursement methodologies - Insurance principles and benefit structures - Managed care and accountable care concepts - Coding and utilization review principles |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (Which two FIDIC Books (edition 2017) should especially be considered for use if the Employer needs the Contractor to take responsibility for the design and execution of the project. The construction will involve substantial work underground or work in other areas which tenderers cannot inspect.
Choose all of the correct answers (multiple possibilities).)
A) Yellow Book
B) Red Book
C) Silver Book by amending Sub-Clause 4.12 in the Particular Conditions
D) Silver Book without amending Sub-Clause 4.12 in the Particular Conditions
2. Which one of the following documents constitutes a contract and is considered binding on both parties, when the Employer wants to award the Contract to the tenderer?
A) Letter of Intent
B) Letter of Acceptance
C) Letter of Intent & Memorandum of understanding
D) Memorandum of understanding
3. 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 Engineer had issued instruction to replace part of the Works.
B) The Contractor failed to extend the validity of the Performance Security.
C) The Contractor failed to renew the Tender Security.
D) The Contractor abandons the Works and the Employer did not issue Notice of termination.
E) The Employer had submitted a claim under Sub-Clause 20.2.
4. There are four reasons that the Employer/Contractor shall advise in advance each other and the Engineer of any known or future events or circumstances.
Which two of the following statements are NOT applicable reasons?
(Choose all correct answers - multiple possibilities)
A) Decrease the Contract Price.
B) Adversely affect the work of the Contractor ' s Personnel.
C) Increase the performance of the Works when completed.
D) Delay the execution of the Works or a Section.
5. (Which two statements are correct for the FIDIC Red Book (edition 2017)?
Choose all of the correct answers (multiple possibilities).)
A) The Contract includes the General Conditions and Particular Conditions, and no other documentation.
B) Contract Data is part of General Conditions of Contract.
C) Conditions of Contract means these General Conditions as amended by Particular Conditions.
D) Contract Agreement, Letter of Acceptance and Letter of Tender are part of the Contract.
Solutions:
| Question # 1 Answer: A,C | Question # 2 Answer: B | Question # 3 Answer: B,C | Question # 4 Answer: A,C | Question # 5 Answer: C,D |






