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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Care Management | 30% | - Caseload assignment and selection criteria - Client-centered care plan development - Evidence-based case management models and tools - Care coordination and collaboration - Medication management - Cost containment principles - Age-specific care application |
| Topic 2: Reimbursement Methods | 12% | - Financial resources and negotiation - Payment and reimbursement methodologies - Coding and utilization review principles - Insurance principles and benefit structures - Managed care and accountable care concepts |
| Topic 3: Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems - Abuse and neglect recognition - Cultural competence and diversity - Mental health and substance use considerations - Behavioral change theories and models |
| Topic 4: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Interdisciplinary collaboration - Community-based services and resources - Healthcare policy and systems |
| Topic 5: 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 |
| Topic 6: Ethics, Legal, and Practice Standards | 18% | - Advocacy and patient rights - Confidentiality and privacy - Professional ethics and conduct - Scope of practice and roles - Legal and regulatory requirements |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
(Under FIDIC Red Book (edition 1999) a notice may be delivered to which two addresses?
Choose all of the correct answers (multiple possibilities).)
- A. The address of the Contractor ' s Representative.
- B. The address provided for by the recipient of the notice.
- C. The address of the Site.
- D. The address stated in the Contract Data.
Correct Answer: B,D 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
A large sewage pump installation has been constructed under the FIDIC Yellow Book (edition 1999). Prior to commencement of the Tests on Completion, the Employer requires the Contractor to issue the Operation and Maintained Manuals. All contract documents are to be drafted in the English language as per Sub-Clause 1.4.
However, the Employer discovers all documents are drafted in a different language: French. The Contractor explains that the territory where the Plant was constructed is a region with French as a second official language, as result of which, this approach is acceptable. This also works for the proposed maintenance company, which is Paris-based. The Employer is surprised and asks you what to do. Select the best fitting advice you should give the Employer.
- A. If French is indeed an official second language of the region where the Plant is built, the Contractor is entitled to deliver the documents in French. The usability in terms of language is not described in Sub- Clause 5.7, so the Employer should accept the Operation and Mantained Manuals in French.
- B. The Employer should check on the Appendix to Tender, Employer ' s Requirements and / or Particular Conditions. There could very well be specific requirements regarding the language in those. If that is not the case, the language of the Contract determined in Sub-Clause 1.4 and the language of the Operation and Maintained Manuals should in this case be English.
- C. As the Contract is written in the English language, Sub-Clause 1.4 dictates that the Operation and Maintenance Manuals should be written in English as well.
- D. Golden Principle no. 1 states: The duties, rights, obligations, roles and responsibilities of all the Contract Participants must be generally as implied in the General Conditions, and appropriate to the requirements of the project. In this case this means it is appropriate that the Operation and Maintenance Manuals are in French, as the maintenance is based in France.
Correct Answer: B 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
Under the FIDIC Yellow Book (both editions), the Contract is administered by the Employer (unless it appoints an Employer ' s Representative) who endeavours to reach agreement with the Contractor on each claim. Is this statement true or false?
- A. False
- B. True
Correct Answer: B 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?
- A. " 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 " .
- B. " 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. " - 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. "
Correct Answer: D 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
Under FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the revised programme?
Choose all of the correct answers (multiple possibilities)
- A. The actual progress to date, any delay to such progress and the effects of such delay on other activities (if any).
- B. Only the delivery dates of Plant and Materials which have not been delivered on Site yet.
- C. The sequence and timing of the remedial work.
- D. All internationally recognized holiday periods.
Correct Answer: A,D 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
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