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Medical Professional CCM Practice Q&A's

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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Concepts and Support Systems20%- Behavioral change theories and models
- Abuse and neglect recognition
- Cultural competence and diversity
- Family dynamics and support systems
- Mental health and substance use considerations
Topic 2: Reimbursement Methods12%- Financial resources and negotiation
- Payment and reimbursement methodologies
- Managed care and accountable care concepts
- Coding and utilization review principles
- Insurance principles and benefit structures
Topic 3: Care Management30%- Cost containment principles
- Age-specific care application
- Caseload assignment and selection criteria
- Medication management
- Client-centered care plan development
- Care coordination and collaboration
- Evidence-based case management models and tools
Topic 4: Quality and Outcomes Evaluation and Measurements10%- Accreditation and regulatory standards
- Cost-benefit and effectiveness analysis
- Data collection and reporting
- Performance improvement
- Outcome measurement and analysis
Topic 5: Healthcare Delivery Systems and Community Resources10%- Interdisciplinary collaboration
- Healthcare policy and systems
- Community-based services and resources
- Continuum of care settings
Topic 6: Ethics, Legal, and Practice Standards18%- Advocacy and patient rights
- Scope of practice and roles
- Confidentiality and privacy
- Legal and regulatory requirements
- Professional ethics and conduct

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

1. You are the Contract Manager of the Contractor in a building project. The Contract has been awarded to your firm, but the Engineer has not been selected. The Contract Agreement states that the Commencement Date shall be notified by the Engineer, which must be done within 14 days after the signing of the Contract Agreement. The Employer requested your firm to commence works on the 14th day after signing the Contract Agreement. Your director, Y, wants to wait with commencing the works until the Engineer has been selected or until the 42 days since the date your firm receives Letter of Acceptance. Is Y correct?

A) Yes
B) No


2. 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) Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.
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 amount of advance payment is to be paid in full by the Employer through one instalment.
D) 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.


3. You are the Contract Manager of the Engineer for a contract using FIDIC Yellow Book (edition 2017). You are drafting a notice holding the Commencement Date. Which one of the following approaches has the most clear and unambiguous drafting?

A) I hereby give notice, in accordance with Sub-Clause 1.1.84 and 8.2 of the Conditions of Contract, that the Time for Completion shall commence from 17 April 2023.
B) The commencement date of this project under Sub-Clause 8.1 of the Conditions of Contract will be 10 days from 7 April 2023.
C) The Contractor is kindly notified that the project shall be started by 17 April 2023.
D) I hereby give notice, in accordance with Sub-Clause 8.1 of the Conditions of Contract, the Commencement Date shall be 17 April 2023.


4. (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) Red Book
B) Yellow 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


5. (You are the Contract Manager in a contract using the FIDIC Red Book with a Dispute Avoidance and Adjudication Board. The DAAB is already appointed (standing DAAB). You are coaching your team on the steps to be followed to request for informal assistance from the DAAB during a Site visit. Which one of the following does NOT belong to those steps?)

A) The Engineer has made a non-objection letter, in which it is stated that the issue/disagreement does not concern the matter that is being dealt with by the Engineer.
B) The Employer and the Contractor have made a " joint request " in writing before the DAAB gives the requested assistance.
C) Both Parties should be present at the meeting in which the DAAB provides assistance.
D) The Employer and the Contractor have identified an issue and disagreement, and have agreed between themselves that they want the DAAB to provide assistance and/or informally discuss and attempt to resolve that issue/disagreement.


Solutions:

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

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