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Medical Professional CCM Practice Q&A's

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Medical Professional CCM Exam Syllabus Topics:

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

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

1. Under the FIDIC Red Book (edition 2017), the Engineer has suspended works to come to a change of the design of a part of the Works. After expiry of 84 days of suspension, the Contractor gave notice thereof.
Following this notice, the suspension was not lifted within 28 days. What two statements are correct in such a situation?

A) The Contractor may omit the affected part of Works and deny to carry out such Work going forward, but only after it has given a second notice to the Engineer.
B) The Contractor may terminate the Contract if it affects the whole Works, but only after it has given a second notice to the Engineer.
C) Under the Contract the Parties cannot agree on further suspension and the Contractor may immediately terminate the Contract if it affects the whole Works.
D) The Contractor cannot terminate the Contract.


2. (What is the maximum period for the Engineer to issue the Notice of Commencement Date?)

A) 21 days
B) 14 days
C) 42 days
D) 84 days


3. (Under the FIDIC Red and Yellow Books (edition 1999), which two of the following answers are correct regarding the application for Interim Payment Certificates? Choose all correct answers.)

A) The Contractor shall submit a Statement in five copies to the Employer.
B) Each statement must be accompanied (or preceded) by supporting documents, including the progress report specified in Sub-Clause 4.21, for the relevant period.
C) The statement submitted by the Contractor shall include, if applicable, any amounts to be added and deducted for Plant and Materials.
D) The statement submitted by the Contractor shall include, if applicable, any amounts to be added for Provisional Sums.


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. You are the new Contract Manager of the Contractor in a bridge project using FIDIC Yellow Book (edition
2017). The project had been suspended due to a material change in the Employer ' s financial arrangement.
You have worked with your team to identify several failures of the Employer in carrying its obligations under the Contract. Which one of the following does NOT allow the Contractor to issue Notice to terminate the Contract?

A) The Contractor does not receive the amount due under the latest Payment Certificate for more than 4 months after the due date.
B) The Employer failed to comply with a final and binding determination issued by the Engineer, and such failure constitutes a material breach of the Employer ' s obligations under the Contract.
C) The Contractor has requested the Employer but has not received any evidence that the financial arrangement is being maintained, despite having sent a notice thereto 4 months earlier.
D) A prolonged suspension for more than 1 year has affected the whole of the Works.


Solutions:

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

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