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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Quality and Outcomes Evaluation and Measurements18%- Caseload calculation metrics and tracking standards
- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
Topic 2: Ethical, Legal, and Practice Standards15%- CCMC Code of Professional Conduct parameters
- Regulatory compliance requirements and frameworks
  • 1. Patient privacy mandates and HIPAA
  • 2. Affordable Care Act impacts
Topic 3: Care Delivery and Reimbursement Methods31%- Reimbursement pathways and utilization management tools
  • 1. Government and commercial insurance plans
  • 2. Managed care models and funding sources
- Case management concepts, processes, and principles
Topic 4: Psychosocial Concepts and Support Systems27%- Client dynamics and social determinants of health
  • 1. Cultural competency and spiritual influences
  • 2. Crisis intervention techniques
  • 3. Family and support system evaluation
- Behavioral health conditions and dependencies
Topic 5: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Chronic illness and disability support models
  • 2. Assistive device adaptation strategies
- Worker recovery and return-to-work solutions

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

1. (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 Site.
B) The address stated in the Contract Data.
C) The address of the Contractor ' s Representative.
D) The address provided for by the recipient of the notice.


2. (For specific probable future events or circumstances which may adversely affect the Works, FIDIC Red and Yellow Books (edition 1999) provide a duty to notify specific parties. Which two statements are correct?
Choose all of the correct answers (multiple possibilities).)

A) The Notice shall be given when the Time for Completion will be affected.
B) Each Party shall advise the other and the Engineer of such events or circumstances, and the Engineer shall advise the Parties.
C) The obligation to issue such Notice requires the Contractor to give such Notice to the Engineer.
D) The Engineer has no obligation under General Conditions to notify the Contractor of such events.


3. You are the Contract Manager of the Employer ' s Representative in a Thermal Power Plant Project. The Contract for this project is EPC Turnkey Contract using the FIDIC Silver Book (edition 2017) with a Contract Price of 28 million USD. The Employer ' s Requirements require that: " the Contractor design in accordance with international and national technical regulations, and standards, [etc.] " .
For piling works, the Employer ' s Requirements state that the Contractor will design according to a specific national standard for piling works NTS-PW-01. After all piles for the jetty have been installed, a pile load test on lateral bearing capacity shows that actual lateral bearing capacity is much lower than the calculated lateral bearing capacity. It was later revealed by the Technical Standard Committee that there was a typo mistake during preparation of the NTS-PW-01 (translated from a foreign standard). The lateral bearing capacity of installed piles had been substantially overestimated as a result of this typo. Contractor submits a claim for
200,000 USD regarding extra costs for installing additional piles as a result of errors in the Employer ' s Requirements.
In the hydrological information of Site Data provided by the Employer, the annual high water level is 4.0m.
However, during the design stage, with updated data from local stations along the rivers, the Contractor found out there was a mistake in the calculation. The annual high water level should be 4.5m. As a result, the Contractor has to design and build additional flood walls along the river to protect the Plant from flooding.
The Contractor claims an amount of 300,000 USD to construct the flood wall, based on Unforeseeable difficulties.
As the Employer ' s Representative, after you have consulted with both Parties but failed to reach agreement, you will make a fair determination of the Claims of the Contractor.
In your " Notice of the Employer ' s Representative ' s determination " , what is your determination for the Contractor?

A) The Contractor is not entitled to either of the Claims.
B) The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer ' s Requirement only.
C) The Contractor is entitled to both Claims.
D) The Contractor is entitled to the Claim for the additional flood wall based on Unforeseeable difficulties only.


4. What are two differences between a notice and other communications under the FIDIC Red Book (edition
2017)? (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).

A) The Parties and Engineer shall be given original or copy of any Notice, Notice of Dissatisfaction (NOD) and Certificates, which is not always the case for other communications.
B) Notice is a defined term, while other communications are not defined as a term in the General Conditions.
C) Contractually there is no difference between a notice and other communications.
D) Both ' Notice ' and ' Other Communications ' are defined terms under the Conditions of Contract.


5. You are teaching a group of early career professionals in the Contract Management department about the FIDIC 2017 Rainbow Suite of contract, and you are explaining about the intention of Delay Damages. Which one of the following statements is correct?

A) None of the above.
B) Delay Damages is intended to provide full compensation to the Employer for all damages that it is expected to suffer as a result of the delay.
C) Delay Damages is intended to be treated as an incentive for the Contractor to perform on time.
D) Delay Damages is not intended to remove burden for the Employer to demonstrate and prove that it has suffered any loss or damage.


Solutions:

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

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