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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Care Management | 30% | - Evidence-based case management models and tools - Caseload assignment and selection criteria - Client-centered care plan development - Medication management - Age-specific care application - Care coordination and collaboration - Cost containment principles |
| Quality and Outcomes Evaluation and Measurements | 10% | - Data collection and reporting - Accreditation and regulatory standards - Outcome measurement and analysis - Performance improvement - Cost-benefit and effectiveness analysis |
| Ethics, Legal, and Practice Standards | 18% | - Legal and regulatory requirements - Scope of practice and roles - Confidentiality and privacy - Advocacy and patient rights - Professional ethics and conduct |
| Healthcare Delivery Systems and Community Resources | 10% | - Healthcare policy and systems - Interdisciplinary collaboration - Continuum of care settings - Community-based services and resources |
| Psychosocial Concepts and Support Systems | 20% | - Family dynamics and support systems - Behavioral change theories and models - Cultural competence and diversity - Abuse and neglect recognition - Mental health and substance use considerations |
| Reimbursement Methods | 12% | - Coding and utilization review principles - Insurance principles and benefit structures - Managed care and accountable care concepts - Financial resources and negotiation - Payment and reimbursement methodologies |
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
Which two of the following statements are correct, regarding the Programme under FIDIC Red, Yellow and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).
- A. The Programme is a contract document, and thus, considered binding on the Parties.
- B. Nothing in any Programme will relieve the Contractor from any obligations to give contractual notice under the Conditions of Contract.
- C. The Contractor is required to proceed in accordance with the Programme and the Employer ' s Personnel shall be entitled to rely upon the Programme in planning their activities.
- D. The Engineer/Employer is not required to review the Programme, and also not required to inform the Contractor if the Programme does not comply with the Contract.
Correct Answer: B,C 🗳️
Explanation: Only visible for RealVCE members. You can sign-up / login (it's free).
If defects are identified during the Tests on Completion, which one of the following options is not available to the Parties under the Contract?
- A. If the defects do not affect the use of the Works for their intended purpose, the Engineer can issue the Taking-Over Certificate.
- B. The Employer can request to take over the Works.
- C. By giving reasons, the Engineer can refuse to accept the Works until repeated tests have been successfully performed.
- D. The Party which is not liable for the cost of rectifying defects can expect the other Party to pay the cost of performing the repeated tests.
Correct Answer: D 🗳️
Explanation: Only visible for RealVCE members. You can sign-up / login (it's free).
Under the FIDIC Red and Yellow Books (edition 1999), which two of the following statements are correct regarding the issuance of Interim Payment by the Engineer?
(Choose all correct answers - multiple possibilities)
- A. If the Employer considers itself entitled to claim against the Contractor, notice and particulars must first be submitted under Sub-Clause 2.5. The Employer ' s entitlement is then to be agreed or determined by the Engineer, and then, incorporated as a deduction in a Payment Certificate.
- B. The Employer is bound by the Certificate issued by the Engineer, and must make payment in full, except for any compensation arising from any claim which the Employer may have against the Contractor.
- C. The Employer is bound by the Certificate issued by the Engineer and must make payment in full, irrespective of any entitlement to compensation arising from any claim which the Employer may have against the Contractor.
- D. The Employer is not bound by the Certificate issued by the Engineer.
Correct Answer: A,B 🗳️
Explanation: Only visible for RealVCE members. You can sign-up / login (it's free).
You are the Contract Manager for the Engineer in a hotel project using FIDIC Red Book (edition 1999). The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during construction. Which one of the following is NOT considered as a Variation?
- A. The Engineer requests a proposal regarding a change in type of windows and doors of the business centre.
- B. The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.
- C. The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.
- D. The Employer verbally instructs a change in the layout of the rooftop restaurant. The Engineer issued an Instruction describing the required change with revised design drawings.
Correct Answer: C 🗳️
Explanation: Only visible for RealVCE members. You can sign-up / login (it's free).
In which one of the following circumstances is it recommended to select the Contractor after a two-stage procurement procedure (pre-qualification + tender procedure)?
- A. In case of large scale works, where there are several companies likely to have an interest in submitting an offer.
- B. If there is international financing for the project, it is always necessary to conduct a two-stage procurement procedure.
- C. When the works are simple and of short duration.
- D. When there is a limited number of capable experienced contractors available and ready to take part in the procurement.
Correct Answer: A 🗳️
Explanation: Only visible for RealVCE members. You can sign-up / login (it's free).
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