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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional CCM考試指南 - CCM最新題庫資源

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最新的 Medical Professional Exams CCM 免費考試真題 (Q40-Q45):

問題 #40
(Which two of the following statements are correct regarding the dayworks under FIDIC Red, Yellow, and Silver Books (both editions)? Choose all correct answers.)

答案:A,C

解題說明:
Under FIDIC 1999 and 2017 (Red, Yellow, and Silver Books), dayworks are governed under Clause 13
[Variations and Adjustments], specifically provisions dealing with valuation of Variations.
Option A is correct because dayworks require a predefined Daywork Schedule included in the Contract (usually within the Bill of Quantities or schedules). If such a schedule is not included, the contractual mechanism for valuation using dayworks cannot practically operate. Therefore, the Sub-Clause related to dayworks becomes inapplicable unless such rates are otherwise agreed.
Option D is also correct. The Engineer (or Employer in the Silver Book where no Engineer role exists) has the authority to instruct that certain Variations be executed on a daywork basis. This is typically used where the nature or extent of the work cannot be quantified in advance, making standard measurement or lump-sum pricing inappropriate.
Option B is incorrect because dayworks are specifically intended for valuation of Variations and not for general application to other types of works outside this context.
Option C is incorrect because dayworks are not limited to remeasurement contracts (Red Book); they are also applicable in Yellow and Silver Books for valuation of Variations when instructed.
Thus, Options A and D correctly reflect FIDIC principles regarding dayworks.


問題 #41
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):

答案:C,D

解題說明:
Under FIDIC Red Book 1999, advance payment is intended to assist the Contractor in financing the mobilization and early works costs before the Contractor begins receiving regular payments for work performed (Option A). It is not a payment for work already completed, so Option B is incorrect.
The General Conditions provide that the advance payment is usually made in a lump sum or agreed instalments and that the Employer makes the payment in advance (Option C is partially true but generally it can be one or multiple instalments, depending on contract terms).
Importantly, the advance payment must be repaid by the Contractor through deductions from subsequent interim payments (Option D), ensuring the Employer recovers the advanced funds as the work progresses.
References:
FIDIC Red Book 1999, Sub-Clause 14.2 - Advance Payment
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management


問題 #42
(Regarding the FIDIC Red Book (edition 2017): what two answers provide for requirements regarding a notice and other communication?
Choose all of the correct answers (multiple possibilities).)

答案:A,C

解題說明:
Under FIDIC Red Book 2017, Clause 1.3 [Communications] provides strict and structured requirements governing Notices and other forms of communication. The distinction between a "Notice" and "other communication" is critical because Notices often trigger contractual rights, obligations, and time bars.
Option A is correct because Clause 1.3 expressly requires that a communication intended to be a Notice must be clearly identified as such. This ensures that both Parties understand the formal and legal significance of the communication, particularly where time-sensitive provisions (such as claims under Clause 20) are involved.
Option C is also correct. Clause 1.3 differentiates between Notices and other communications. Where a communication is not a Notice, it should still be clearly identified as another form of communication and, where appropriate, include references to the relevant contractual provision. This promotes clarity, traceability, and proper contract administration.
Option B is incorrect because communications must generally be sent to the addresses stated in the Contract Data unless formally changed by notice. Delivering to an alternative address without proper notification may render the communication invalid.
Option D is incorrect because communications are not limited to the Contractor's Representative; they must be sent to the designated addresses of the respective Parties as defined in the Contract Data.
Overall, Clause 1.3 reinforces disciplined communication management, which is a cornerstone of effective FIDIC contract administration.


問題 #43
Under the FIDIC Red Book, which one of the following statements is correct for a claim by the Contractor?

答案:B

解題說明:
Under FIDIC Red Book 1999, the Engineer plays a key role in determining claims submitted by the Contractor (Clause 20). If the Engineer fails to make a determination within the prescribed time, the Parties may be unable to resolve the dispute and thus the matter may proceed to dispute resolution mechanisms.
Option B is correct because if the Engineer does not decide, the claim remains unsettled, and the Parties are left to resolve the dispute, often via Dispute Adjudication Board or arbitration.
Option A is incorrect; claims must comply with notice requirements to be valid.
Option C is incorrect because the Engineer may request further particulars but is not obligated to give a final decision on quantum immediately.
Option D is incorrect as the Engineer, not the Employer's Representative, first responds to claims.
Option E is incorrect since the Engineer's decision is not final and binding if disputed; it may be challenged.
References:
FIDIC Red Book 1999 Edition, Clause 20 - Claims, Disputes and Arbitration FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution


問題 #44
In case a Variation is initiated by the Engineer for prompt implementation ...... [FIDIC Red, and Yellow Books, 2017 Editions] Choose all of the correct answers (multiple possibilities).

答案:B,D

解題說明:
Option B is correct: When instructed to implement a Variation promptly, the Contractor must commence work and keep detailed records for subsequent valuation and impact assessment.
Option D is correct: The Contractor is required to submit, within 28 days, a description, programme, and price proposal relating to the Variation as part of contract procedures.
Option A is incorrect: The Contractor generally must proceed promptly regardless of dispute about foreseeability but may reserve rights via notices.
Option C is incorrect: Safety cannot be compromised; the Contractor should not undertake hazardous work without mitigation.
Option E is incorrect: The Contractor is generally bound to start work upon instruction even if the price is not yet agreed.
References:
FIDIC Red and Yellow Books 2017 Editions, Sub-Clause 3.5 - Variation Procedure FIDIC Contract Manager Study Guide, Module on Variations and Change Management


問題 #45
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