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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q131-Q136):

NEW QUESTION # 131
Under the FIDIC Red, Yellow, and Silver Books (both editions), the Employer has an obligation to give a detailed notice to the Contractor about intended changes that are material to its financial arrangements.

Answer: A

Explanation:
Comprehensive and Detailed Explanation:
The Employer must provide detailed notice to the Contractor regarding intended changes material to financial arrangements, enabling transparency and allowing the Contractor to assess impacts and prepare claims or adjustments accordingly.
This obligation supports fair risk allocation and project control.
References:
FIDIC Red, Yellow, Silver Books 1999 & 2017 Editions - Various clauses on Notices and Variations FIDIC Contract Manager Study Guide, Module on Communication and Financial Notices


NEW QUESTION # 132
Under the FIDIC Red Book (edition 2017), if the Contractor fails to comply with Site clearance obligation, what two options does the Employer have?
Choose all of the correct answers (multiple possibilities)

Answer: A,D

Explanation:
* Option Ais correct: The Employer may sell or dispose of any items left by the Contractor and reinstate the Site, recovering costs from the Contractor.
* Option Cis correct: The Employer is entitled to recover costs for clearing, reinstatement, and disposal exceeding proceeds from sale.
* Option Bis incorrect; the Engineer does not hold this authority, but the Employer does under the contract.
* Option Dis incorrect; if the Contractor fails to clear the Site, the Employer may take action to protect the Site.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.7 - Contractor's Use of Site
FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures


NEW QUESTION # 133
Which two statements are correct regarding the FIDIC Red Book (edition 2017)?

Answer: A,B

Explanation:
Comprehensive and Detailed Explanation:
Option B is correct: The Contract Data provides information required by specific Sub-Clauses in the General Conditions to complete the contract.
Option D is correct: If required data is missing in the Contract Data, some Sub-Clauses may not apply.
Option A is incorrect; definitions generally apply throughout the contract including Specifications and Drawings.
Option C is incorrect; case sensitivity of terms can affect contractual meaning.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 1.1 - Definitions and Contract Data FIDIC Contract Manager Study Guide, Module on Contract Documents


NEW QUESTION # 134
Which one of the following statements best describes the requirements of Time for Completion?

Answer: D

Explanation:
Option A best describes the Time for Completion as the Contractor's fundamental obligation to complete the entire Works within the contractual Time for Completion, calculated from the Commencement Date.
Options B, C, and D incorrectly limit the scope to "most" of the Works or confuse the reference date.
The Time for Completion sets the critical timeline for contract performance and triggering of delay damages or extensions.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Sub-Clause 8.1 - Time for Completion FIDIC Contract Manager Study Guide, Module on Time and Delay Management


NEW QUESTION # 135
Which of the following obligations are relevant to the Engineer ' s roles with regards to insurance? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

Answer: B,C

Explanation:
Option A is correct: The Engineer is entitled to receive evidence that the Contractor has paid for the necessary insurance policies.
Option C is correct: The Engineer has the role of monitoring the validity of these insurances and ensuring that renewals or extensions are arranged in a timely manner.
Option B is incorrect; the Engineer does not have the authority to take out insurance on behalf of the Contractor.
Option D is incorrect; suspension of construction activities is not automatically the Engineer's role for insurance lapses but may require instructions from the Employer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 18 - Insurances FIDIC Contract Manager Study Guide, Module on Contract Administration and Insurance


NEW QUESTION # 136
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