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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q33-Q38):

NEW QUESTION # 33
In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
"In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction." What GP(s) is/are breached?

Answer: A

Explanation:
This clause breaches Golden Principles (GP) 1 and 3:
GP1 promotes fairness and balanced risk allocation between parties. Forcing the Contractor to carry out determinations despite a notice of dissatisfaction undermines fair dispute resolution and contractual balance.
GP3 emphasizes the importance of clear and unambiguous contract drafting that reflects agreed procedures.
This sentence introduces ambiguity and overrides contractual rights to dispute determinations.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Contract Administration and Contract Clauses


NEW QUESTION # 34
The amount of an advance payment guarantee provided for pursuant to FIDIC Red and Yellow Books (both editions) may be reduced as of:

Answer: A

Explanation:
According to FIDIC Red and Yellow Books (both 1999 and 2017 editions), the advance payment guarantee amount may be progressively reduced as the Contractor repays the advance payment through deductions from interim payment certificates. This means the guarantee is reduced as per amounts repaid, not only upon full repayment.
Option D is correct: The guarantee reduces as partial repayments are certified in Payment Certificates.
Option C is incorrect because the reduction happens gradually, not only after full repayment.
Options A and B do not directly relate to the reduction mechanism of the advance payment guarantee.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Sub-Clause 14.2 - Advance Payment Guarantee FIDIC Contract Manager Study Guide, Module on Payment Procedures


NEW QUESTION # 35
Under both FIDIC Yellow Book (YB) and Silver Book (SB) (edition 1999), if the Engineer (YB) / Employer (SB) instructs the Contractor based on Sub-Clause 8.6 to provide a revised programme, the acceptance by the Engineer (YB) / Employer (SB) of a revised programme with a completion within Time of Completion entitles the Contractor to a payment of the needed extra costs. Is this statement true or false?

Answer: A

Explanation:
This statement is false. Acceptance of a revised programme that shows completion within the Time for Completion does not automatically entitle the Contractor to extra payment. The Contractor must demonstrate additional costs arising from the instruction or circumstances to claim payment.
The acceptance of a compliant programme is a scheduling and administrative matter, not a compensation guarantee.
References:
FIDIC Yellow and Silver Books 1999 Editions, Sub-Clause 8.6 - Revised Programme FIDIC Contract Manager Study Guide, Module on Claims and Payment


NEW QUESTION # 36
Which one of the following statements is NOT correct in respect of FIDIC Yellow Book (both editions)?

Answer: A

Explanation:
Option C is NOT correct. FIDIC Yellow Book General Conditions aim to allocate risks fairly and equitably between the Employer and Contractor. The contract balances risks according to who is best able to manage them. It does not impose a disproportionate risk burden on the Contractor.
Options A, B, and D are correct statements describing typical contract formation, risk allocation, and Contractor's design and execution responsibilities.
References:
FIDIC Yellow Book 1999 and 2017 Editions - Introduction and Risk Allocation Clauses FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts


NEW QUESTION # 37
You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

Answer: D

Explanation:
Comprehensive and Detailed Explanation:
Option D is NOT correct. The DAAB does not act as a witness or provide support during arbitration. Its role is to avoid and adjudicate disputes early during the project lifecycle impartially and fairly, but it does not serve as witness support in arbitration proceedings.
References:
FIDIC Yellow Book 2017 Edition, Clause 21 - Dispute Avoidance and Adjudication Board FIDIC Contract Manager Study Guide, Module on Dispute Resolution


NEW QUESTION # 38
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