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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q50-Q55):

NEW QUESTION # 50
Which one of the following is NOT considered a change made in the 2017 edition of the FIDIC Red, Yellow, and Silver Books?

Answer: B

Explanation:
Option D is not a new procedure introduced in the 2017 FIDIC editions.
The 2017 editions focus on dispute avoidance (A), quality management systems (B), and fair risk allocation (C), but do not explicitly require a Compliance Verification System as described.
References:
FIDIC Red, Yellow, Silver Books 2017 Editions - Overview of Changes
FIDIC Contract Manager Study Guide, Module on Contract Updates


NEW QUESTION # 51
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 # 52
Which of the following statements are relevant to continuing effect claims? [FIDIC 2017 Edition] (2 correct answers apply)

Answer: A,B

Explanation:
Comprehensive and Detailed Explanation:
Option A is correct: Continuing effect claims (claims where the event's impact continues over time) require notices like other claims, typically within 28 days of awareness.
Option D is correct: The fully detailed claim submission generally must be within 84 days of becoming aware of the event, allowing the Claiming Party to elaborate on the claim.
Option B is incorrect; Employer claims also require timely notification.
Option C is incorrect; missing a single interim claim does not necessarily result in losing entitlement if the contract allows for correction or continued claims.
References:
FIDIC Red, Yellow, and Silver Books 2017 Edition, Sub-Clause 20.1 - Claims and Notices FIDIC Contract Manager Study Guide, Module on Claims and Continuing Effects


NEW QUESTION # 53
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: A

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 # 54
(In a FIDIC Red Book, the Employer shall have prepared (or have prepared by a design consultant) all the design for the Works. Which of the listed documents form the basis for this design (2 correct answers apply))

Answer: C,D

Explanation:
Under the FIDIC Red Book (both 1999 and 2017 editions), the Employer is responsible for the design of the Works. This design is primarily communicated to the Contractor through key technical documents included in the Contract.
Option B (Specifications) is correct because Specifications define the technical requirements, standards, materials, workmanship, and performance criteria. They are a core component of the design documentation and directly guide how the Works are to be executed.
Option A (Bill of Quantities) is also correct. While primarily used for measurement and payment, the Bill of Quantities is derived from the design and reflects the quantified scope of the Works. It is intrinsically linked to the design and provides a structured breakdown of the elements required to construct the Works.
Option C is incorrect because the Breakdown of Lump-Sum is relevant to lump-sum contracts (e.g., Silver Book), not the Red Book's remeasurement approach.
Option D is incorrect as the Schedule of Subcontractors relates to execution planning, not design.
Option E is incorrect because the Contract Agreement is a legal document formalizing the contract, not a design document.
Thus, in Red Book contracts, the design basis is fundamentally established through the Specifications and the Bill of Quantities, supported typically by Drawings (though not listed here).


NEW QUESTION # 55
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