Latest Medical Professional CCM Exam Questions Vce, Valid CCM Guide Files

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Medical Professional CCM Exam Syllabus Topics:

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

>> Latest Medical Professional CCM Exam Questions Vce <<

Newest Latest CCM Exam Questions Vce offer you accurate Valid Guide Files | Medical Professional Certified Case Manager Certification Exam (CCM)

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q113-Q118):

NEW QUESTION # 113
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 # 114
In the FIDIC Silver Book (edition 1999), if the Employer has instructed the Contractor as per Sub-Clause 8.6 to provide a revised programme to stay within Time of Completion, the Employer can claim additional costs.
This only applies if the revised programme is still too slow to complete the Works within the Time for Completion. Is this statement true or false?

Answer: B

Explanation:
This statement is true. Under FIDIC Silver Book 1999, Sub-Clause 8.6, the Employer can instruct the Contractor to submit a revised programme to meet the contractual Time for Completion. If, after such instruction, the revised programme still shows the Works will not complete on time, the Employer may claim additional costs (such as delay damages or compensation) due to continued delay.
Thus, the Employer's right to claim additional costs is contingent on the revised programme not enabling timely completion.
References:
FIDIC Silver Book 1999 Edition, Sub-Clause 8.6 - Revised Programme
FIDIC Contract Manager Study Guide, Module on Claims and Delay Damages


NEW QUESTION # 115
Which one statement is correct regarding the FIDIC Red Book (edition 2017)?

Answer: D

Explanation:
Comprehensive and Detailed Explanation:
In the FIDIC Red Book 2017, Instructions to Tenderers are part of the tender documents but are distinct from the Employer's Requirements. They guide tenderers on how to prepare and submit their tenders. Specifically, Instructions to Tenderers may require tenderers to provide detailed information about their organization, key personnel, and the Contractor's Representative (see Sub-Clause 4.3 on Contractor's Representative and Sub- Clause 6.12 on Key Personnel), which is essential for evaluating the capability and resources of the tenderer.
Option A is incorrect because Instructions to Tenderers are separate from Employer's Requirements; the latter define the scope and technical needs of the project.
Option B is incorrect; Contract Data may include specific data relevant to the particular project beyond just the General Conditions, including amendments and project-specific information.
Option D is incorrect because the General Conditions can be amended through the Particular Conditions (within limits), provided the amendments are balanced and agreed upon by both Parties.
References:
FIDIC Red Book 2017, Guide to Tendering Documents
FIDIC Red Book 2017, Sub-Clause 4.3 - Contractor's Representative
FIDIC Red Book 2017, Sub-Clause 6.12 - Key Personnel
FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts


NEW QUESTION # 116
Which of the following FIDIC contract forms require certification in the payment process? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

Answer: A,C

Explanation:
Options A and B are correct: Both the Red and Yellow Books require the Engineer to certify payments before the Employer pays the Contractor.
Option C (Silver Book) typically places the risk on the Contractor and often provides for payment without Engineer certification, reflecting the turnkey nature of the contract.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Clauses on Payment Certification FIDIC Silver Book 1999 & 2017 Editions - Payment Provisions FIDIC Contract Manager Study Guide, Module on Payment Procedures


NEW QUESTION # 117
Which one statement is correct regarding the FIDIC Red Book (edition 2017)?

Answer: C

Explanation:
In the FIDIC Red Book 2017, Instructions to Tenderers are part of the tender documents but are distinct from the Employer's Requirements. They guide tenderers on how to prepare and submit their tenders. Specifically, Instructions to Tenderers may require tenderers to provide detailed information about their organization, key personnel, and the Contractor ' s Representative (see Sub-Clause 4.3 on Contractor's Representative and Sub- Clause 6.12 on Key Personnel), which is essential for evaluating the capability and resources of the tenderer.
Option A is incorrect because Instructions to Tenderers are separate from Employer's Requirements; the latter define the scope and technical needs of the project.
Option B is incorrect; Contract Data may include specific data relevant to the particular project beyond just the General Conditions, including amendments and project-specific information.
Option D is incorrect because the General Conditions can be amended through the Particular Conditions (within limits), provided the amendments are balanced and agreed upon by both Parties.
References:
FIDIC Red Book 2017, Guide to Tendering Documents
FIDIC Red Book 2017, Sub-Clause 4.3 - Contractor's Representative
FIDIC Red Book 2017, Sub-Clause 6.12 - Key Personnel
FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts


NEW QUESTION # 118
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