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Medical Professional CCM Exam Syllabus Topics:

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

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

Question 1

Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?

A. The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.
B. People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
C. The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.
D. Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.


Question 2

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):

A. The advance payment is to help the Contractor to finance some of its early cost and expenditure until it becomes entitled to first (non-interim) payment.
B. The advance payment reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.
C. Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.
D. Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.


Question 3

(Golden Principle 2 states that " The Particular Conditions must be drafted clearly and unambiguously. " Which statement best underlines this Golden Principle in relation to the FIDIC Red, Yellow, and Silver Books (both editions)?)

A. When clarifications are given during the tender period, which might impact several general conditions, it is not necessary to amend all these conditions through the Particular Conditions or to consider which exact general conditions require amendment, as such clarifications are deemed to be self-explanatory.
B. In the Particular Conditions, all changes to the General Conditions must be clearly identified by reference to specific Sub-Clause numbers. Additionally, the Particular Conditions Sub-Clauses must clearly indicate the relationship between the newly introduced text and the corresponding General Conditions Sub-Clauses' original text, e.g., addition, omission, replacement, or amendment.
C. Clarifications to the meaning of tender documents together with answers to tenderers' inquiries made during the tender period by the Employer can be inconsistent. If Sub-Clause 1.5 does not provide for the right order, this Sub-Clause can be amended explicitly or implicitly, and this can be done through any of the documents mentioned in Sub-Clause 1.5.
D. Modifications made to the Conditions of Contract during tender negotiations that were only documented in emails between the Parties can be part of the Contract as long as those emails are subsequently included in the List of Contract documents. In such a case, it is not necessary to incorporate those modifications in, for instance, the Particular Conditions.


Question 4

(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).)

A. If a form of communication is to qualify as a Notice, it must be identified as a notice.
B. If the recipient ' s address differs from the address stated in the Contract Data, notices and other communications may be delivered to that other correct address.
C. Notices and other communications shall be delivered to the address of the Contractor ' s Representative.
D. If a form of communication does not qualify as a notice but as other communication, it must be identified as such and shall include reference of provision of Contract under which it is issued (if appropriate).


Question 5

You are teaching a group of early career professionals in the Contract Management department about the FIDIC 2017 Rainbow Suite of contract, and you are explaining about the intention of Delay Damages. Which one of the following statements is correct?

A. None of the above.
B. Delay Damages is intended to be treated as an incentive for the Contractor to perform on time.
C. Delay Damages is not intended to remove burden for the Employer to demonstrate and prove that it has suffered any loss or damage.
D. Delay Damages is intended to provide full compensation to the Employer for all damages that it is expected to suffer as a result of the delay.


Solutions:

Question 1
Answer: B
Question 2
Answer: A,C
Question 3
Answer: B
Question 4
Answer: A,D
Question 5
Answer: B

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