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Medical Professional CCM Practice Q&A's

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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Ethical, Legal, and Practice Standards15%- CCMC Code of Professional Conduct parameters
- Regulatory compliance requirements and frameworks
  • 1. Patient privacy mandates and HIPAA
  • 2. Affordable Care Act impacts
Topic 2: Psychosocial Concepts and Support Systems27%- Client dynamics and social determinants of health
  • 1. Cultural competency and spiritual influences
  • 2. Crisis intervention techniques
  • 3. Family and support system evaluation
- Behavioral health conditions and dependencies
Topic 3: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Assistive device adaptation strategies
  • 2. Chronic illness and disability support models
- Worker recovery and return-to-work solutions
Topic 4: Care Delivery and Reimbursement Methods31%- Reimbursement pathways and utilization management tools
  • 1. Managed care models and funding sources
  • 2. Government and commercial insurance plans
- Case management concepts, processes, and principles
Topic 5: Quality and Outcomes Evaluation and Measurements18%- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
- Caseload calculation metrics and tracking standards

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

1. Which one of the following statements is correct regarding the Provisional Sum under the FIDIC Red, Yellow, and Silver Books (edition 1999)?

A) The Provisional Sum cannot be issued by instruction either by the Engineer (or Employer in case of FIDIC Silver Book).
B) The Contractor shall, when required by the Engineer, produce proof to substantiate how it has used the Provisional Sum.
C) Each Provisional Sum shall not be used, in whole or in part, in accordance with instructions from the Engineer.


2. (Which one of the following statements is correct regarding the Employer ' s Representative under the FIDIC Silver Book (edition 1999)?)

A) The Employer may appoint an Employer ' s Representative to act on his behalf under the Contract but has to consult the Contractor to agree to this Representative.
B) The Employer must always appoint an Employer ' s Representative to act on his behalf under the Contract.
C) The Representatives of both the Employer and the Engineer have no authority to amend the Contract at all.
D) The Employer may appoint an Employer ' s Representative to act on his behalf under the Contract.


3. If defects are identified during the Tests on Completion, which one of the following options is not available to the Parties under the Contract?

A) The Party which is not liable for the cost of rectifying defects can expect the other Party to pay the cost of performing the repeated tests.
B) If the defects do not affect the use of the Works for their intended purpose, the Engineer can issue the Taking-Over Certificate.
C) The Employer can request to take over the Works.
D) By giving reasons, the Engineer can refuse to accept the Works until repeated tests have been successfully performed.


4. 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 reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.
B) 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.
C) Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.
D) Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.


5. You are the Contract Manager of the Contractor in a building project. The Contract has been awarded to your firm, but the Engineer has not been selected. The Contract Agreement states that the Commencement Date shall be notified by the Engineer, which must be done within 14 days after the signing of the Contract Agreement. The Employer requested your firm to commence works on the 14th day after signing the Contract Agreement. Your director, Y, wants to wait with commencing the works until the Engineer has been selected or until the 42 days since the date your firm receives Letter of Acceptance. Is Y correct?

A) Yes
B) No


Solutions:

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

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