Medical Professional : CCM Questions & Answers

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Medical Professional CCM Practice Q&A's

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Medical Professional CCM Exam Syllabus Topics:

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

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

1. 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?

A) True
B) False


2. Choose which one statement consists of an example of an unclear and ambiguously drafted Particular Conditions.

A) Provisions of the General Conditions are deleted and replaced in the Particular Conditions solely by the words " not used " .
B) The clarifications to the Contract given during the tender period are never to be attached to the Contract, as such clarifications are reflected by amending the Particular Conditions.
C) Clarifications to the meaning of tender documents together with answers to tenderers ' inquiries made during the tender period by the Employer should be e-mailed in a Excel table in both PDF and XLS file format.
D) All deletions of a General Conditions are replaced with new Particular Conditions that cover the same scope.


3. (Which one of the following statements regarding FIDIC Golden Principles is correct?)

A) The Particular Conditions do not have to be drafted clearly and unambiguously, as long as the Employer understands the meaning of the risk allocation.
B) The FIDIC Golden Principles only apply to handling the General Conditions of a contract and should not be taken into account when preparing the Particular Conditions.
C) The Particular Conditions must not change the balance of risk/reward allocation provided in the General Conditions.
D) The Particular Conditions can be changed under the condition that the balance of risk/reward allocation provided in the General Conditions provides for significantly less risk to the Contractor.


4. You are the Contract Manager of the Employer ' s Representative in a Thermal Power Plant Project. The Contract for this project is EPC Turnkey Contract using the FIDIC Silver Book (edition 2017) with a Contract Price of 28 million USD. The Employer ' s Requirements require that: " the Contractor design in accordance with international and national technical regulations, and standards, [etc.] " .
For piling works, the Employer ' s Requirements state that the Contractor will design according to a specific national standard for piling works NTS-PW-01. After all piles for the jetty have been installed, a pile load test on lateral bearing capacity shows that actual lateral bearing capacity is much lower than the calculated lateral bearing capacity. It was later revealed by the Technical Standard Committee that there was a typo mistake during preparation of the NTS-PW-01 (translated from a foreign standard). The lateral bearing capacity of installed piles had been substantially overestimated as a result of this typo. Contractor submits a claim for
200,000 USD regarding extra costs for installing additional piles as a result of errors in the Employer ' s Requirements.
In the hydrological information of Site Data provided by the Employer, the annual high water level is 4.0m.
However, during the design stage, with updated data from local stations along the rivers, the Contractor found out there was a mistake in the calculation. The annual high water level should be 4.5m. As a result, the Contractor has to design and build additional flood walls along the river to protect the Plant from flooding.
The Contractor claims an amount of 300,000 USD to construct the flood wall, based on Unforeseeable difficulties.
As the Employer ' s Representative, after you have consulted with both Parties but failed to reach agreement, you will make a fair determination of the Claims of the Contractor.
In your " Notice of the Employer ' s Representative ' s determination " , what is your determination for the Contractor?

A) The Contractor is entitled to both Claims.
B) The Contractor is entitled to the Claim for the additional flood wall based on Unforeseeable difficulties only.
C) The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer ' s Requirement only.
D) The Contractor is not entitled to either of the Claims.


5. Which of the following statements are relevant to continuing effect claims? [FIDIC 2017 Edition] (2 correct answers apply)

A) In case the Employer is the Claiming Party, then he/she is not obliged to submit interim claims.
B) In case the Contractor is the Claiming Party, when he/she misses to submit even just a single interim claim, then his/her entitlement is lost.
C) Continuing effect claims shall be noticed in the same way as " normal " claims, within 28 days after the Claiming Party became aware of the event or circumstance.
D) In general, a fully detailed Claim has to be submitted within 84 days after becoming aware of the event giving rise to the claim.


Solutions:

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

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