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Medical Professional CCM Exam Syllabus Topics:

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

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

1. What are two differences between a notice and other communications under the FIDIC Red Book (edition
2017)? (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).

A) The Parties and Engineer shall be given original or copy of any Notice, Notice of Dissatisfaction (NOD) and Certificates, which is not always the case for other communications.
B) Contractually there is no difference between a notice and other communications.
C) Notice is a defined term, while other communications are not defined as a term in the General Conditions.
D) Both ' Notice ' and ' Other Communications ' are defined terms under the Conditions of Contract.


2. Applying FIDIC Silver Book (edition 1999), which one of the following elements shall not form part of the time Programme/revised programme?

A) The sequence and timing of inspections and tests.
B) The remedial work (if any) instructed under Sub-Clause 7.6.
C) The intended order of the works.
D) Review periods under Sub-Clause 5.2.


3. Which two statements are correct regarding the FIDIC Red Book (edition 2017)?

A) Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.
B) In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.
C) There is never a difference in effect whether in the Particular Conditions when the term " Works " is used, or when the term " works " is used.
D) Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.


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) 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).
D) Notices and other communications shall be delivered to the address of the Contractor ' s Representative.


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

A) 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.
B) 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.
C) The Particular Conditions must not change the balance of risk/reward allocation provided in the General Conditions.
D) The Particular Conditions do not have to be drafted clearly and unambiguously, as long as the Employer understands the meaning of the risk allocation.


Solutions:

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

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