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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Psychosocial Concepts and Support Systems	27%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Cultural competency and spiritual influences 2. Family and support system evaluation 3. Crisis intervention techniques
Care Delivery and Reimbursement Methods	31%	- 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
Ethical, Legal, and Practice Standards	15%	- Regulatory compliance requirements and frameworks 1. Affordable Care Act impacts 2. Patient privacy mandates and HIPAA - CCMC Code of Professional Conduct parameters
Quality and Outcomes Evaluation and Measurements	18%	- Quality indicator metrics and performance tools 1. Accreditation standard configurations 2. Cost-benefit analysis algorithms - Caseload calculation metrics and tracking standards
Rehabilitation Concepts and Strategies	9%	- Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways 1. Chronic illness and disability support models 2. Assistive device adaptation strategies

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q93-Q98):

NEW QUESTION # 93
Which one of the following statements is NOT correct in respect of FIDIC Red Book (both editions)?

A. The Letter of Tender may be worded by the Contractor (at its discretion) so as to allow for the alternative of the Contract to become effective when the Employer issues a Letter of Acceptance.
B. The Contract typically becomes legally effective when the Employer issues the Letter of Acceptance to the Contractor.
C. The Contract is administered by the Engineer who is appointed by the Employer. If disputes arise, they are referred to a Dispute Adjudication Board (DAB) for its decisions.
D. The General Conditions allocate the risks between the parties on a fair and equitable basis.

Answer: A

Explanation:
Comprehensive and Detailed Explanation:
Option A is NOT correct because the wording of the Letter of Tender is usually governed by the tender documents and contract terms; it is not solely at the Contractor's discretion to dictate when the Contract becomes effective. The standard process is that the Contract becomes effective upon the Employer's issuance of the Letter of Acceptance.
Options B, C, and D correctly describe standard FIDIC practices.
References:
FIDIC Red Book 1999 & 2017 Editions - Contract Formation and Tendering
FIDIC Contract Manager Study Guide, Module on Contract Formation

NEW QUESTION # 94
(Under the FIDIC Red, Yellow, and Silver Books (1999 editions), the Engineer/Employer shall be entitled to withhold from the release of retention money the estimated cost of any work which remains to be executed under Clause 11 (Defects Liability) in the Red Book or under Clause 12 (Tests after Completion) in the Yellow and Silver Books. Is this statement true or false?)

A. False
B. True

Answer: B

Explanation:
Under FIDIC 1999 Conditions of Contract, retention money is addressed primarily in Sub-Clause 14.9
[Payment of Retention Money]. The release of retention is typically split into two halves: the first half upon issuance of the Taking-Over Certificate, and the second half after the Defects Notification Period (DNP) has expired and all outstanding work has been completed.
However, the contract provides a safeguard for the Employer (and Engineer administering the contract) where there are outstanding defects or incomplete obligations. In the Red Book, Clause 11 [Defects Liability] governs the Contractor's obligation to remedy defects during the DNP. Similarly, in the Yellow and Silver Books, Clause 12 [Tests after Completion] may require additional works or compliance activities after completion.
If there are works still to be executed or defects yet to be remedied, the Engineer is entitled to withhold an amount equivalent to the estimated cost of completing such works from the retention money due for release.
This ensures the Employer is financially protected in case the Contractor fails to fulfill post-completion obligations.
Therefore, the statement is correct, as it accurately reflects the contractual mechanism allowing withholding of retention corresponding to outstanding liabilities under the relevant clauses.

NEW QUESTION # 95
Under the FIDIC Red Book (edition 2017), the Engineer has suspended works to come to a change of the design of a part of the Works. After expiry of 84 days of suspension, the Contractor gave notice thereof.
Following this notice, the suspension was not lifted within 28 days. What two statements are correct in such a situation?

A. Under the Contract the Parties cannot agree on further suspension and the Contractor may immediately terminate the Contract if it affects the whole Works.
B. The Contractor may terminate the Contract if it affects the whole Works, but only after it has given a second notice to the Engineer.
C. The Contractor cannot terminate the Contract.
D. The Contractor may omit the affected part of Works and deny to carry out such Work going forward, but only after it has given a second notice to the Engineer.

Answer: A,B

Explanation:
Under FIDIC Red Book 2017, if the Engineer suspends works for more than 84 days and the Contractor notifies the Engineer, but the suspension is not lifted within 28 days, the Contractor may terminate the contract if the suspension affects the whole of the Works (Option A).
Additionally, the Contractor must give a second notice before termination (Option C). This process ensures proper communication and adherence to contractual procedures.
Option B is incorrect; termination is allowed under specified conditions.
Option D is incorrect; omission of work is not generally permitted without formal termination.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.9 - Suspension by Engineer
FIDIC Contract Manager Study Guide, Module on Suspension and Termination

NEW QUESTION # 96
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. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
C. In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.
D. 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.

Answer: A,C

Explanation:
Option B is correct: The Contract Data provides information required by specific Sub-Clauses in the General Conditions to complete the contract.
Option D is correct: If required data is missing in the Contract Data, some Sub-Clauses may not apply.
Option A is incorrect; definitions generally apply throughout the contract including Specifications and Drawings.
Option C is incorrect; case sensitivity of terms can affect contractual meaning.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 1.1 - Definitions and Contract Data FIDIC Contract Manager Study Guide, Module on Contract Documents

NEW QUESTION # 97
(Under FIDIC Red Book (edition 1999) a notice may be delivered to which two addresses?
Choose all of the correct answers (multiple possibilities).)

A. The address of the Site.
B. The address stated in the Contract Data.
C. The address of the Contractor ' s Representative.
D. The address provided for by the recipient of the notice.

Answer: B,D

Explanation:
Under FIDIC Red Book 1999, Sub-Clause 1.3 [Communications] governs the delivery of notices and other communications. The clause clearly specifies that communications must be sent to the addresses stated in the Contract Data. This ensure s certainty, traceability, and contractual validity of all formal correspondence between the Parties.
Option A is therefore correct, as the Contract Data defines the official addresses for communication. These addresses are agreed at the outset and form the primary reference point for valid notice delivery.
Option B is also correct. Sub-Clause 1.3 further allows that if a Party notifies the other of a change of address, then communications may be delivered to that updated address. This reflects practical contract administration, where offices or contact details may change during the project lifecycle. However, such change must be formally communicated.
Option C is incorrect because the Site address is not automatically a valid address for formal notices unless explicitly stated in the Contract Data. Delivering notices to the Site could create disputes regarding receipt and validity.
Option D is also incorrect. While the Contractor's Representative plays a key role in project execution (under Clause 4.3), the Representative's address is not necessarily the formal address for contractual notices unless it is specifically designated in the Contract Data.
This clause highlights the importance of proper notice procedures in FIDIC contracts, as improper delivery may invalidate claims or contractual rights.

NEW QUESTION # 98
......

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