CCM Prüfungsfragen, CCM Fragen und Antworten, Certified Case Manager Certification Exam (CCM)

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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Ethics, Legal, and Practice Standards	18%	- Advocacy and patient rights - Confidentiality and privacy - Scope of practice and roles - Legal and regulatory requirements - Professional ethics and conduct
Topic 2: Reimbursement Methods	12%	- Managed care and accountable care concepts - Financial resources and negotiation - Payment and reimbursement methodologies - Coding and utilization review principles - Insurance principles and benefit structures
Topic 3: Psychosocial Concepts and Support Systems	20%	- Family dynamics and support systems - Abuse and neglect recognition - Behavioral change theories and models - Mental health and substance use considerations - Cultural competence and diversity
Topic 4: Healthcare Delivery Systems and Community Resources	10%	- Continuum of care settings - Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources
Topic 5: Quality and Outcomes Evaluation and Measurements	10%	- Performance improvement - Data collection and reporting - Accreditation and regulatory standards - Outcome measurement and analysis - Cost-benefit and effectiveness analysis
Topic 6: Care Management	30%	- Evidence-based case management models and tools - Caseload assignment and selection criteria - Care coordination and collaboration - Client-centered care plan development - Medication management - Cost containment principles - Age-specific care application

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Medical Professional Certified Case Manager Certification Exam (CCM) CCM Prüfungsfragen mit Lösungen (Q123-Q128):

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

A. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
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. Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.

Antwort: B,D

Begründung:
Comprehensive and Detailed 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

124. Frage
Which one statement is correct regarding the FIDIC Red Book (edition 2017)?

A. Instructions to Tenderers are part of the Employer ' s Requirements.
B. General Conditions of Contract cannot be amended as it may imbalance the obligations and rights of the Parties.
C. No Data other than required by the General Conditions of Contract may be entered in the Contract Data.
D. Instructions to Tenderers may require the tenderer to provide information on matters in Sub-Clause 4.3 on Contractor ' s Representative and Sub-Clause 6.12 on Key Personnel.

Antwort: D

Begründung:
In the FIDIC Red Book 2017, Instructions to Tenderers are part of the tender documents but are distinct from the Employer's Requirements. They guide tenderers on how to prepare and submit their tenders. Specifically, Instructions to Tenderers may require tenderers to provide detailed information about their organization, key personnel, and the Contractor ' s Representative (see Sub-Clause 4.3 on Contractor's Representative and Sub- Clause 6.12 on Key Personnel), which is essential for evaluating the capability and resources of the tenderer.
Option A is incorrect because Instructions to Tenderers are separate from Employer's Requirements; the latter define the scope and technical needs of the project.
Option B is incorrect; Contract Data may include specific data relevant to the particular project beyond just the General Conditions, including amendments and project-specific information.
Option D is incorrect because the General Conditions can be amended through the Particular Conditions (within limits), provided the amendments are balanced and agreed upon by both Parties.
References:
FIDIC Red Book 2017, Guide to Tendering Documents
FIDIC Red Book 2017, Sub-Clause 4.3 - Contractor's Representative
FIDIC Red Book 2017, Sub-Clause 6.12 - Key Personnel
FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts

125. Frage
Towards the end of implementing a varied work (initiated originally by the Contractor as a " Value Engineering Proposal " , relevant designs provided by the Contractor) it turned out, that there is some part of it not complying with the otherwise prevailing standards. Which statements are correct in this situation?
[FIDIC Red Book, 2017 Edition]
Choose all of the correct answers (multiple possibilities).

A. The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.
B. In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
C. In case it is necessary, the Contractor shall prepare designs for works subject to the Value Engineering, hence, it is up to the Contractor to ensure that the works are fit for the purposes, including that the designs are correct, regardless of any approval or " no-objection " of the Engineer.
D. Since the design was approved by the Engineer, the Contractor might not be found responsible for such discrepancy, hence, to be fully compensated.

Antwort: A,C

Begründung:
Option C is correct: The Contractor is obligated to rectify any non-compliance with prevailing standards promptly.
Option D is correct: The Contractor carries responsibility for design fitness and correctness, even if the Engineer has approved or not objected to the design.
Option A is incorrect; Engineer approval does not absolve the Contractor from responsibility for defective design or works.
Option B is not necessarily required; only non-compliant parts need correction, not entire varied works.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 4.1 and Clause 13 - Contractor's Obligations and Variations FIDIC Contract Manager Study Guide, Module on Variations and Design Responsibilities

126. Frage
(Under the FIDIC Red, Yellow, and Silver Books (both editions), the Contractor has a contractual obligation to give notice to the Employer if it discovers errors or defects of a technical nature. Is this statement true or false?)

A. False
B. True

Antwort: B

Begründung:
Under all FIDIC standard forms (Red, Yellow, and Silver Books, both 1999 and 2017 editions), the Contractor has a clear contractual obligation to notify the Employer (or the Engineer, depending on the form) if it discovers errors, faults, or defects in documents or instructions of a technical nature.
This obligation is explicitly stated in Sub-Clause 1.9 [Errors in the Employer's Requirements] (particularly in Yellow and Silver Books) and similarly reflected in provisions related to documents, drawings, and instructions in the Red Book. The Contractor is required to carefully examine the documents provided and promptly give notice upon identifying any discrepancies, ambiguities, or technical defects.
The purpose of this obligation is to ensure early detection and correction of design or specification issues, thereby minimizing delays, rework, and disputes. It also reflects the principle of cooperation and proactive risk management embedded in FIDIC contracts.
Failure by the Contractor to notify such errors may result in loss of entitlement to additional time or cost if the issue later impacts execution. Therefore, this notification duty is both a technical and contractual safeguard.
Thus, the statement is true, as FIDIC imposes a clear obligation on the Contractor to notify discovered technical errors or defects.

127. Frage
Under the FIDIC Red, Yellow, and Silver Books (both editions), the Contractor has a contractual obligation to submit a Value Engineering Proposal. Such proposal shall be prepared at the cost of the Employer. Are both these statements true or false?

A. True
B. False

Antwort: B

Begründung:
Comprehensive and Detailed Explanation:
The Contractor may submit Value Engineering proposals to improve efficiency or reduce costs; however, it is not an absolute contractual obligation to submit such proposals. Also, the preparation of these proposals is generally at the Contractor's own cost initially. If the proposal is accepted and results in a Variation, then adjustments to the Contract Price may occur, potentially reimbursing the Contractor.
Thus, both statements are false.
References:
FIDIC Red, Yellow, Silver Books 1999 & 2017 Editions, Sub-Clause 13.1 - Value Engineering FIDIC Contract Manager Study Guide, Module on Variations and Value Engineering

128. Frage
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