CCM Training Materials: Certified Case Manager Certification Exam (CCM) & CCM Exam Preparatory

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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q60-Q65):

NEW QUESTION # 60
Which of the following documents form part of a FIDIC Construction Contract [ " Red Book " (1999)], hence, to be drafted and included among the Tender Documents? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A. Specifications
B. Schedule of Guarantees
C. Schedule of Baselines
D. Bill of Quantities
E. Employer ' s Requirements

Answer: A,D

NEW QUESTION # 61
You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

A. The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
B. DAAB is to provide for a fair, timely and efficient resolution of Disputes.
C. DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.
D. Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.

Answer: C

Explanation:
Option D is NOT correct. The DAAB does not act as a witness or provide support during arbitration. Its role is to avoid and adjudicate disputes early during the project lifecycle impartially and fairly, but it does not serve as witness support in arbitration proceedings.
References:
FIDIC Yellow Book 2017 Edition, Clause 21 - Dispute Avoidance and Adjudication Board FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 62
Which one statement regarding the adjustment of the Contract Price as mentioned in Sub-Clause 13.8 of FIDIC Silver Book (edition 1999) is correct?

A. The Particular Conditions can provide a calculation method or refer to a specific set of index for adjustments following Sub-Clause 13.8. This can result in lower adjustments of the Contract Price than the actual changes in the costs of labour and/or Goods.
B. If Particular Conditions provide a calculation method or refer to a specific set of index for adjustments following Sub-Clause 13.8, it can only apply to rises or falls in the costs of labour and Goods.
C. If the Contract Price is to be adjusted for rises and falls in the cost of labour, the Contractor is entitled to compensation in such a way that all rises and falls in the costs are compensated fully.
D. The Particular Conditions can provide a calculation method or refer to a specific set of index for adjustments following Sub-Clause 13.8. Only the Base Date can be taken as the date from which the adjustment should be calculated from.

Answer: A

Explanation:
Sub-Clause 13.8 of the FIDIC Silver Book (1999) allows the Particular Conditions to specify a formula or indices for adjusting the Contract Price for rises and falls in labour and Goods costs. The method set forth may not fully compensate for actual cost changes - it can be lower than the real fluctuations - reflecting practical and commercial considerations.
Option B is correct because the contract permits this flexibility.
Option A is incorrect; full compensation is not guaranteed.
Option C is incorrect; the adjustment can cover materials and labour but may extend beyond.
Option D is incorrect; adjustments can be calculated from different dates as specified.
References:
FIDIC Silver Book 1999 Edition, Sub-Clause 13.8 - Adjustments for Changes in Cost FIDIC Contract Manager Study Guide, Module on Payment Adjustments

NEW QUESTION # 63
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

Answer: B

Explanation:
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

NEW QUESTION # 64
Which one of the following claim events does NOT allow profit?

A. Under the Construction Contract, the relevant authority had unnecessarily delayed the approval.
B. Under the Construction Contract, the Engineer's delay in supplying drawings or issuing instructions.
C. Under the Plant and Design-Build Contract, errors in the Employer's requirements.
D. Under the Construction Contract, the failure of the Employer to give right of access to the site.
E. Under the Construction Contract, interference by the Employer with Tests on Completion.

Answer: A

Explanation:
Comprehensive and Detailed Explanation:
Under FIDIC contracts:
Profit is usually allowed on claims arising from Employer-caused delays, instructions, or breaches that directly affect the Contractor's performance or costs (Options A, B, C, and E).
Option D relates to delays caused by third parties (authorities). Typically, delays caused by relevant authorities (e.g., permit or approval delays) are treated differently, and profit is not generally recoverable on these claims as they are considered neutral or force majeure-type delays. The Contractor may receive an extension of time and reimbursement of direct costs but not profit.
Thus, Option D is the claim event where profit is not allowed.
References:
FIDIC Red, Yellow, and Silver Books 1999 and 2017 Editions, Clauses on Claims and Compensation FIDIC Contract Manager Study Guide, Module on Claims and Profit on Claims

NEW QUESTION # 65
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