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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Care Delivery and Reimbursement Methods	31%	- Reimbursement pathways and utilization management tools 1. Government and commercial insurance plans 2. Managed care models and funding sources - Case management concepts, processes, and principles
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
Psychosocial Concepts and Support Systems	27%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Crisis intervention techniques 2. Family and support system evaluation 3. Cultural competency and spiritual influences
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
Ethical, Legal, and Practice Standards	15%	- Regulatory compliance requirements and frameworks 1. Patient privacy mandates and HIPAA 2. Affordable Care Act impacts - CCMC Code of Professional Conduct parameters

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Medical Professional Certified Case Manager Certification Exam (CCM) 認定 CCM 試験問題 (Q121-Q126):

質問 # 121
Under the FIDIC Construction Contract, which one of the following statements is correct?

A. If all persons nominated to serve as members of an ad hoc DAB do not sign a DAB Agreement, an appointing entity can make appointments.
B. Payment to DAB Members must be certified by the Employer.
C. Payments of a DAB Member's retainer fee is the sole responsibility of the Contractor.
D. For an ad-hoc DAB, a retainer fee for each DAB Member must be paid to the Member on the first day of each calendar month.
E. A DAB must give its decision in writing on any dispute when requested by one of the Parties.

正解：E

解説：
Under the FIDIC Conditions of Contract (particularly 2017 editions), the Dispute Adjudication Board (DAB) is a standing or ad hoc body that provides binding decisions on disputes. One key requirement is that the DAB must give its decisions in writing upon request by either Party, ensuring clarity and enforceability.
Option E is correct as the DAB's decision must be documented formally.
Option A is incorrect; the cost of the DAB is generally shared by Employer and Contractor as per the contract.
Option B is incorrect because retainer fees can be paid on different schedules, not necessarily monthly on the first day.
Option C is incorrect; payments to DAB members do not require Employer's certification but are agreed as part of the DAB contract.
Option D is partially true but not a standalone correct statement without additional context.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Clause 21 - Disputes and DAB Procedures FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution

質問 # 122
Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?

A. Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.
B. The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.
C. People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
D. The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.

正解：C

解説：
Option D is correct because contract drafting should strategically allocate risks between parties based on who can best manage them and the Employer's budget for risk and reward. Understanding risk appetite is key to tailoring FIDIC contracts appropriately.
Option A is exaggerated; while amendments can introduce issues, careful drafting can preserve benefits of standardization.
Option B is partly true but mixing arrangements is complex and not always straightforward.
Option C is incorrect; the Employer usually chooses the contract form.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Contract Drafting and Risk Allocation

質問 # 123
Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?

A. " Only the Employer should be the one to obtain the best value for money " AND " The Contractor
/Subcontractor is paid adequately and timely in accordance with the Contract to maintain its cash flow. "
B. " The Contractor/Subcontractor is paid adequately and in a timely manner in accordance with the Contract to maintain its cash flow " AND " The terms of the Contract are comprehensive and fair to primarily the Employer " .
C. " The Contractor should take advantage of its bargaining power every time possible " AND " Disputes are avoided to the extent achievable, minimised when they do arise, and resolved efficiently. "
D. " The Employer obtains the best value for money " AND " Disputes should be avoided to the extent achievable. "

正解：D

解説：
Option A correctly reflects Golden Principles emphasizing the Employer's objective of obtaining value for money and the importance of avoiding disputes as much as possible.
Other options either misrepresent the balanced nature of FIDIC principles or promote unfair or unbalanced positions.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Legal and Ethical Considerations

質問 # 124
In the FIDIC Silver Book (both editions), the Notice of the Commencement Date will be informed by whom?
(1 correct response applies)

A. The Engineer
B. The Employer
C. The Employer ' s Representative
D. The Engineer ' s Resident Engineer

正解：B

解説：
In the FIDIC Silver Book (1999 and 2017 editions), which is tailored for EPC/Turnkey contracts, the Employer is responsible for notifying the Contractor of the Commencement Date (Sub-Clause 8.1). Unlike other FIDIC contracts where the Engineer might notify commencement, the Silver Book places more responsibility on the Employer due to the nature of the contract where the Contractor is largely responsible for design and execution with fewer Engineer roles.
The Employer's formal notification of the Commencement Date signals the official start of the Contractor's obligations and triggers timelines under the contract.
The Engineer or Resident Engineer typically does not issue such notice in the Silver Book framework.
References:
FIDIC Silver Book 1999 and 2017 Editions, Sub-Clause 8.1 - Commencement of Works FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution

質問 # 125
(In FIDIC contracts, a number of time limits are included for the Parties and the Engineer to perform various obligations. How are failures to comply with these time limits most typically being dealt with in these forms of contracts? [2017 Edition] (1 correct answer))

A. In these cases, there is a " deemed " outcome if the stakeholder does not take action within the pre-set period of time - all enabling to secure continuity of contractual processes.
B. A Party ' s failure to perform an obligation within the allocated time limit would mean that the Engineer
' s or Employer's decision becomes automatically binding.
C. In all these cases, the stakeholder not performing a required action within the allocated time limit loses all of his/her related rights that he/she otherwise would have in relation to this matter.
D. If a Party fails to perform an obligation within the allocated time limit, then the failing party shall pay damages to the other Party.

正解：A

解説：
In the FIDIC 2017 suite of contracts, time bars and procedural time limits are widely used to ensure efficient contract administration and avoid delays in decision-making. However, FIDIC does not uniformly impose a strict penalty such as automatic loss of rights or damages for every missed deadline. Instead, a key contractual mechanism frequently used is the concept of a "deemed" outcome.
This means that if a Party, the Engineer, or the Employer fails to respond or act within a specified time period, the contract may prescribe an automatic consequence-often referred to as a "deemed approval," "deemed consent," or "deemed rejection." For example, under claims procedures (Clause 20), if the Engineer does not respond within the defined timeframe, certain submissions may be deemed accepted or rejected depending on the clause.
This approach ensures continuity and prevents contractual deadlock. It avoids situations where inaction by one party halts progress or creates uncertainty. It also supports the proactive management philosophy embedded in FIDIC 2017, emphasizing timely communication, strict procedural compliance, and administrative discipline.
Option A is too absolute, as loss of rights applies only in specific cases (e.g., failure to give notice of claim).
Option B is incorrect because damages are not the general remedy for missed procedural deadlines. Option D is also incorrect because outcomes are not universally made binding automatically; instead, deemed mechanisms vary depending on the clause.
Thus, the most typical approach is the use of "deemed" outcomes to maintain contractual flow.

質問 # 126
......

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