CCM Antworten - CCM Testfagen

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Medical Professional CCM Exam Syllabus Topics:

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

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CCM Unterlagen mit echte Prüfungsfragen der Medical Professional Zertifizierung

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Medical Professional Certified Case Manager Certification Exam (CCM) CCM Prüfungsfragen mit Lösungen (Q85-Q90):

85. Frage
(Upon review of the revised programme, submitted by the Contractor, if the Engineer (under FIDIC Red or Yellow Books) or Employer (under FIDIC Silver Book) does not give a Notice of Non-Compliance within 14 days after receiving a revised programme, then... [complete the sentence, thereby considering FIDIC Red, Yellow, and Silver Books (edition 2017)]. (1 correct answer applies))

A. The Engineer is deemed to have no objection to use the revised Programme for the Works.
B. The Contractor cannot proceed in accordance with the Programme.
C. The Engineer shall be deemed to have given a Consent and the revised programme shall be the Programme.
D. The Contractor shall submit a Notice to the Engineer or the Employer reminding him to give its approval on the revised programme.

Antwort: C

Begründung:
Under FIDIC 2017, Sub-Clause 8.3 [Programme] introduces a clearer and more structured mechanism for the review and acceptance of the Contractor's Programme. When the Contractor submits a revised programme, the Engineer (or Employer in the Silver Book) has a defined period-typically 14 days-to review it and issue a Notice of Non-Compliance if the programme does not meet contractual requirements.
If no such notice is issued within this timeframe, the contract provides a "deemed acceptance" (deemed consent) mechanism. This means that the Engineer is considered to have accepted the revised programme, and it becomes the operative Programme for the Works.
Option B correctly reflects this concept. It ensures continuity of project execution and prevents administrative delays caused by inaction. This is aligned with FIDIC 2017's emphasis on efficiency, proactive management, and avoidance of bottlenecks.
Option D is incorrect because "no objection" is weaker than "deemed consent." FIDIC explicitly uses the concept of consent, not merely absence of objection. Options A and C contradict the contract's intent of maintaining workflow.
Thus, the clause ensures that lack of response does not hinder progress, reinforcing disciplined contract administration.

86. Frage
Under the FIDIC Red Book, which one of the following statements is correct for a claim by the Contractor?

A. The Engineer's response to the Contractor's submission of detailed particulars that are required by the procedure for claims by the Contractor must include the Engineer's final decision on the quantum.
B. The Engineer's response to a claim by the Contractor is final and binding upon the Employer.
C. The Employer has the authority to accept a claim by the Contractor, even in the case of the Contractor's failure to comply with the notice requirements.
D. It is the Employer's Representative who must first respond to the claim by the Contractor.
E. If the Engineer does not make a determination, the Employer and the Contractor are unable to agree to settle an issue that gave rise to a claim.

Antwort: E

Begründung:
Under FIDIC Red Book 1999, the Engineer plays a key role in determining claims submitted by the Contractor (Clause 20). If the Engineer fails to make a determination within the prescribed time, the Parties may be unable to resolve the dispute and thus the matter may proceed to dispute resolution mechanisms.
Option B is correct because if the Engineer does not decide, the claim remains unsettled, and the Parties are left to resolve the dispute, often via Dispute Adjudication Board or arbitration.
Option A is incorrect; claims must comply with notice requirements to be valid.
Option C is incorrect because the Engineer may request further particulars but is not obligated to give a final decision on quantum immediately.
Option D is incorrect as the Engineer, not the Employer's Representative, first responds to claims.
Option E is incorrect since the Engineer's decision is not final and binding if disputed; it may be challenged.
References:
FIDIC Red Book 1999 Edition, Clause 20 - Claims, Disputes and Arbitration FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution

87. Frage
Which two of the following statements are correct regarding the dayworks under FIDIC Red, Yellow, and Silver Books (both editions)?
Choose all of the correct answers (multiple possibilities).

A. The dayworks related Sub-Clause is also applicable to other types of works.
B. The Engineer (or the Employer in case of FIDIC Silver Book) may instruct that " a Variation shall " be executed on a daywork basis.
C. If a Daywork Schedule is not included in the Contract, the Sub-Clause related to dayworks shall not apply.
D. The dayworks related Sub-Clause is only used for remeasurement in the FIDIC Red Book (both editions) only.

Antwort: A,B

Begründung:
Dayworks refer to works executed on a time basis (e.g., labor and plant) with payment made according to predetermined rates rather than a lump sum or unit rate contract price.
* Option A is incorrect. Even if a Daywork Schedule is not initially included, the dayworks Sub-Clause (e.
g., Sub-Clause 13.7 in Red and Yellow Books, 13.8 in Silver Book 1999) still applies to dayworks ordered during the contract execution. The schedule facilitates pricing, but the Sub-Clause governs the method and conditions for dayworks.
* Option B is correct. The dayworks Sub-Clause is applicable not only to traditional construction works but can also be applied to other types of works, such as variations or additional works that cannot be precisely measured or foreseen and are charged on a time basis.
* Option C is incorrect. The dayworks Sub-Clause is used in all FIDIC standard forms (Red, Yellow, and Silver Books), not only for remeasurement in the Red Book. In the Yellow Book (plant and design- build) and Silver Book (EPC/turnkey), dayworks are similarly applicable for certain variations or unforeseen works.
* Option D is correct. The Engineer (in Red and Yellow Books) or the Employer (in the Silver Book, where the Engineer's role is limited) may instruct that a variation be executed on a daywork basis. This instruction is typically used when the scope or quantity cannot be reasonably pre-determined.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 13.7 - Dayworks
FIDIC Yellow Book 2017 Edition, Sub-Clause 13.7 - Dayworks
FIDIC Silver Book 1999 Edition, Sub-Clause 13.8 - Dayworks
FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures

88. 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. In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
B. Since the design was approved by the Engineer, the Contractor might not be found responsible for such discrepancy, hence, to be fully compensated.
C. The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.
D. 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.

Antwort: C,D

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

89. Frage
The Contractor is entitled to an advance payment. Applying FIDIC Red Book (edition 1999), which two of the following statements are correct?
Choose all of the correct answers (multiple possibilities):

A. The advance payment is to help the Contractor to finance some of its early cost and expenditure until it becomes entitled to first (non-interim) payment.
B. The advance payment reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.
C. Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.
D. Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.

Antwort: A,D

Begründung:
Under FIDIC Red Book 1999, advance payment is intended to assist the Contractor in financing the mobilization and early works costs before the Contractor begins receiving regular payments for work performed (Option A). It is not a payment for work already completed, so Option B is incorrect.
The General Conditions provide that the advance payment is usually made in a lump sum or agreed instalments and that the Employer makes the payment in advance (Option C is partially true but generally it can be one or multiple instalments, depending on contract terms).
Importantly, the advance payment must be repaid by the Contractor through deductions from subsequent interim payments (Option D), ensuring the Employer recovers the advanced funds as the work progresses.
References:
FIDIC Red Book 1999, Sub-Clause 14.2 - Advance Payment
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management

90. Frage
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