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| Section | Weight | Objectives |
|---|---|---|
| Reimbursement Methods | 12% | - Insurance principles and benefit structures - Managed care and accountable care concepts - Financial resources and negotiation - Payment and reimbursement methodologies - Coding and utilization review principles |
| Care Management | 30% | - Care coordination and collaboration - Age-specific care application - Client-centered care plan development - Medication management - Cost containment principles - Evidence-based case management models and tools - Caseload assignment and selection criteria |
| Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Cost-benefit and effectiveness analysis - Outcome measurement and analysis - Data collection and reporting - Accreditation and regulatory standards |
| Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Behavioral change theories and models - Family dynamics and support systems - Cultural competence and diversity - Mental health and substance use considerations |
| Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration - Healthcare policy and systems - Community-based services and resources - Continuum of care settings |
| Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Scope of practice and roles - Legal and regulatory requirements - Professional ethics and conduct - Advocacy and patient rights |
The Medical Professional CCM certification verifies that you have a basic understanding of Certified Case Manager Certification Exam (CCM) concepts and virtualization. Success in the CCM exam of the Medical Professional CCM certificate also proves your knowledge of basic troubleshooting concepts and data center technology. When you earn the CCM Certification you will get reliable exam guide materials.
NEW QUESTION # 71
Which of the following obligations are relevant to the Engineer's roles with regards to insurance? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).
Answer: A,C
Explanation:
Comprehensive and Detailed Explanation:
Option A is correct: The Engineer is entitled to receive evidence that the Contractor has paid for the necessary insurance policies.
Option C is correct: The Engineer has the role of monitoring the validity of these insurances and ensuring that renewals or extensions are arranged in a timely manner.
Option B is incorrect; the Engineer does not have the authority to take out insurance on behalf of the Contractor.
Option D is incorrect; suspension of construction activities is not automatically the Engineer's role for insurance lapses but may require instructions from the Employer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 18 - Insurances FIDIC Contract Manager Study Guide, Module on Contract Administration and Insurance
NEW QUESTION # 72
Under the FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the initial time Programme?
Answer: A,C
Explanation:
Option A is correct: The initial programme must include the date for the Contractor's access to the Site.
Option D is correct: Key delivery dates for Plant and Materials are essential elements of the programme.
Option B relates to updated/revised programmes, not the initial programme.
Option C generally relates to remedial work and is part of revised or detailed programmes.
References:
FIDIC Red and Yellow Books 2017 Edition, Sub-Clause 8.3 - Programme
FIDIC Contract Manager Study Guide, Module on Time and Delay Management
NEW QUESTION # 73
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).
Answer: A,B
Explanation:
Under the FIDIC Red Book (1999), the Tender Documents typically include:
The Bill of Quantities (Option B), which provides detailed quantities for priced items and forms a basis for tender pricing.
The Specifications (Option E), which define the technical requirements for the Works.
The Schedule of Guarantees (Option A) is usually provided later, during contract formation, not as part of tender documents.
Employer's Requirements (Option C) are more commonly referenced in design-build contracts such as the Yellow Book, not the Red Book which is traditionally a design-bid-build contract.
Schedule of Baselines (Option D) is not a standard tender document in FIDIC Red Book contracts.
References:
FIDIC Red Book 1999 Edition - Tender Documents Section
FIDIC Contract Manager Study Guide, Module on Tendering Documents
NEW QUESTION # 74
When does discharge become effective under the FIDIC Red Book (edition 1999)? (1 correct answer applies)
Answer: B
Explanation:
Under the FIDIC Red Book 1999, discharge becomes effective when the Contractor has received full payment certified by the Final Payment Certificate and the return of the Performance Security (Sub-Clause 14.10).
Both elements must be completed for the contract to be considered fully discharged, releasing the Contractor from further obligations or liabilities under the contract.
Option A is incomplete as payment alone does not fully discharge the Contractor.
Option B is incomplete as return of Performance Security alone is insufficient.
Option D is incorrect because the contract does not require a discharge notice signed by the Employer beyond these conditions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 14.10 - Final Payment and Discharge FIDIC Contract Manager Study Guide, Module on Project Close-Out and Final Account
NEW QUESTION # 75
In the FIDIC Silver Book (edition 1999), if the Employer has instructed the Contractor as per Sub-Clause 8.6 to provide a revised programme to stay within Time of Completion, the Employer can claim additional costs.
This only applies if the revised programme is still too slow to complete the Works within the Time for Completion. Is this statement true or false?
Answer: A
Explanation:
This statement is true. Under FIDIC Silver Book 1999, Sub-Clause 8.6, the Employer can instruct the Contractor to submit a revised programme to meet the contractual Time for Completion. If, after such instruction, the revised programme still shows the Works will not complete on time, the Employer may claim additional costs (such as delay damages or compensation) due to continued delay.
Thus, the Employer's right to claim additional costs is contingent on the revised programme not enabling timely completion.
References:
FIDIC Silver Book 1999 Edition, Sub-Clause 8.6 - Revised Programme
FIDIC Contract Manager Study Guide, Module on Claims and Delay Damages
NEW QUESTION # 76
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