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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Ethics, Legal, and Practice Standards18%- Advocacy and patient rights
- Confidentiality and privacy
- Professional ethics and conduct
- Legal and regulatory requirements
- Scope of practice and roles
Healthcare Delivery Systems and Community Resources10%- Continuum of care settings
- Community-based services and resources
- Healthcare policy and systems
- Interdisciplinary collaboration
Psychosocial Concepts and Support Systems20%- Behavioral change theories and models
- Cultural competence and diversity
- Abuse and neglect recognition
- Family dynamics and support systems
- Mental health and substance use considerations
Quality and Outcomes Evaluation and Measurements10%- Data collection and reporting
- Performance improvement
- Outcome measurement and analysis
- Cost-benefit and effectiveness analysis
- Accreditation and regulatory standards
Care Management30%- Medication management
- Age-specific care application
- Client-centered care plan development
- Evidence-based case management models and tools
- Cost containment principles
- Caseload assignment and selection criteria
- Care coordination and collaboration
Reimbursement Methods12%- Payment and reimbursement methodologies
- Coding and utilization review principles
- Managed care and accountable care concepts
- Insurance principles and benefit structures
- Financial resources and negotiation

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Free PDF Quiz Medical Professional - CCM - Trustable Certified Case Manager Certification Exam (CCM) Associate Level Exam

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q135-Q140):

NEW QUESTION # 135
FIDIC Red, Yellow, and Silver Books (both editions) contain a provision for the Engineer or Employer to instruct the Contractor to employ a subcontractor, thereby also permitting the Contractor to refuse to employ such proposed subcontractor on the basis of a reasonable objection by a notice. Is this statement true or false?

Answer: A

Explanation:
All main FIDIC contract editions contain provisions that allow the Employer or Engineer to propose or instruct the Contractor to employ certain subcontractors (e.g., nominated subcontractors). The Contractor retains the right to refuse such subcontractors only for reasonable cause, which must be communicated formally.
This mechanism protects the Employer's interests in subcontractor selection while safeguarding the Contractor's right to reject subcontractors that may not be competent or suitable.
Therefore, the statement is true.
References:
FIDIC Red, Yellow, and Silver Books 1999 and 2017 Editions, Sub-Clause 4.4 - Subcontractors FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures


NEW QUESTION # 136
When is the Employer obliged to return the Performance Security (PS) under the FIDIC Red Book (edition
1999)?

Answer: C

Explanation:
Under FIDIC Red Book 1999, the Performance Security (or Performance Guarantee) is held to ensure the Contractor's performance during the defects liability period. The security is typically released only after the Employer issues the Performance Certificate, which confirms the completion of defects liability obligations and that the Contractor has fulfilled the contract.
The contract commonly specifies a fixed period (often 21 days) within which the Employer must return the Performance Security after issuance of the Performance Certificate (Option D). The Taking-Over Certificate (Options A and C) marks substantial completion but does not end the Contractor's obligations for defects.
References:
FIDIC Red Book 1999, Sub-Clause 10.2 - Taking-Over Certificate
FIDIC Red Book 1999, Sub-Clause 10.4 - Performance Certificate
FIDIC Red Book 1999, Sub-Clause 10.5 - Release of Performance Security
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management


NEW QUESTION # 137
(Please select the one answer in which the mentioned documents are in the correct order (hierarchy), as mentioned in the standard Contract Agreement form of the FIDIC Silver Book (edition 1999).)

Answer: C

Explanation:
Under the FIDIC Silver Book 1999, the priority of documents is defined in the Appendix to the Contract Agreement and reflected in Sub-Clause 1.5 [Priority of Documents]. This hierarchy determines which document prevails in case of discrepancies or inconsistencies.
The correct order begins with the Contract Agreement, which forms the legal foundation of the contract. It is followed by the Conditions of Contract (General and Particular Conditions), which define rights, obligations, and risk allocation.
Next in priority are Addenda, which include clarifications and modifications issued during the tender stage.
These are crucial because they may amend earlier tender documents and must take precedence over them.
After Addenda come the Employer's Requirements, which define the technical scope, specifications, and performance criteria of the project. Finally, the Contractor's Tender is ranked last, as it reflects the Contractor' s offer based on all preceding documents.
This hierarchy ensures consistency and clarity, especially in EPC/Turnkey projects where design responsibility lies with the Contractor but is guided by the Employer's Requirements. Proper understanding of document priority is essential for resolving ambiguities and managing contractual risks effectively.


NEW QUESTION # 138
You are the Contract Manager of the Engineer for a contract using FIDIC Yellow Book (edition 2017). You are drafting a notice holding the Commencement Date. Which one of the following approaches has the most clear and unambiguous drafting?

Answer: A

Explanation:
Option A provides the clearest and most unambiguous notice because:
It explicitly references the relevant Sub-Clause (8.1) that governs Commencement Date notification.
It uses precise language "I hereby give notice" indicating formal notification.
It clearly states the Commencement Date with a specific date (17 April 2023).
Options B and C are less formal or ambiguous and do not refer to the proper contract clause, which could lead to disputes. Option D incorrectly refers to the Time for Completion start rather than the Commencement Date specifically.
Clear and formal notices help prevent contractual disputes by explicitly identifying the contractual clause and key date.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clause 8.1 - Commencement of Works
FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution


NEW QUESTION # 139
Which two statements are true under the FIDIC Red Book (edition 1999)?
(Choose all of the correct answers - multiple possibilities)

Answer: A,B

Explanation:
Under the FIDIC Red Book 1999, the Performance Certificate marks the end of the Contractor's obligations under the contract (Sub-Clause 11.9). The Engineer must issue this certificate once the Defects Notification Period has ended, all Contractor's Documents are submitted, and all works including defect rectification have been completed and tested.
Option C is correct because the Engineer is required to issue the Performance Certificate within 28 days after these conditions are met.
Option D is correct as the certificate is conditional upon fulfilling specific contract requirements (e.g., completion of works, submission of documents).
Option A is incorrect because acceptance of works usually happens earlier (e.g., taking-over certificate); the Performance Certificate represents completion of all contractual obligations, not just acceptance.
Option B is incorrect as the Performance Certificate confirms contractual completion but does not necessarily imply full mutual performance beyond contract terms.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 11.9 - Performance Certificate
FIDIC Contract Manager Study Guide, Module on Project Close-Out and Final Account


NEW QUESTION # 140
......

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