CCM日本語受験攻略、CCMミシュレーション問題

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

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CCM試験対策のいちばん新しい解説書

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Medical Professional Certified Case Manager Certification Exam (CCM) 認定 CCM 試験問題 (Q11-Q16):

質問 # 11
You are the Contract Manager for the Engineer in a hotel project using FIDIC Red Book (edition 1999). The Employer demands perfection in the project's design and construction quality. There are many Variations initiated by the Employer during construction. Which one of the following is NOT considered as a Variation?

A. The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.
B. The Engineer requests a proposal regarding a change in type of windows and doors of the business centre.
C. The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.
D. The Employer verbally instructs a change in the layout of the rooftop restaurant. The Engineer issued an Instruction describing the required change with revised design drawings.

正解：C

解説：
Comprehensive and Detailed Explanation:
Option A is NOT a Variation because it originates from a Value Engineering proposal by the Contractor, not from Employer or Engineer instruction or request.
Options B, C, and D are all variations initiated by the Employer or Engineer.
References:
FIDIC Red Book 1999 Edition, Clause 3 - Variations
FIDIC Contract Manager Study Guide, Module on Variations

質問 # 12
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 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.
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. In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
D. The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.

正解：A、D

解説：
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

質問 # 13
(Based on Clause 8 in both FIDIC Yellow and Silver Books (edition 1999), is the Contractor allowed to start the design of the Works before the Commencement Date? (1 correct answer applies))

A. No, because any design or execution before the Commencement Date is prohibited in Clause 8.
B. Yes, but Contractor will do so on its own risk.
C. Yes, Contractor can start design and execution of the Works to make sure it won ' t lose any time.
D. Yes, but Contractor will do so on Employer ' s risk.

正解：B

解説：
Under FIDIC 1999 (both Yellow Book and Silver Book), Clause 8.1 clearly states that the Contractor "shall commence the design and execution of the Works as soon as is reasonably practicable after the Commencement Date." This clause establishes the formal contractual obligation and timing for starting the Works, but it does not expressly prohibit the Contractor from undertaking preparatory activities-such as preliminary design-before the Commencement Date.
However, any such early design activity is not covered by the contractual protections that apply after the Commencement Date. This means the Contractor proceeds entirely at its own risk. For example, if changes arise due to late Employer requirements, Engineer's instructions, or modifications in the Employer's Requirements, the Contractor cannot automatically claim additional time or cost for rework associated with pre-commencement design.
From a contract management perspective, this reflects a key FIDIC principle: risk allocation follows contractual triggers. Since the Commencement Date activates obligations and entitlements (including EOT and cost claims under Clause 20), activities performed before this date fall outside those mechanisms unless explicitly agreed otherwise.
Therefore, while early design is not forbidden, it is commercially risky, and prudent Contractors typically avoid significant pre-commencement commitments without formal authorization.

質問 # 14
What does discharge confirm under the FIDIC Red Book (edition 1999)?

A. It confirms full and final settlement of all money due to the Contractor.
B. None of the above three statements is correct.
C. It confirms interim settlement of all money due to the Contractor
D. It confirms the immediate end to the Contract unconditionally whenever issued.

正解：A

解説：
Discharge under FIDIC Red Book 1999 confirms full and final settlement of all money due to the Contractor.
It signifies the Contractor's acceptance of the Final Payment Certificate and releases the Employer from further financial obligations related to the contract.
Options A and C misrepresent the nature of discharge.
Discharge is not a unilateral immediate termination but a financial closure.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 14.13 - Discharge
FIDIC Contract Manager Study Guide, Module on Final Account and Discharge

質問 # 15
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 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.
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. In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
D. The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.

正解：A、D

質問 # 16
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