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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Healthcare Delivery Systems and Community Resources10%- Continuum of care settings
- Community-based services and resources
- Interdisciplinary collaboration
- Healthcare policy and systems
Topic 2: Care Management30%- Medication management
- Age-specific care application
- Caseload assignment and selection criteria
- Care coordination and collaboration
- Cost containment principles
- Evidence-based case management models and tools
- Client-centered care plan development
Topic 3: Ethics, Legal, and Practice Standards18%- Confidentiality and privacy
- Scope of practice and roles
- Advocacy and patient rights
- Professional ethics and conduct
- Legal and regulatory requirements
Topic 4: Psychosocial Concepts and Support Systems20%- Abuse and neglect recognition
- Family dynamics and support systems
- Mental health and substance use considerations
- Behavioral change theories and models
- Cultural competence and diversity
Topic 5: Reimbursement Methods12%- Managed care and accountable care concepts
- Insurance principles and benefit structures
- Coding and utilization review principles
- Financial resources and negotiation
- Payment and reimbursement methodologies
Topic 6: Quality and Outcomes Evaluation and Measurements10%- Performance improvement
- Outcome measurement and analysis
- Cost-benefit and effectiveness analysis
- Data collection and reporting
- Accreditation and regulatory standards

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q110-Q115):

NEW QUESTION # 110
Which FIDIC Book (edition 2017) should be considered first by an Employer that is an experienced employer who knows exactly what they want from a design & engineering perspective?

Answer: A

Explanation:
The FIDIC Red Book (2017 edition) is traditionally used for construction contracts where the Employer provides the design, and the Contractor primarily executes the construction works. This form is suitable for Employers who have detailed and well-defined design and engineering requirements and want to retain control over the design.
* TheRed Bookis ideal for experienced Employers who have a clear and fixed design and require the Contractor to build accordingly.
* TheYellow Bookis typically used where the Contractor is responsible for both design and construction (design & build). It suits Employers who want to delegate design responsibility to the Contractor.
* TheSilver Bookis used for turnkey or EPC contracts where the Contractor takes full responsibility for design, procurement, construction, and commissioning, suitable for Employers seeking minimal involvement in design and execution details.
* Hence, for an Employer whoknows exactly what they wantfrom a design and engineering perspective and wants to maintain control, theRed Bookis the first and most appropriate choice.
References:
FIDIC Red Book 2017 Edition - Conditions of Contract for Construction
FIDIC Yellow Book 2017 Edition - Conditions of Contract for Plant and Design-Build FIDIC Silver Book 2017 Edition - Conditions of Contract for EPC/Turnkey Projects FIDIC Contract Manager Study Guide, Module on Contract Selection


NEW QUESTION # 111
(Which of the following types of insurances belong to the basic (typical) scope of insurances? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).)

Answer: B,D

Explanation:
Under FIDIC 2017 (Clause 19 [Insurance]), the contract defines the typical mandatory insurances that the Contractor must obtain and maintain. These are designed to cover key project risks and ensure financial protection for both Parties.
Option A is correct. Insurance for injury to persons and damage to property corresponds to third-party liability insurance under Sub-Clause 19.2. This is a fundamental requirement, covering bodily injury, death, or property damage caused by the execution of the Works.
Option C is also correct. Insurance of Goods, materials, and Contractor's Equipment brought to the Site forms part of the insurance of the Works and related items under Sub-Clause 19.1. This ensures protection against loss or damage during construction.
Option B is incorrect because FIDIC does not define a specific "Force Majeure Insurance." Force Majeure (now referred to as Exceptional Events in 2017) is addressed contractually under Clause 18, not through a dedicated insurance requirement.
Option D is incorrect because "insurance for non-performance" is not part of the standard insurance framework. Instead, performance risk is typically addressed through Performance Security (Clause 4.2) rather than insurance.
These provisions reflect FIDIC's structured approach to risk management-separating insurable risks (covered under Clause 19) from contractual/commercial risks managed through securities and contractual remedies.


NEW QUESTION # 112
When is the Employer obliged to return the Performance Security (PS) under the FIDIC Red Book (edition
1999)?

Answer: C

Explanation:
Comprehensive and Detailed 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 # 113
Which of the following situations form legally binding contracts? (2 correct answers apply) Choose all of the correct answers (multiple possibilities)

Answer: C,D

Explanation:
A legally binding contract is typically formed when there is an offer, acceptance, and intention to create legal relations. Under FIDIC contracts:
Option B (signing the Contract Agreement) unequivocally forms a binding contract.
Option D (Letter of Acceptance issued after receiving the Contractor's Letter of Tender) generally forms a binding contract unless otherwise specified, as the Letter of Acceptance is the formal acceptance of the tender.
Option A (Letter of Intent) is not necessarily a binding contract; it often serves as an interim arrangement signaling intent but may lack definitive terms to form a contract.
Option C (conditional Letter of Acceptance) may not form a binding contract unless the conditions are fulfilled.
References:
FIDIC Red and Yellow Books 1999 and 2017 Editions - Contract Formation Clauses FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution


NEW QUESTION # 114
Which of the following FIDIC contract forms require certification in the payment process? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

Answer: A,B

Explanation:
Comprehensive and Detailed Explanation:
Options A and B are correct: Both the Red and Yellow Books require the Engineer to certify payments before the Employer pays the Contractor.
Option C (Silver Book) typically places the risk on the Contractor and often provides for payment without Engineer certification, reflecting the turnkey nature of the contract.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Clauses on Payment Certification FIDIC Silver Book 1999 & 2017 Editions - Payment Provisions FIDIC Contract Manager Study Guide, Module on Payment Procedures


NEW QUESTION # 115
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