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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q99-Q104):

NEW QUESTION # 99
Regarding the FIDIC Red Book (edition 1999), which two statements are true?

A. A notice is to be signed by the Engineer, Contractor's Representative or Employer's Authorised Representative.
B. In emergency situations notices can also be submitted verbally (rather than (also) in writing).
C. A notice and other communications may be delivered by hand, courier and mail. In each case with proof of receipt is required to qualify as legally valid.
D. Notices and other communications may be sent in hand written, type written, in print or through an electronic original transmission system.

Answer: B,D

Explanation:
Comprehensive and Detailed Explanation:
Option A is true: In emergencies, verbal notices are permitted with the requirement to follow up in writing.
Option D is true: Notices and communications may be sent in various formats including handwritten, typed, printed, or electronic systems.
Option B is incorrect; a notice does not necessarily have to be signed by all these representatives; it depends on the party issuing the notice.
Option C is incorrect; proof of receipt is ideal but not always strictly required for legal validity depending on contract provisions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 1.3 - Communications and Notices FIDIC Contract Manager Study Guide, Module on Contract Communication

NEW QUESTION # 100
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. Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.
B. 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.
C. Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.
D. The advance payment reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.

Answer: A,B

Explanation:
Comprehensive and Detailed Explanation:
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

NEW QUESTION # 101
Under the FIDIC Red, Yellow, and Silver Books (both editions), the Employer has an obligation to give a detailed notice to the Contractor about intended changes that are material to its financial arrangements.

A. False
B. True

Answer: B

Explanation:
The Employer must provide detailed notice to the Contractor regarding intended changes material to financial arrangements, enabling transparency and allowing the Contractor to assess impacts and prepare claims or adjustments accordingly.
This obligation supports fair risk allocation and project control.
References:
FIDIC Red, Yellow, Silver Books 1999 & 2017 Editions - Various clauses on Notices and Variations FIDIC Contract Manager Study Guide, Module on Communication and Financial Notices

NEW QUESTION # 102
You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

A. DAAB is to provide for a fair, timely and efficient resolution of Disputes.
B. Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.
C. The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
D. DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.

Answer: D

Explanation:
Option D is NOT correct. The DAAB does not act as a witness or provide support during arbitration. Its role is to avoid and adjudicate disputes early during the project lifecycle impartially and fairly, but it does not serve as witness support in arbitration proceedings.
References:
FIDIC Yellow Book 2017 Edition, Clause 21 - Dispute Avoidance and Adjudication Board FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 103
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 shall be deemed to have given a Consent and the revised programme shall be the Programme.
B. The Engineer is deemed to have no objection to use the revised programme submitted by the Contractor, for the Works.
C. The Contractor shall submit a Notice to the Engineer or the Employer reminding him to give its approval on the revised programme.
D. The Contractor cannot proceed in accordance with the Programme.

Answer: B

Explanation:
According to the FIDIC 2017 editions (Red, Yellow, and Silver Books), when the Contractor submits a revised programme, the Engineer or Employer has a limited time (typically 14 days) to review and raise any Notice of Non-Compliance if the programme does not meet contract requirements (Sub-Clause 8.3 or equivalent). If no notice is issued within this period, the Engineer or Employer is deemed to have no objection to the revised programme.
This does not imply formal approval or consent, but the programme can be used for the execution and administration of the works in the absence of objections. This avoids unnecessary delay due to inaction.
Option D is correct as it captures this deemed "no objection" position.
Option B is incorrect as "deemed consent" is stronger than FIDIC provisions state; it is more correct to say
"no objection".
Option A is incorrect since the Contractor does not have to remind the Engineer or Employer for consent within this period.
Option C is incorrect because the Contractor may proceed if no non-compliance is notified.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.3 - Programme
FIDIC Yellow Book 2017 Edition, Sub-Clause 8.3 - Programme
FIDIC Silver Book 2017 Edition, Sub-Clause 8.3 - Programme
FIDIC Contract Manager Study Guide, Module on Time and Delay Management

NEW QUESTION # 104
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