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| Section | Weight | Objectives |
|---|
| Topic 1: Care Management | 30% | - Client-centered care plan development - Care coordination and collaboration - Caseload assignment and selection criteria - Cost containment principles - Evidence-based case management models and tools - Medication management - Age-specific care application
|
| Topic 2: Psychosocial Concepts and Support Systems | 20% | - Cultural competence and diversity - Family dynamics and support systems - Mental health and substance use considerations - Behavioral change theories and models - Abuse and neglect recognition
|
| Topic 3: Healthcare Delivery Systems and Community Resources | 10% | - Continuum of care settings - Healthcare policy and systems - Community-based services and resources - Interdisciplinary collaboration
|
| Topic 4: Quality and Outcomes Evaluation and Measurements | 10% | - Cost-benefit and effectiveness analysis - Outcome measurement and analysis - Accreditation and regulatory standards - Performance improvement - Data collection and reporting
|
| Topic 5: Reimbursement Methods | 12% | - Financial resources and negotiation - Insurance principles and benefit structures - Payment and reimbursement methodologies - Coding and utilization review principles - Managed care and accountable care concepts
|
| Topic 6: Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Scope of practice and roles - Advocacy and patient rights - Legal and regulatory requirements - Professional ethics and conduct
|
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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q131-Q136):
NEW QUESTION # 131
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.
Answer: A
Explanation:
Comprehensive and Detailed 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 # 132
Under the FIDIC Red Book (edition 2017), if the Contractor fails to comply with Site clearance obligation, what two options does the Employer have?
Choose all of the correct answers (multiple possibilities)
- A. The Employer may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor's Cost.
- B. The Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor's Cost.
- C. The Employer cannot reinstate and clear the Site and dispose the remaining Contractor's items on the Site if the Contractor fails, as this is the Contractor's obligation.
- D. The Employer is entitled to the cost of reinstating, clearing the Site and disposal cost to the extent they exceed the money received from selling the remaining Contractor's items on the Site.
Answer: A,D
Explanation:
* Option Ais correct: The Employer may sell or dispose of any items left by the Contractor and reinstate the Site, recovering costs from the Contractor.
* Option Cis correct: The Employer is entitled to recover costs for clearing, reinstatement, and disposal exceeding proceeds from sale.
* Option Bis incorrect; the Engineer does not hold this authority, but the Employer does under the contract.
* Option Dis incorrect; if the Contractor fails to clear the Site, the Employer may take action to protect the Site.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.7 - Contractor's Use of Site
FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures
NEW QUESTION # 133
Which two statements are correct regarding the FIDIC Red Book (edition 2017)?
- A. In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.
- B. Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.
- C. There is never a difference in effect whether in the Particular Conditions when the term "Works" is used, or when the term "works" is used.
- D. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
Answer: A,B
Explanation:
Comprehensive and Detailed Explanation:
Option B is correct: The Contract Data provides information required by specific Sub-Clauses in the General Conditions to complete the contract.
Option D is correct: If required data is missing in the Contract Data, some Sub-Clauses may not apply.
Option A is incorrect; definitions generally apply throughout the contract including Specifications and Drawings.
Option C is incorrect; case sensitivity of terms can affect contractual meaning.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 1.1 - Definitions and Contract Data FIDIC Contract Manager Study Guide, Module on Contract Documents
NEW QUESTION # 134
Which one of the following statements best describes the requirements of Time for Completion?
- A. This is one of the Contractor's obligations, namely the completion of most of the Works (except minor outstanding works), within the Time for Completion calculated from the Commencement Date.
- B. This is one of the Contractor's obligations, namely the completion of most of the Works (except minor outstanding works), within the Time for Completion calculated from the Effective Date.
- C. This is the Contractor's fundamental time-related obligation, namely the completion of most of the Works (except minor outstanding works), within the Time for Completion calculated from the Commencement Date.
- D. This is the Contractor's fundamental time-related obligation, namely completion the whole of the Works within the Time for Completion calculated from the Commencement Date.
Answer: D
Explanation:
Option A best describes the Time for Completion as the Contractor's fundamental obligation to complete the entire Works within the contractual Time for Completion, calculated from the Commencement Date.
Options B, C, and D incorrectly limit the scope to "most" of the Works or confuse the reference date.
The Time for Completion sets the critical timeline for contract performance and triggering of delay damages or extensions.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Sub-Clause 8.1 - Time for Completion FIDIC Contract Manager Study Guide, Module on Time and Delay Management
NEW QUESTION # 135
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).
- A. The Engineer shall immediately suspend all construction activities at the Site, in case the Contractor failed to take out any necessary insurance.
- B. The Engineer shall receive a copy of the evidence(s) demonstrating Contractor ' s payment of the necessary insurance premiums.
- C. The Engineer should continuously monitor that the Contractor ' s insurance policies are kept valid, and extensions are duly arranged, when necessary.
- D. The Engineer is entitled to take out an insurance on behalf of the Contractor, in case the Contractor fails to extend the validity of a specific insurance.
Answer: B,C
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 # 136
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