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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q69-Q74):

NEW QUESTION # 69
A new important feature of the FIDIC Yellow and Silver Books (edition 2017) is the inclusion of the default position that the Works or relevant part of the Works designed by the Contractor shall be fit for their ordinary purposes. Is this statement true or false?

Answer: A

Explanation:
This statement is true. The FIDIC Yellow and Silver Books (2017 editions) include a clear provision that the Works, or the parts designed by the Contractor, must be fit for their ordinary purposes, reflecting the Contractor's responsibility for design and performance. This introduces an express fitness-for-purpose obligation, which was less explicit in earlier editions.
This provision clarifies risk allocation related to design liability, ensuring that the Contractor is accountable for the fitness of the designed works unless otherwise specified.
References:
FIDIC Yellow and Silver Books 2017 Edition, Sub-Clause 4.1 - Contractor's General Obligations FIDIC Contract Manager Study Guide, Module on Legal Obligations and Fitness for Purpose


NEW QUESTION # 70
(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))

Answer: C

Explanation:
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.


NEW QUESTION # 71
During the execution of certain Works under a FIDIC Yellow Book (edition 1999), a Contract in a historical area along the silk route, one of the workers on the excavator shouts out to the supervisor of the Contractor it has discovered something on the Site. The supervisor inspects the finding and concludes this is possibly an ancient treasure in a wooden box. The supervisor sees some golden coins through the cracked lid of the box.
The supervisor immediately stops the execution of the Works, sends the workers away and blocks access to the Site for all persons. Given the sensitive nature of the findings, the supervisor informs you as Engineer.
How do you react?

Answer: A

Explanation:
Comprehensive and Detailed Explanation:
Under FIDIC Yellow Book 1999, Sub-Clause 4.24 ("Unforeseeable Physical Conditions") deals with unexpected discoveries such as archaeological finds. The Engineer's role includes ensuring site safety, notifying the Employer and relevant authorities, and managing the implications through variations.
Option B reflects best practice: securing the site, appointing guards, notifying Employer and authorities, and requesting a formal Variation Notice to cover costs and entitlement to extension of time.
Options A and D are unsafe or legally risky actions that could damage the find and breach legal obligations.
Option C delays the necessary immediate protective actions.
References:
FIDIC Yellow Book 1999 Edition, Sub-Clause 4.24 - Unforeseeable Physical Conditions FIDIC Contract Manager Study Guide, Module on Claims and Variation Management


NEW QUESTION # 72
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).

Answer: A,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 # 73
You are the Contract Manager of the Contractor in a building project. The Contract has been awarded to your firm, but the Engineer has not been selected. The Contract Agreement states that the Commencement Date shall be notified by the Engineer, which must be done within 14 days after the signing of the Contract Agreement. The Employer requested your firm to commence works on the 14th day after signing the Contract Agreement. Your director, Y, wants to wait with commencing the works until the Engineer has been selected or until the 42 days since the date your firm receives Letter of Acceptance. Is Y correct?

Answer: A

Explanation:
Y is not correct. The Contractor's obligation to commence works depends on the Commencement Date notification as per the contract. If the Employer requests commencement on the 14th day after signing, and the contract allows or the Engineer has not yet notified otherwise, the Contractor should comply unless formally instructed otherwise.
Delaying work beyond the contractual or Employer's instruction without valid cause may be considered breach of contract and could lead to claims against the Contractor.
References:
FIDIC Red, Yellow, and Silver Books 2017 Edition, Sub-Clause 8.1 - Commencement of Works FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution


NEW QUESTION # 74
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