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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Ethical, Legal, and Practice Standards	15%	- CCMC Code of Professional Conduct parameters - Regulatory compliance requirements and frameworks 1. Patient privacy mandates and HIPAA 2. Affordable Care Act impacts
Rehabilitation Concepts and Strategies	9%	- Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways 1. Chronic illness and disability support models 2. Assistive device adaptation strategies
Psychosocial Concepts and Support Systems	27%	- Client dynamics and social determinants of health 1. Crisis intervention techniques 2. Family and support system evaluation 3. Cultural competency and spiritual influences - Behavioral health conditions and dependencies
Care Delivery and Reimbursement Methods	31%	- Case management concepts, processes, and principles - Reimbursement pathways and utilization management tools 1. Managed care models and funding sources 2. Government and commercial insurance plans
Quality and Outcomes Evaluation and Measurements	18%	- Quality indicator metrics and performance tools 1. Cost-benefit analysis algorithms 2. Accreditation standard configurations - Caseload calculation metrics and tracking standards

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100% Pass Quiz Medical Professional - CCM - Certified Case Manager Certification Exam (CCM) –Efficient Exam Papers

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q84-Q89):

NEW QUESTION # 84
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 requests a proposal regarding a change in type of windows and doors of the business centre.
B. 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.
C. The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.
D. The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.

Answer: D

Explanation:
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

NEW QUESTION # 85
(Which two of the following statements are correct regarding types of Claims under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

A. If a Claim is submitted as per sub-paragraphs (a) or (b) of Sub-Clause 20.1, it is dealt with in accordance with Sub-Clause 20.2, which specifically covers claims for time and/or money. Part of the procedure under Sub-Clause 20.2 is for a payment and/or an extension of time-related claim to be agreed or determined by the Engineer/Employer's Representative (in case of the FIDIC Silver Book) in accordance with Sub-Clause 3.7/3.5.
B. If a Claim is submitted as per sub-paragraph (c) of Sub-Clause 20.1, this is dealt with by the Engineer or Employer's Representative (in case of FIDIC Silver Book) as per Sub-Clause 3.7/3.5.
C. The time bar only applies to Contractor's Claims and not to Employer's Claims.
D. The limit in time referred to in Sub-Clause 20.2.1 (also known as time bar) applies to all types of Claims.

Answer: A,D

Explanation:
Under FIDIC 2017, Clause 20 introduces a structured and unified claims procedure applicable to both Contractor's and Employer's Claims. Claims are categorized broadly into:
* Claims for time and/or money (Sub-Clause 20.2), and
* Other claims (e.g., disputes or matters under Sub-Clause 20.1(c)).
Option A is correct. The 28-day time bar under Sub-Clause 20.2.1 applies to all claims for time and/or money and is a fundamental procedural requirement. Importantly, unlike FIDIC 1999, this time bar applies equally to both Parties, reinforcing fairness and discipline in claims management.
Option C is also correct. Claims under Sub-Clause 20.1(a) and (b) (typically relating to payment and/or extension of time) are processed under Sub-Clause 20.2, and the Engineer (or Employer's Representative in the Silver Book) must agree or determine the claim in accordance with Sub-Clause 3.7 (Red/Yellow) or 3.5 (Silver).
Option B is incorrect because claims under 20.1(c) are not handled through Sub-Clause 3.7/3.5 in the same structured determination process as time/money claims.
Option D is incorrect because FIDIC 2017 clearly applies the time bar to both Employer and Contractor claims, which is a key update from earlier editions.
This reflects FIDIC 2017's emphasis on symmetry, procedural clarity, and proactive claim management.

NEW QUESTION # 86
(What is the maximum period for the Engineer to issue the Notice of Commencement Date?)

A. 84 days
B. 21 days
C. 42 days
D. 14 days

Answer: C

Explanation:
Under FIDIC 1999 and 2017 editions (e.g., Sub-Clause 8.1 [Commencement of Works]), the Engineer is required to give the Contractor not less than 7 days' notice of the Commencement Date. However, the contract also establishes an upper limit for when the Commencement Date must be determined.
The Commencement Date must be within 42 days after the Contractor receives the Letter of Acceptance (1999) or after the Contract Agreement (2017, depending on drafting). This effectively creates the maximum timeframe within which the Engineer must issue the Notice of Commencement.
This provision ensures that the project begins within a reasonable and predictable period after contract formation, preventing undue delay by the Employer or Engineer. It also provides certainty for the Contractor in terms of mobilization, resource planning, and scheduling.
The 42-day limit reflects FIDIC's emphasis on timely project initiation and aligns with other time-bound obligations in Clause 8, which governs commencement, delays, and completion.
Options A (84 days), C (21 days), and D (14 days) are not consistent with FIDIC provisions and therefore are incorrect.

NEW QUESTION # 87
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 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.
B. The Engineer should continuously monitor that the Contractor ' s insurance policies are kept valid, and extensions are duly arranged, when necessary.
C. The Engineer shall receive a copy of the evidence(s) demonstrating Contractor ' s payment of the necessary insurance premiums.
D. The Engineer shall immediately suspend all construction activities at the Site, in case the Contractor failed to take out any necessary 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 # 88
Under FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the revised programme?
Choose all of the correct answers (multiple possibilities)

A. The sequence and timing of the remedial work.
B. Only the delivery dates of Plant and Materials which have not been delivered on Site yet.
C. All internationally recognized holiday periods.
D. The actual progress to date, any delay to such progress and the effects of such delay on other activities (if any).

Answer: C,D

Explanation:
Under Sub-Clause 8.3 of the FIDIC Red and Yellow Books 2017, the revised programme must reflect:
The planned sequence and timing of works including recognized holidays (Option A) to ensure realistic scheduling.
The actual progress to date, delays, and impacts on subsequent activities (Option B) so that stakeholders can manage resources and risks effectively.
Option C (remedial work) is typically not part of the main programme but may be in a separate defect rectification schedule.
Option D is too narrow; the programme should include all activities, not only undelivered materials.
References:
FIDIC Red and Yellow Books 2017 Edition, Sub-Clause 8.3 - Programme
FIDIC Contract Manager Study Guide, Module on Time and Delay Management

NEW QUESTION # 89
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