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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q137-Q142):

NEW QUESTION # 137
(Which of the following two statements are correct regarding subcontractors under FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

Answer: A,D

Explanation:
Under FIDIC 2017 (Clause 4.4 [Subcontractors]), the Contractor is generally permitted to subcontract parts of the Works, but subject to specific controls and limitations.
Option B is correct. FIDIC expressly provides that the Contractor shall not subcontract the whole of the Works without prior consent of the Engineer. This ensures that the Contractor remains the primary responsible party and does not transfer the entire contractual obligation to others without oversight.
Option D is also correct. The Contract Data may specify certain portions of the Works that cannot be subcontracted, preserving critical elements under the direct responsibility of the Contractor.
Option A is incorrect because only the Engineer's consent is generally required for subcontracting (not both Engineer and Employer), except in specific cases defined in the Contract.
Option C is incorrect because the Contractor remains fully responsible for the acts, defaults, and neglect of all Subcontractors, as if they were the Contractor's own actions. This is a fundamental FIDIC principle ensuring a single point of responsibility.
These provisions maintain control, accountability, and quality assurance in project execution while allowing flexibility in subcontracting arrangements.


NEW QUESTION # 138
Which of the following documents form part of a FIDIC Construction Contract ["Red Book" (1999)], hence, to be drafted and included among the Tender Documents? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

Answer: D,E

Explanation:
Under the FIDIC Red Book (1999), the Tender Documents typically include:
The Bill of Quantities (Option B), which provides detailed quantities for priced items and forms a basis for tender pricing.
The Specifications (Option E), which define the technical requirements for the Works.
The Schedule of Guarantees (Option A) is usually provided later, during contract formation, not as part of tender documents.
Employer's Requirements (Option C) are more commonly referenced in design-build contracts such as the Yellow Book, not the Red Book which is traditionally a design-bid-build contract.
Schedule of Baselines (Option D) is not a standard tender document in FIDIC Red Book contracts.
References:
FIDIC Red Book 1999 Edition - Tender Documents Section
FIDIC Contract Manager Study Guide, Module on Tendering Documents


NEW QUESTION # 139
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: D

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 # 140
Which one of the following is NOT considered a change made in the 2017 edition of the FIDIC Red, Yellow, and Silver Books?

Answer: B

Explanation:
Option D is not a new procedure introduced in the 2017 FIDIC editions.
The 2017 editions focus on dispute avoidance (A), quality management systems (B), and fair risk allocation (C), but do not explicitly require a Compliance Verification System as described.
References:
FIDIC Red, Yellow, Silver Books 2017 Editions - Overview of Changes
FIDIC Contract Manager Study Guide, Module on Contract Updates


NEW QUESTION # 141
(Under the FIDIC Red, Yellow, and Silver Books (1999 editions), the Engineer/Employer shall be entitled to withhold from the release of retention money the estimated cost of any work which remains to be executed under Clause 11 (Defects Liability) in the Red Book or under Clause 12 (Tests after Completion) in the Yellow and Silver Books. Is this statement true or false?)

Answer: B

Explanation:
Under FIDIC 1999 Conditions of Contract, retention money is addressed primarily in Sub-Clause 14.9
[Payment of Retention Money]. The release of retention is typically split into two halves: the first half upon issuance of the Taking-Over Certificate, and the second half after the Defects Notification Period (DNP) has expired and all outstanding work has been completed.
However, the contract provides a safeguard for the Employer (and Engineer administering the contract) where there are outstanding defects or incomplete obligations. In the Red Book, Clause 11 [Defects Liability] governs the Contractor's obligation to remedy defects during the DNP. Similarly, in the Yellow and Silver Books, Clause 12 [Tests after Completion] may require additional works or compliance activities after completion.
If there are works still to be executed or defects yet to be remedied, the Engineer is entitled to withhold an amount equivalent to the estimated cost of completing such works from the retention money due for release.
This ensures the Employer is financially protected in case the Contractor fails to fulfill post-completion obligations.
Therefore, the statement is correct, as it accurately reflects the contractual mechanism allowing withholding of retention corresponding to outstanding liabilities under the relevant clauses.


NEW QUESTION # 142
......

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