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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Ethical, Legal, and Practice Standards15%- CCMC Code of Professional Conduct parameters
- Regulatory compliance requirements and frameworks
  • 1. Affordable Care Act impacts
  • 2. Patient privacy mandates and HIPAA
Topic 2: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Assistive device adaptation strategies
  • 2. Chronic illness and disability support models
- Worker recovery and return-to-work solutions
Topic 3: Psychosocial Concepts and Support Systems27%- Client dynamics and social determinants of health
  • 1. Family and support system evaluation
  • 2. Cultural competency and spiritual influences
  • 3. Crisis intervention techniques
- Behavioral health conditions and dependencies
Topic 4: Quality and Outcomes Evaluation and Measurements18%- Caseload calculation metrics and tracking standards
- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
Topic 5: Care Delivery and Reimbursement Methods31%- Reimbursement pathways and utilization management tools
  • 1. Government and commercial insurance plans
  • 2. Managed care models and funding sources
- Case management concepts, processes, and principles

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q96-Q101):

NEW QUESTION # 96
You are the Contract Manager of the Engineer in a condominium project under FIDIC Yellow Book (edition
2017), with Time for Completion of 5 months.
The Contractor received a Letter of Acceptance on 1 May 2022. The Contract Agreement was signed on 1 June 2022. The Contract Agreement states that the Commencement Date shall be notified by the Engineer, but it shall be no later than 14 days after the signing of the Contract Agreement, subject to the issuance of the construction permit.
1 July 2022 is the first day the Engineer was at Site. On the same day, the Engineer issued a Notice to the Contractor that the Commencement Date shall be 15 July 2022. However, the construction permit was issued only on 1 August 2022.
The Project was completed on 1 December 2022. After completion, the Employer submitted a claim for Delay Damages. Following consultations, the Parties could not reach agreement on the Commencement Date.
What is the correct Commencement Date?

Answer: D

Explanation:
According to the FIDIC Yellow Book 2017, the Commencement Date is the date notified by the Engineer as the date on which the Contractor shall start the execution of the Works (Sub-Clause 8.1). In this case, although the Engineer notified 15 July 2022 as the Commencement Date, it was subject to the issuance of the construction permit. Since the construction permit was only obtained on 1 August 2022, work could not legally commence before that date.
FIDIC recognizes that the Contractor cannot be expected to start before all necessary permissions are granted.
Hence, the effective Commencement Date must be the earliest date on which the Contractor can legally commence work, i.e., the date when the permit was issued (1 August 2022). The contract's requirement that the Commencement Date notification occur no later than 14 days after signing is subject to actual readiness conditions (permit availability).
Therefore, for purposes of delay and completion, the Commencement Date is 1 August 2022. This affects the calculation of the Time for Completion and any delay claims accordingly.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clause 8.1 - Commencement of Works
FIDIC Yellow Book 2017 Edition, Sub-Clause 2.1 - Right of Access to Site and Permits FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution


NEW QUESTION # 97
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?

Answer: D

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 # 98
Which FIDIC Book (edition 2017) should be considered first by an Employer that is an experienced employer who knows exactly what they want from a design & engineering perspective?

Answer: B

Explanation:
The FIDIC Red Book (2017 edition) is traditionally used for construction contracts where the Employer provides the design, and the Contractor primarily executes the construction works. This form is suitable for Employers who have detailed and well-defined design and engineering requirements and want to retain control over the design.
* TheRed Bookis ideal for experienced Employers who have a clear and fixed design and require the Contractor to build accordingly.
* TheYellow Bookis typically used where the Contractor is responsible for both design and construction (design & build). It suits Employers who want to delegate design responsibility to the Contractor.
* TheSilver Bookis used for turnkey or EPC contracts where the Contractor takes full responsibility for design, procurement, construction, and commissioning, suitable for Employers seeking minimal involvement in design and execution details.
* Hence, for an Employer whoknows exactly what they wantfrom a design and engineering perspective and wants to maintain control, theRed Bookis the first and most appropriate choice.
References:
FIDIC Red Book 2017 Edition - Conditions of Contract for Construction
FIDIC Yellow Book 2017 Edition - Conditions of Contract for Plant and Design-Build FIDIC Silver Book 2017 Edition - Conditions of Contract for EPC/Turnkey Projects FIDIC Contract Manager Study Guide, Module on Contract Selection


NEW QUESTION # 99
(Under FIDIC Red and Yellow Books (both editions) the Engineer must have received technical education. Is this statement true or false?)

Answer: B

Explanation:
Under both FIDIC Red and Yellow Books (1999 and 2017 editions), the Engineer is defined as the person appointed by the Employer to carry out duties assigned under the Contract (Clause 3). However, FIDIC does not prescribe any specific qualification, such as requiring the Engineer to have a formal technical education.
The contract focuses on the role and functions of the Engineer rather than formal credentials. The Engineer is expected to act as a professional administrator of the contract, performing duties such as issuing instructions, certifying payments, making determinations, and acting neutrally when required (especially under FIDIC
2017, Clause 3.7). While in practice Engineers are typically qualified professionals (often engineers by training), this is a matter of industry practice, not a contractual requirement.
FIDIC intentionally avoids prescribing qualifications to allow flexibility for the Employer in appointing a suitable representative with the necessary competence and experience for the specific project. The emphasis is on capability and impartiality, rather than formal academic credentials.
Therefore, the statement is false because FIDIC contracts do not mandate that the Engineer must have received technical education


NEW QUESTION # 100
If a FIDIC Red, Yellow, or Silver Book (edition 2017) is applied, in which of the following two cases is the Contractor required to submit a revised programme?
Choose all of the correct answers (multiple possibilities).

Answer: B,D

Explanation:
Comprehensive and Detailed Explanation:
Option C is correct: The Contractor must revise the programme whenever it no longer accurately reflects progress or obligations.
Option D is correct: The Contractor must also revise the programme upon formal request if it fails contract compliance or progress reflection.
Option A is incorrect; the Contractor has ongoing obligations beyond formal requests.
Option B is incorrect; no 42-day threshold applies in the contract for revision.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 8.3 - Programme FIDIC Contract Manager Study Guide, Module on Programme and Delay Management


NEW QUESTION # 101
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