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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Ethics, Legal, and Practice Standards	18%	- Confidentiality and privacy - Advocacy and patient rights - Scope of practice and roles - Legal and regulatory requirements - Professional ethics and conduct
Topic 2: Healthcare Delivery Systems and Community Resources	10%	- Healthcare policy and systems - Community-based services and resources - Interdisciplinary collaboration - Continuum of care settings
Topic 3: Psychosocial Concepts and Support Systems	20%	- Cultural competence and diversity - Abuse and neglect recognition - Family dynamics and support systems - Mental health and substance use considerations - Behavioral change theories and models
Topic 4: Reimbursement Methods	12%	- Financial resources and negotiation - Managed care and accountable care concepts - Insurance principles and benefit structures - Coding and utilization review principles - Payment and reimbursement methodologies
Topic 5: Quality and Outcomes Evaluation and Measurements	10%	- Data collection and reporting - Performance improvement - Cost-benefit and effectiveness analysis - Outcome measurement and analysis - Accreditation and regulatory standards
Topic 6: Care Management	30%	- Age-specific care application - Client-centered care plan development - Evidence-based case management models and tools - Care coordination and collaboration - Medication management - Cost containment principles - Caseload assignment and selection criteria

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q123-Q128):

NEW QUESTION # 123
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).

A. To accurately reflect the actual progress of the Works, whenever any Programme ceases to reflect actual progress or is otherwise inconsistent with the Contractor's obligations.
B. Upon a request from the Engineer (under FIDIC Red or Yellow Books) or Employer (under FIDIC Silver Book) notifying it that the Programme fails to comply with the Contract, to a specified extent, or no longer reflects actual progress or is otherwise inconsistent with the Contractor's obligations.
C. To accurately reflect the actual progress of the Works, but only if any Programme ceases to reflect actual progress with at least 42 days.
D. The Contractor shall revise the Programme only by request from the Engineer or the Employer (in case of FIDIC Silver Book).

Answer: A,B

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 # 124
When is the Employer obliged to return the Performance Security (PS) under the FIDIC Red Book (edition
1999)?

A. Within 21 days after the issuance of the Taking-Over Certificate.
B. Without undue delay after the issuance of the Taking-Over Certificate.
C. Without undue delay after the issuance of the Performance Certificate.
D. Within 21 days after the issuance of the Performance Certificate.

Answer: D

Explanation:
Under FIDIC Red Book 1999, the Performance Security (or Performance Guarantee) is held to ensure the Contractor's performance during the defects liability period. The security is typically released only after the Employer issues the Performance Certificate, which confirms the completion of defects liability obligations and that the Contractor has fulfilled the contract.
The contract commonly specifies a fixed period (often 21 days) within which the Employer must return the Performance Security after issuance of the Performance Certificate (Option D). The Taking-Over Certificate (Options A and C) marks substantial completion but does not end the Contractor's obligations for defects.
References:
FIDIC Red Book 1999, Sub-Clause 10.2 - Taking-Over Certificate
FIDIC Red Book 1999, Sub-Clause 10.4 - Performance Certificate
FIDIC Red Book 1999, Sub-Clause 10.5 - Release of Performance Security
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management

NEW QUESTION # 125
(Both FIDIC Silver Book (SB) and Yellow Book (YB) (edition 1999) mention the Contractor scrutinising the Employer ' s Requirements. Which statement is correct?)

A. Scrutinising in FIDIC Yellow Book 1999 means the same as in FIDIC Silver Book 1999; in both models it means that after the contract closes and before starting the actual making of the design, the Contractor has to read the Employer's Requirements very thoroughly and check on any errors, omissions or conflicts.
B. Scrutinising in FIDIC Yellow Book 1999 and Silver Book 1999 means that the Contractor must ask the Employer to check the Employer's Requirements very well to see if the Works can be built on that location according to the Employer's Requirements.
C. Scrutinising in FIDIC Yellow Book 1999 means that the Contractor has the opportunity after the contract close to report on any errors, mistakes or conflicts in the Employer's Requirements. In the FIDIC Silver Book 1999 scrutinising provides that obligation during the tender period; the Contractor has to review and verify the Employer's Requirements more strictly before submitting the tender.
D. Scrutinising in FIDIC Silver Book 1999 means that the Contractor should read the Employer's Requirements very thoroughly after the contract closes and see if the Employer's Requirements is complete or if something is missing.

Answer: C

Explanation:
Under FIDIC 1999, both Yellow Book and Silver Book include provisions requiring the Contractor to scrutinise the Employer's Requirements, but the timing and level of responsibility differ significantly.
In the Yellow Book, Sub-Clause 5.1 allows the Contractor to review the Employer's Requirements and, after contract award, notify errors, ambiguities, or inconsistencies. The risk remains more balanced, and the Contractor may rely on the Employer's Requirements to a reasonable extent.
In contrast, the Silver Book (EPC/Turnkey) imposes a much stricter obligation. The Contractor is deemed to have fully scrutinised and satisfied itself as to the correctness and sufficiency of the Employer's Requirements during the tender stage. This reflects the Silver Book's risk allocation, where the Contractor assumes greater responsibility for design and project risks, including errors in the Employer's Requirements (with limited exceptions).
Therefore, Option D correctly captures this fundamental distinction:
* Yellow Book # scrutiny mainly after contract award with notification rights.
* Silver Book # stronger pre-contract obligation during tender, with greater risk assumed by the Contractor.
This difference is a key element in FIDIC risk allocation philosophy between design-build (Yellow) and EPC
/turnkey (Silver) contracts.

NEW QUESTION # 126
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 Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
B. The Employer may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
C. 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.
D. 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.

Answer: B,C

Explanation:
* Option A is correct: The Employer may sell or dispose of any items left by the Contractor and reinstate the Site, recovering costs from the Contractor.
* Option C is correct: The Employer is entitled to recover costs for clearing, reinstatement, and disposal exceeding proceeds from sale.
* Option B is incorrect; the Engineer does not hold this authority, but the Employer does under the contract.
* Option D is 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 # 127
Which one of the following is NOT considered a change made in the 2017 edition of the FIDIC Red, Yellow, and Silver Books?

A. New procedures requiring the Contractor to prepare and implement a Compliance Verification System to show that the design, materials, workmanship and certain other matters all comply.
B. New procedures requiring the Contractor to prepare and implement a Quality Management System to show compliance with the Contract requirements.
C. The concentration on dispute avoidance, including an enhanced role for the Dispute Avoidance and Adjudication Board (DAAB) in this respect, and promoting cooperation between the parties during the project.
D. A fair and balanced approach where risk is allocated to the Party that is best able to bear and control that risk.

Answer: A

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 # 128
......

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