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Medical Professional CCM Exam Syllabus Topics:

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

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TOP Pdf CCM Version - Trustable Medical Professional Best CCM Study Material: Certified Case Manager Certification Exam (CCM)

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

NEW QUESTION # 69
In the FIDIC Silver Book (both editions), the Notice of the Commencement Date will be informed by whom?
(1 correct response applies)

A. The Employer ' s Representative
B. The Engineer
C. The Engineer ' s Resident Engineer
D. The Employer

Answer: D

Explanation:
In the FIDIC Silver Book (1999 and 2017 editions), which is tailored for EPC/Turnkey contracts, the Employer is responsible for notifying the Contractor of the Commencement Date (Sub-Clause 8.1). Unlike other FIDIC contracts where the Engineer might notify commencement, the Silver Book places more responsibility on the Employer due to the nature of the contract where the Contractor is largely responsible for design and execution with fewer Engineer roles.
The Employer's formal notification of the Commencement Date signals the official start of the Contractor's obligations and triggers timelines under the contract.
The Engineer or Resident Engineer typically does not issue such notice in the Silver Book framework.
References:
FIDIC Silver Book 1999 and 2017 Editions, Sub-Clause 8.1 - Commencement of Works FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution

NEW QUESTION # 70
In which one of the following circumstances is it recommended to select the Contractor after a two-stage procurement procedure (pre-qualification + tender procedure)?

A. When the works are simple and of short duration.
B. If there is international financing for the project, it is always necessary to conduct a two-stage procurement procedure.
C. When there is a limited number of capable experienced contractors available and ready to take part in the procurement.
D. In case of large scale works, where there are several companies likely to have an interest in submitting an offer.

Answer: D

Explanation:
Two-stage procurement, involving pre-qualification followed by tender, is typically recommended for large- scale projects where many potential contractors might be interested. This process helps to shortlist qualified contractors, thus streamlining the tender evaluation and increasing the quality and competitiveness of submitted offers.
Option C correctly reflects this approach for complex or large projects where competition needs to be managed.
Option A is incorrect since simple, short-duration projects usually do not require complex procurement.
Option B is incorrect because if only a few capable contractors exist, pre-qualification may be less necessary.
Option D is incorrect as international financing does not always mandate two-stage procurement, although it often influences procurement methods.
References:
FIDIC Contract Manager Study Guide, Module on Contract Formation and Procurement Strategies World Bank Procurement Guidelines and Common Industry Practice

NEW QUESTION # 71
Which one of the following is NOT considered a change made in the 2017 edition of the FIDIC Red, Yellow, and Silver Books?

A. 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.
B. 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.
C. A fair and balanced approach where risk is allocated to the Party that is best able to bear and control that risk.
D. New procedures requiring the Contractor to prepare and implement a Quality Management System to show compliance with the Contract requirements.

Answer: B

Explanation:
Comprehensive and Detailed 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 # 72
Under the FIDIC Construction Contract, which one of the following statements is correct?

A. Payment to DAB Members must be certified by the Employer.
B. If all persons nominated to serve as members of an ad hoc DAB do not sign a DAB Agreement, an appointing entity can make appointments.
C. A DAB must give its decision in writing on any dispute when requested by one of the Parties.
D. Payments of a DAB Member's retainer fee is the sole responsibility of the Contractor.
E. For an ad-hoc DAB, a retainer fee for each DAB Member must be paid to the Member on the first day of each calendar month.

Answer: C

Explanation:
Under the FIDIC Conditions of Contract (particularly 2017 editions), the Dispute Adjudication Board (DAB) is a standing or ad hoc body that provides binding decisions on disputes. One key requirement is that the DAB must give its decisions in writing upon request by either Party, ensuring clarity and enforceability.
Option E is correct as the DAB's decision must be documented formally.
Option A is incorrect; the cost of the DAB is generally shared by Employer and Contractor as per the contract.
Option B is incorrect because retainer fees can be paid on different schedules, not necessarily monthly on the first day.
Option C is incorrect; payments to DAB members do not require Employer's certification but are agreed as part of the DAB contract.
Option D is partially true but not a standalone correct statement without additional context.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Clause 21 - Disputes and DAB Procedures FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution

NEW QUESTION # 73
Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?

A. The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.
B. The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.
C. People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
D. Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.

Answer: C

Explanation:
Option D is correct because contract drafting should strategically allocate risks between parties based on who can best manage them and the Employer's budget for risk and reward. Understanding risk appetite is key to tailoring FIDIC contracts appropriately.
Option A is exaggerated; while amendments can introduce issues, careful drafting can preserve benefits of standardization.
Option B is partly true but mixing arrangements is complex and not always straightforward.
Option C is incorrect; the Employer usually chooses the contract form.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Contract Drafting and Risk Allocation

NEW QUESTION # 74
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