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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q135-Q140):

NEW QUESTION # 135
If defects are identified during the Tests on Completion, which one of the following options is not available to the Parties under the Contract?

A. By giving reasons, the Engineer can refuse to accept the Works until repeated tests have been successfully performed.
B. The Party which is not liable for the cost of rectifying defects can expect the other Party to pay the cost of performing the repeated tests.
C. If the defects do not affect the use of the Works for their intended purpose, the Engineer can issue the Taking-Over Certificate.
D. The Employer can request to take over the Works.

Answer: B

Explanation:
Under FIDIC contracts, when defects are identified during Tests on Completion, the Engineer may still issue the Taking-Over Certificate if the defects do not materially affect the intended use (Option A). The Engineer can refuse acceptance until defects are rectified and tests repeated (Option B). The Employer can also request to take over the works (Option C).
However, Option D is not a standard contractual provision; the contract does not stipulate that the Party not liable for rectifying defects is entitled to payment for repeated tests. Typically, costs of repeated tests due to defects are borne by the liable party.
References:
FIDIC Red, Yellow, and Silver Books, Sub-Clause 10.1 and 10.3 - Taking Over and Tests on Completion FIDIC Contract Manager Study Guide, Module on Project Close-Out and Defects

NEW QUESTION # 136
A Contractor under the FIDIC Silver Book (edition 1999) has not been able to finish the Works within the Time for Completion as mentioned in the Contract and has overrun the Time for Completion by 3 months.
This results in a significant claim of $4,500,000 from the Employer. The Employer has submitted this claim to the Contractor according to the procedures as mentioned in the Contract. The Contractor asks you for advice and refers to Clause 8. Which one of the following statements is NOT true?

A. If there are Variations agreed between the Contractor and the Employer, the Contractor should check if an adjustment for Time for Completion was part of any of these Variations.
B. If the delay is entirely caused by the Employer having instructed the Contractor to suspend progress during the Works, while the cause of the suspension is not the responsibility of the Contractor, the claim for delay damages was wrongfully issued.
C. In addition to the delay damages as mentioned in Sub-Clause 2.5, the Employer has the right to claim any extra costs it has to make due to the delay, as delay damages are not seen as compensation for costs incurred by the Employer, but only as an incentive for the Contractor to perform on time.
D. The root cause of the delay has to be determined by the Contractor, thereby especially verifying if the cause of the delay lies in a delay caused by the Authorities.

Answer: C

Explanation:
Comprehensive and Detailed Explanation:
Option C is not true because under the FIDIC Silver Book (1999 edition), the delay damages (liquidated damages) specified in the contract are intended as full compensation for the Employer's loss resulting from late completion. The contract usually excludes other claims for actual losses or extra costs beyond the delay damages.
Option A is true; Variations can include extensions of time.
Option B is true; identifying delay causes is essential for claims and defences.
Option D is true; if the Employer causes suspension not attributable to the Contractor, delay damages claims by the Employer are generally unjustified.
Thus, the Employer cannot claim extra costs over and above delay damages as per typical Silver Book provisions.
References:
FIDIC Silver Book 1999 Edition, Sub-Clause 8 - Time for Completion and Delay Damages FIDIC Silver Book 1999 Edition, Sub-Clause 2.5 - Employer's Claims FIDIC Contract Manager Study Guide, Module on Claims and Delay Damages

NEW QUESTION # 137
The amount of an advance payment guarantee provided for pursuant to FIDIC Red and Yellow Books (both editions) may be reduced as of:

A. The date on which the entire advance payment is repaid as stated in the Payment Certificate
B. The Commencement Date
C. The date on which an amount is repaid by the Contractor as stated in the Payment Certificates
D. The date of the Taking Over Certificate

Answer: C

Explanation:
According to FIDIC Red and Yellow Books (both 1999 and 2017 editions), the advance payment guarantee amount may be progressively reduced as the Contractor repays the advance payment through deductions from interim payment certificates. This means the guarantee is reduced as per amounts repaid, not only upon full repayment.
Option D is correct: The guarantee reduces as partial repayments are certified in Payment Certificates.
Option C is incorrect because the reduction happens gradually, not only after full repayment.
Options A and B do not directly relate to the reduction mechanism of the advance payment guarantee.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Sub-Clause 14.2 - Advance Payment Guarantee FIDIC Contract Manager Study Guide, Module on Payment Procedures

NEW QUESTION # 138
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 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.
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 may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.

Answer: C,D

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 # 139
Regarding the FIDIC Red Book (edition 1999), which two statements are true?

A. A notice is to be signed by the Engineer, Contractor ' s Representative or Employer ' s Authorised Representative.
B. Notices and other communications may be sent in hand written, type written, in print or through an electronic original transmission system.
C. In emergency situations notices can also be submitted verbally (rather than (also) in writing).
D. A notice and other communications may be delivered by hand, courier and mail. In each case with proof of receipt is required to qualify as legally valid.

Answer: B,C

Explanation:
Option A is true: In emergencies, verbal notices are permitted with the requirement to follow up in writing.
Option D is true: Notices and communications may be sent in various formats including handwritten, typed, printed, or electronic systems.
Option B is incorrect; a notice does not necessarily have to be signed by all these representatives; it depends on the party issuing the notice.
Option C is incorrect; proof of receipt is ideal but not always strictly required for legal validity depending on contract provisions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 1.3 - Communications and Notices FIDIC Contract Manager Study Guide, Module on Contract Communication

NEW QUESTION # 140
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