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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q104-Q109):

NEW QUESTION # 104
Under the FIDIC Red Book (edition 1999), as part of the Contractor submission of Statement, any amount to be deducted for retention, will be calculated by applying the percentage of retention stated in the Appendix to Tender to the total of: (two correct answers apply) Choose all of the correct answers (multiple possibilities).

A. The estimated contract value of the Works executed.
B. Any amounts to be added and/or deducted for the advance payment and repayments under Sub-Clause
14.2.
C. Any amounts to be added and deducted for Plant and Materials in accordance with Sub-Clause 14.5.
D. Any amounts to be added and deducted for changes in legislation and changes in cost.

Answer: A,C

Explanation:
Under FIDIC Red Book 1999, retention is calculated as a percentage (stated in Appendix to Tender) of the value of Works executed and Plant and Materials in accordance with Sub-Clause 14.5 that are on or off Site but intended for incorporation.
Option A is correct: Retention applies to the value of executed works.
Option D is correct: It also applies to Plant and Materials under Sub-Clause 14.5.
Option B is incorrect; advance payments and repayments are not part of retention calculations.
Option C is incorrect; changes due to legislation or costs are not included in retention calculation.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 14.5 - Plant and Materials; Sub-Clause 14.6 - Retention FIDIC Contract Manager Study Guide, Module on Payment and Retention Procedures

NEW QUESTION # 105
(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 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.
B. 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.
C. 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.
D. 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.

Answer: A

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 # 106
You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

A. The function of the DAAB is to remain in place as part of the Parties' project team to assist both Parties, equally and impartially.
B. Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.
C. DAAB is to provide for a fair, timely and efficient resolution of Disputes.
D. DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB's Decision.

Answer: D

Explanation:
Comprehensive and Detailed Explanation:
Option D is NOT correct. The DAAB does not act as a witness or provide support during arbitration. Its role is to avoid and adjudicate disputes early during the project lifecycle impartially and fairly, but it does not serve as witness support in arbitration proceedings.
References:
FIDIC Yellow Book 2017 Edition, Clause 21 - Dispute Avoidance and Adjudication Board FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 107
The Contractor is entitled to an advance payment. Applying FIDIC Red Book (edition 1999), which two of the following statements are correct?
Choose all of the correct answers (multiple possibilities):

A. Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.
B. The advance payment reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.
C. The advance payment is to help the Contractor to finance some of its early cost and expenditure until it becomes entitled to first (non-interim) payment.
D. Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.

Answer: A,C

Explanation:
Under FIDIC Red Book 1999, advance payment is intended to assist the Contractor in financing the mobilization and early works costs before the Contractor begins receiving regular payments for work performed (Option A). It is not a payment for work already completed, so Option B is incorrect.
The General Conditions provide that the advance payment is usually made in a lump sum or agreed instalments and that the Employer makes the payment in advance (Option C is partially true but generally it can be one or multiple instalments, depending on contract terms).
Importantly, the advance payment must be repaid by the Contractor through deductions from subsequent interim payments (Option D), ensuring the Employer recovers the advanced funds as the work progresses.
References:
FIDIC Red Book 1999, Sub-Clause 14.2 - Advance Payment
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management

NEW QUESTION # 108
Which of the following situations form legally binding contracts? (2 correct answers apply) Choose all of the correct answers (multiple possibilities)

A. The Employer received the Contractor's Letter of Tender and issued a conditional Letter of Acceptance.
B. The Employer received the Contractor's Letter of Tender and issued Letter of Acceptance.
C. The Employer and the Contractor signed the Contract Agreement.
D. The Employer received the Contractor's Letter of Tender and issued a Letter of Intent.

Answer: B,C

Explanation:
A legally binding contract is typically formed when there is an offer, acceptance, and intention to create legal relations. Under FIDIC contracts:
Option B (signing the Contract Agreement) unequivocally forms a binding contract.
Option D (Letter of Acceptance issued after receiving the Contractor's Letter of Tender) generally forms a binding contract unless otherwise specified, as the Letter of Acceptance is the formal acceptance of the tender.
Option A (Letter of Intent) is not necessarily a binding contract; it often serves as an interim arrangement signaling intent but may lack definitive terms to form a contract.
Option C (conditional Letter of Acceptance) may not form a binding contract unless the conditions are fulfilled.
References:
FIDIC Red and Yellow Books 1999 and 2017 Editions - Contract Formation Clauses FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution

NEW QUESTION # 109
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