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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Psychosocial Concepts and Support Systems	27%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Crisis intervention techniques 2. Family and support system evaluation 3. Cultural competency and spiritual influences
Ethical, Legal, and Practice Standards	15%	- Regulatory compliance requirements and frameworks 1. Patient privacy mandates and HIPAA 2. Affordable Care Act impacts - CCMC Code of Professional Conduct parameters
Rehabilitation Concepts and Strategies	9%	- Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways 1. Assistive device adaptation strategies 2. Chronic illness and disability support models
Quality and Outcomes Evaluation and Measurements	18%	- Caseload calculation metrics and tracking standards - Quality indicator metrics and performance tools 1. Accreditation standard configurations 2. Cost-benefit analysis algorithms
Care Delivery and Reimbursement Methods	31%	- Reimbursement pathways and utilization management tools 1. Managed care models and funding sources 2. Government and commercial insurance plans - Case management concepts, processes, and principles

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Quiz Medical Professional - CCM - Newest Certified Case Manager Certification Exam (CCM) Valid Test Materials

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q16-Q21):

NEW QUESTION # 16
You are the Contract Manager of the Engineer for a contract using FIDIC Yellow Book (edition 2017). You are drafting a notice holding the Commencement Date. Which one of the following approaches has the most clear and unambiguous drafting?

A. The Contractor is kindly notified that the project shall be started by 17 April 2023.
B. I hereby give notice, in accordance with Sub-Clause 1.1.84 and 8.2 of the Conditions of Contract, that the Time for Completion shall commence from 17 April 2023.
C. The commencement date of this project under Sub-Clause 8.1 of the Conditions of Contract will be 10 days from 7 April 2023.
D. I hereby give notice, in accordance with Sub-Clause 8.1 of the Conditions of Contract, the Commencement Date shall be 17 April 2023.

Answer: D

Explanation:
Option A provides the clearest and most unambiguous notice because:
It explicitly references the relevant Sub-Clause (8.1) that governs Commencement Date notification.
It uses precise language "I hereby give notice" indicating formal notification.
It clearly states the Commencement Date with a specific date (17 April 2023).
Options B and C are less formal or ambiguous and do not refer to the proper contract clause, which could lead to disputes. Option D incorrectly refers to the Time for Completion start rather than the Commencement Date specifically.
Clear and formal notices help prevent contractual disputes by explicitly identifying the contractual clause and key date.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clause 8.1 - Commencement of Works
FIDIC Contract Manager Study Guide, Module on Contract Formation and Execution

NEW QUESTION # 17
(Please select the one answer in which the mentioned documents are in the correct order (hierarchy), as mentioned in the standard Contract Agreement form of the FIDIC Silver Book (edition 1999).)

A. Contract Agreement, Conditions of Contract, Addenda, Employer's Requirements, Contractor ' s Tender.
B. Contract Agreement, Addenda, Conditions of Contract, Employer's Requirements, Contractor ' s Tender.
C. Contract Agreement, Conditions of Contract, Employer's Requirements, Contractor ' s Tender, Addenda.
D. Contract Agreement, Conditions of Contract, Addenda, Contractor ' s Tender, Employer's Requirements.

Answer: A

Explanation:
Under the FIDIC Silver Book 1999, the priority of documents is defined in the Appendix to the Contract Agreement and reflected in Sub-Clause 1.5 [Priority of Documents]. This hierarchy determines which document prevails in case of discrepancies or inconsistencies.
The correct order begins with the Contract Agreement, which forms the legal foundation of the contract. It is followed by the Conditions of Contract (General and Particular Conditions), which define rights, obligations, and risk allocation.
Next in priority are Addenda, which include clarifications and modifications issued during the tender stage.
These are crucial because they may amend earlier tender documents and must take precedence over them.
After Addenda come the Employer's Requirements, which define the technical scope, specifications, and performance criteria of the project. Finally, the Contractor's Tender is ranked last, as it reflects the Contractor' s offer based on all preceding documents.
This hierarchy ensures consistency and clarity, especially in EPC/Turnkey projects where design responsibility lies with the Contractor but is guided by the Employer's Requirements. Proper understanding of document priority is essential for resolving ambiguities and managing contractual risks effectively.

NEW QUESTION # 18
When does discharge become effective under the FIDIC Red Book (edition 1999)? (1 correct answer applies)

A. When the Contractor receives full payment certified through the Final Payment Certificate.
B. When the Contractor receives full payment certified through the Final Payment Certificate and return of the Performance Security.
C. When the Employer counter signs a discharge notice as issued by the Contractor, following full payment and return of the Performance Security.
D. When the Contractor receives its Performance Security from the Employer.

Answer: B

Explanation:
Under the FIDIC Red Book 1999, discharge becomes effective when the Contractor has received full payment certified by the Final Payment Certificate and the return of the Performance Security (Sub-Clause 14.10).
Both elements must be completed for the contract to be considered fully discharged, releasing the Contractor from further obligations or liabilities under the contract.
Option A is incomplete as payment alone does not fully discharge the Contractor.
Option B is incomplete as return of Performance Security alone is insufficient.
Option D is incorrect because the contract does not require a discharge notice signed by the Employer beyond these conditions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 14.10 - Final Payment and Discharge FIDIC Contract Manager Study Guide, Module on Project Close-Out and Final Account

NEW QUESTION # 19
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. Any amounts to be added and/or deducted for the advance payment and repayments under Sub-Clause
14.2.
B. Any amounts to be added and deducted for Plant and Materials in accordance with Sub-Clause 14.5.
C. Any amounts to be added and deducted for changes in legislation and changes in cost.
D. The estimated contract value of the Works executed.

Answer: B,D

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 # 20
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 amount of advance payment is to be paid in full by the Employer through one instalment.
B. 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.
C. Under the General Conditions, the advance payment will be repaid by deducting all amounts from invoices until the entire advance payment is repaid.
D. The advance payment reflects the amount of works the Contractor has already performed up to the moment such advance payment is performed.

Answer: B,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 # 21
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