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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Care Delivery and Reimbursement Methods	31%	- Case management concepts, processes, and principles - Reimbursement pathways and utilization management tools 1. Managed care models and funding sources 2. Government and commercial insurance plans
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
Psychosocial Concepts and Support Systems	27%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Family and support system evaluation 2. Crisis intervention techniques 3. Cultural competency and spiritual influences
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%	- Quality indicator metrics and performance tools 1. Accreditation standard configurations 2. Cost-benefit analysis algorithms - Caseload calculation metrics and tracking standards

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q95-Q100):

NEW QUESTION # 95
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 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; Contractor has the opportunity to report on any errors, mistakes or conflicts in the Employer ' s Requirements and for Employer to change it; for after contract closes this is not a duty anymore of Employer.
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:
Option D correctly captures the difference between Yellow and Silver Books (1999):
In the Yellow Book, the Contractor may raise concerns after contract close.
In the Silver Book, the Contractor must scrutinize and report on Employer's Requirements during the tender period, and after contract close this duty lapses.
Other options misunderstand timing or scope of scrutiny.
References:
FIDIC Yellow and Silver Books 1999 Editions, Sub-Clause 4.1 - Contractor's General Obligations FIDIC Contract Manager Study Guide, Module on Employer's Requirements and Scrutiny

NEW QUESTION # 96
Which one of the following statements is NOT correct in respect of FIDIC Red Book (both editions)?

A. The Contract is administered by the Engineer who is appointed by the Employer. If disputes arise, they are referred to a Dispute Adjudication Board (DAB) for its decisions.
B. The Letter of Tender may be worded by the Contractor (at its discretion) so as to allow for the alternative of the Contract to become effective when the Employer issues a Letter of Acceptance.
C. The General Conditions allocate the risks between the parties on a fair and equitable basis.
D. The Contract typically becomes legally effective when the Employer issues the Letter of Acceptance to the Contractor.

Answer: B

Explanation:
Option A is NOT correct because the wording of the Letter of Tender is usually governed by the tender documents and contract terms; it is not solely at the Contractor ' s discretion to dictate when the Contract becomes effective. The standard process is that the Contract becomes effective upon the Employer's issuance of the Letter of Acceptance.
Options B, C, and D correctly describe standard FIDIC practices.
References:
FIDIC Red Book 1999 & 2017 Editions - Contract Formation and Tendering
FIDIC Contract Manager Study Guide, Module on Contract Formation

NEW QUESTION # 97
Under FIDIC Red and Yellow Books (edition 2017), which two of the following elements shall form part of the revised programme?
Choose all of the correct answers (multiple possibilities)

A. All internationally recognized holiday periods.
B. Only the delivery dates of Plant and Materials which have not been delivered on Site yet.
C. The sequence and timing of the remedial work.
D. The actual progress to date, any delay to such progress and the effects of such delay on other activities (if any).

Answer: A,D

Explanation:
Under Sub-Clause 8.3 of the FIDIC Red and Yellow Books 2017, the revised programme must reflect:
The planned sequence and timing of works including recognized holidays (Option A) to ensure realistic scheduling.
The actual progress to date, delays, and impacts on subsequent activities (Option B) so that stakeholders can manage resources and risks effectively.
Option C (remedial work) is typically not part of the main programme but may be in a separate defect rectification schedule.
Option D is too narrow; the programme should include all activities, not only undelivered materials.
References:
FIDIC Red and Yellow Books 2017 Edition, Sub-Clause 8.3 - Programme
FIDIC Contract Manager Study Guide, Module on Time and Delay Management

NEW QUESTION # 98
Under the FIDIC Silver Contract (edition 2017), which two of the answers provide for preconditions for certification and payment of the Interim Payment Certificate?
Choose all of the correct answers (multiple possibilities).

A. The appointment of the Contractor and receipt of the Advance Payment Guarantee, by the Employer, in the form, and issued by an entity, in accordance with Sub-Clause 14.2.1.
B. Receipt of a statement and supporting documents.
C. The appointment of the Contractor's Representative and receipt of the Performance Security, by the Employer, in the form, and issued by an entity, in accordance with Sub-Clause 4.2.1.
D. Receipt of a statement via a letter showing the amounts to which the Contractor considers itself to be entitled.

Answer: A,B

Explanation:
Comprehensive and Detailed Explanation:
Option A is correct: Certification and payment of interim payments are conditional on Employer's receipt of the Contractor's appointment and the Advance Payment Guarantee (Sub-Clause 14.2.1).
Option D is correct: Payment also requires receipt of the Contractor's statement supported by relevant documentation.
Option B alone is insufficient without supporting documents.
Option C relates to appointment and performance security but is not a stated precondition for payment certification.
References:
FIDIC Silver Book 2017 Edition, Sub-Clause 14.6 - Interim Payment Certificates FIDIC Contract Manager Study Guide, Module on Payment Procedures

NEW QUESTION # 99
Which two of the following statements are correct, regarding the Programme under FIDIC Red, Yellow and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).

A. The Programme is a contract document, and thus, considered binding on the Parties.
B. The Contractor is required to proceed in accordance with the Programme and the Employer ' s Personnel shall be entitled to rely upon the Programme in planning their activities.
C. Nothing in any Programme will relieve the Contractor from any obligations to give contractual notice under the Conditions of Contract.
D. The Engineer/Employer is not required to review the Programme, and also not required to inform the Contractor if the Programme does not comply with the Contract.

Answer: B,C

Explanation:
Option A is correct: The Contractor must proceed according to the approved Programme, and the Employer's personnel rely on the Programme for coordinating their activities.
Option B is correct: Submission and approval of the Programme do not relieve the Contractor of the obligation to give timely notices for delays or other events as required under the contract (e.g., notices under Sub-Clause 8.4).
Option C is incorrect because the Programme is not strictly a contract document binding parties in the legal sense; it is a working tool to manage and monitor progress.
Option D is incorrect; the Engineer/Employer must review the Programme and notify the Contractor if it does not comply, per contract clauses.
References:
FIDIC Red, Yellow, and Silver Books 2017, Sub-Clause 8.3 and 8.4 - Programme and Notices FIDIC Contract Manager Study Guide, Module on Time and Delay Management

NEW QUESTION # 100
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