CCM exam preparatory: Certified Case Manager Certification Exam (CCM) & CCM exam torrent

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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Care Delivery and Reimbursement Methods	31%	- Reimbursement pathways and utilization management tools 1. Government and commercial insurance plans 2. Managed care models and funding sources - Case management concepts, processes, and principles
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%	- Vocational and physical rehabilitation pathways 1. Chronic illness and disability support models 2. Assistive device adaptation strategies - Worker recovery and return-to-work solutions
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
Psychosocial Concepts and Support Systems	27%	- Client dynamics and social determinants of health 1. Family and support system evaluation 2. Cultural competency and spiritual influences 3. Crisis intervention techniques - Behavioral health conditions and dependencies

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q141-Q146):

NEW QUESTION # 141
You are the Contract Manager for the Engineer in a hospital project using FIDIC Yellow Book (edition 2017).
The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during design and construction. Which one of the following is considered to be a valid Variation?

A. The Engineer requests a proposal regarding a change in type of windows and doors. The Contractor submitted the proposal accordingly to the Engineer. The Engineer instructs the Variation.
B. The Employer verbally instructs a change in the type of doors. The Engineer issued a Notice describing the required change and denying any costs for the Contractor.
C. The Engineer instructs a change in slopes of the access road to the intensive care unit to meet the Employer ' s Requirement. The Engineer does so with a Notice in accordance with Sub-Clause 3.5.
D. The Contractor submits a Value Engineering proposal regarding the lighting system for the operation rooms. The Engineer is positive about the proposal and tells the Contractor they need to look into it.

Answer: C

Explanation:
Option B is correct: A Variation is a formal change to the Works instructed by the Engineer via a Notice (Sub- Clause 3.5). This includes changes to design or execution such as slopes on a road.
Option A is a proposal, not yet a Variation. Positive interest does not constitute a Variation.
Option C is partially correct but depends on formal instruction after proposal acceptance; the question specifies the Engineer instructs the Variation, but since it was a request for proposal first, the Variation instruction comes later. Without explicit instruction, this is not yet a Variation.
Option D is invalid as verbal instruction plus a Notice denying cost claims does not constitute a proper Variation.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clause 3.5 - Variation Procedure
FIDIC Contract Manager Study Guide, Module on Variations and Change Management

NEW QUESTION # 142
During the execution of certain Works under a FIDIC Yellow Book (edition 1999), a Contract in a historical area along the silk route, one of the workers on the excavator shouts out to the supervisor of the Contractor it has discovered something on the Site. The supervisor inspects the finding and concludes this is possibly an ancient treasure in a wooden box. The supervisor sees some golden coins through the cracked lid of the box.
The supervisor immediately stops the execution of the Works, sends the workers away and blocks access to the Site for all persons. Given the sensitive nature of the findings, the supervisor informs you as Engineer.
How do you react?

A. You immediately take action and give the instruction to the supervisor to make sure to cover this finding and till the excavation with material. You then redesign and make a determination (Sub-Clause
3.5) on a change of the Works - if needed - to make sure the execution can restart within days because of the need to finish this project.
B. You compliment the supervisor for their swift and decisive action. However, the Works should advance as soon as possible. You ask the supervisor to excavate the box further, and place it in the back of your truck. You promise the supervisor you will drive the box yourself to the University in the city nearby, because it is very important to preserve found treasures like this. The Contractor is not entitled to an extension of time, as no delay has been incurred.
C. You inform the supervisor that given the sensitive nature of the findings, you need a formal and written notice as mentioned in Sub-Clause 4.24 second paragraph, otherwise you cannot give further instructions. You ask them to send it to you as soon as possible, because otherwise you are not able to entitle the Contractor to any extension of time and payment of costs.
D. You thank the supervisor for their action. You make sure the Site is secured and ask the Contractor to make an improvised barrier around the Site. You ask the Contractor to appoint its most trustworthy guards to set a perimeter. You inform the Employer and local authorities and you ask the Contractor to send you a notice in writing whereby it requests for a Variation (as this is needed for you to instruct the Contractor), thereby already including a fixed proposal for the costs of the guards and barrier, all in accordance with Sub-Clause 4.24.

Answer: D

Explanation:
Under FIDIC Yellow Book 1999, Sub-Clause 4.24 ("Unforeseeable Physical Conditions") deals with unexpected discoveries such as archaeological finds. The Engineer's role includes ensuring site safety, notifying the Employer and relevant authorities, and managing the implications through variations.
Option B reflects best practice: securing the site, appointing guards, notifying Employer and authorities, and requesting a formal Variation Notice to cover costs and entitlement to extension of time.
Options A and D are unsafe or legally risky actions that could damage the find and breach legal obligations.
Option C delays the necessary immediate protective actions.
References:
FIDIC Yellow Book 1999 Edition, Sub-Clause 4.24 - Unforeseeable Physical Conditions FIDIC Contract Manager Study Guide, Module on Claims and Variation Management

NEW QUESTION # 143
(Which two of the following statements are correct regarding the dayworks under FIDIC Red, Yellow, and Silver Books (both editions)? Choose all correct answers.)

A. The dayworks related Sub-Clause is only used for remeasurement in the FIDIC Red Book (both editions) only.
B. The Engineer (or the Employer in case of FIDIC Silver Book) may instruct that a Variation shall be executed on a daywork basis.
C. The dayworks related Sub-Clause is also applicable to other types of works.
D. If a Daywork Schedule is not included in the Contract, the Sub-Clause related to dayworks shall not apply.

Answer: B,D

Explanation:
Under FIDIC 1999 and 2017 (Red, Yellow, and Silver Books), dayworks are governed under Clause 13
[Variations and Adjustments], specifically provisions dealing with valuation of Variations.
Option A is correct because dayworks require a predefined Daywork Schedule included in the Contract (usually within the Bill of Quantities or schedules). If such a schedule is not included, the contractual mechanism for valuation using dayworks cannot practically operate. Therefore, the Sub-Clause related to dayworks becomes inapplicable unless such rates are otherwise agreed.
Option D is also correct. The Engineer (or Employer in the Silver Book where no Engineer role exists) has the authority to instruct that certain Variations be executed on a daywork basis. This is typically used where the nature or extent of the work cannot be quantified in advance, making standard measurement or lump-sum pricing inappropriate.
Option B is incorrect because dayworks are specifically intended for valuation of Variations and not for general application to other types of works outside this context.
Option C is incorrect because dayworks are not limited to remeasurement contracts (Red Book); they are also applicable in Yellow and Silver Books for valuation of Variations when instructed.
Thus, Options A and D correctly reflect FIDIC principles regarding dayworks.

NEW QUESTION # 144
You are the new Contract Manager of the Contractor in a bridge project using FIDIC Yellow Book (edition
2017). The project had been suspended due to a material change in the Employer's financial arrangement. You have worked with your team to identify several failures of the Employer in carrying its obligations under the Contract. Which one of the following does NOT allow the Contractor to issue Notice to terminate the Contract?

A. A prolonged suspension for more than 1 year has affected the whole of the Works.
B. The Employer failed to comply with a final and binding determination issued by the Engineer, and such failure constitutes a material breach of the Employer's obligations under the Contract.
C. The Contractor has requested the Employer but has not received any evidence that the financial arrangement is being maintained, despite having sent a notice thereto 4 months earlier.
D. The Contractor does not receive the amount due under the latest Payment Certificate for more than 4 months after the due date.

Answer: C

Explanation:
Comprehensive and Detailed Explanation:
Option C does NOT, on its own, provide grounds for termination. The Contractor's request for evidence of financial arrangement, without further contractual breach, is insufficient to terminate.
Options A, B, and D are valid grounds for termination under FIDIC Yellow Book 2017 due to prolonged suspension, non-payment beyond allowed period, or failure to comply with binding determinations.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clauses 15.1 (Suspension) and 15.2 (Termination by Contractor) FIDIC Contract Manager Study Guide, Module on Suspension and Termination

NEW QUESTION # 145
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 Letter of Acceptance.
B. The Employer received the Contractor's Letter of Tender and issued a Letter of Intent.
C. The Employer received the Contractor's Letter of Tender and issued a conditional Letter of Acceptance.
D. The Employer and the Contractor signed the Contract Agreement.

Answer: A,D

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 # 146
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