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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q76-Q81):

NEW QUESTION # 76
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 Employer may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor's Cost.
B. The Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor's Cost.
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 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.

Answer: A,C

Explanation:
* Option Ais correct: The Employer may sell or dispose of any items left by the Contractor and reinstate the Site, recovering costs from the Contractor.
* Option Cis correct: The Employer is entitled to recover costs for clearing, reinstatement, and disposal exceeding proceeds from sale.
* Option Bis incorrect; the Engineer does not hold this authority, but the Employer does under the contract.
* Option Dis 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 # 77
(Which one of the following statements regarding FIDIC Golden Principles is correct?)

A. The Particular Conditions must not change the balance of risk/reward allocation provided in the General Conditions.
B. The Particular Conditions can be changed under the condition that the balance of risk/reward allocation provided in the General Conditions provides for significantly less risk to the Contractor.
C. The FIDIC Golden Principles only apply to handling the General Conditions of a contract and should not be taken into account when preparing the Particular Conditions.
D. The Particular Conditions do not have to be drafted clearly and unambiguously, as long as the Employer understands the meaning of the risk allocation.

Answer: A

Explanation:
The FIDIC Golden Principles (introduced in 2019) are intended to preserve the integrity and international recognition of FIDIC standard forms. One of the core principles (GP2) explicitly states that the Particular Conditions should not alter the fundamental balance of risk and reward as established in the General Conditions.
Option B correctly reflects this requirement. The allocation of risks in FIDIC contracts is carefully structured to ensure fairness and clarity between the Employer and the Contractor. Any significant shift in this balance through Particular Conditions would undermine the purpose of using a standardized FIDIC contract and could introduce uncertainty, disputes, and reduced bankability.
Option A is incorrect because another Golden Principle (GP1) requires that all provisions, including Particular Conditions, must be drafted clearly and unambiguously.
Option C is incorrect because even if the change appears favorable to one party (e.g., reducing Contractor risk), altering the agreed balance is still contrary to the Golden Principles.
Option D is incorrect because the Golden Principles apply to the entire contract, including both General and Particular Conditions, ensuring consistency and proper application.
Thus, maintaining the original risk/reward allocation is a fundamental requirement under the FIDIC Golden Principles.

NEW QUESTION # 78
Which one statement regarding the adjustment of the Contract Price as mentioned in Sub-Clause 13.8 of FIDIC Silver Book (edition 1999) is correct?

A. The Particular Conditions can provide a calculation method or refer to a specific set of index for adjustments following Sub-Clause 13.8. This can result in lower adjustments of the Contract Price than the actual changes in the costs of labour and/or Goods.
B. If the Contract Price is to be adjusted for rises and falls in the cost of labour, the Contractor is entitled to compensation in such a way that all rises and falls in the costs are compensated fully.
C. If Particular Conditions provide a calculation method or refer to a specific set of index for adjustments following Sub-Clause 13.8, it can only apply to rises or falls in the costs of labour and Goods.
D. The Particular Conditions can provide a calculation method or refer to a specific set of index for adjustments following Sub-Clause 13.8. Only the Base Date can be taken as the date from which the adjustment should be calculated from.

Answer: A

Explanation:
Sub-Clause 13.8 of the FIDIC Silver Book (1999) allows the Particular Conditions to specify a formula or indices for adjusting the Contract Price for rises and falls in labour and Goods costs. The method set forth may not fully compensate for actual cost changes - it can be lower than the real fluctuations - reflecting practical and commercial considerations.
Option B is correct because the contract permits this flexibility.
Option A is incorrect; full compensation is not guaranteed.
Option C is incorrect; the adjustment can cover materials and labour but may extend beyond.
Option D is incorrect; adjustments can be calculated from different dates as specified.
References:
FIDIC Silver Book 1999 Edition, Sub-Clause 13.8 - Adjustments for Changes in Cost FIDIC Contract Manager Study Guide, Module on Payment Adjustments

NEW QUESTION # 79
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. The Contractor does not receive the amount due under the latest Payment Certificate for more than 4 months after the due date.
B. 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.
C. A prolonged suspension for more than 1 year has affected the whole of the Works.
D. 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.

Answer: B

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 # 80
Which one statement is correct regarding the FIDIC Red Book (edition 2017)?

A. No Data other than required by the General Conditions of Contract may be entered in the Contract Data.
B. Instructions to Tenderers may require the tenderer to provide information on matters in Sub-Clause 4.3 on Contractor ' s Representative and Sub-Clause 6.12 on Key Personnel.
C. General Conditions of Contract cannot be amended as it may imbalance the obligations and rights of the Parties.
D. Instructions to Tenderers are part of the Employer ' s Requirements.

Answer: B

Explanation:
In the FIDIC Red Book 2017, Instructions to Tenderers are part of the tender documents but are distinct from the Employer's Requirements. They guide tenderers on how to prepare and submit their tenders. Specifically, Instructions to Tenderers may require tenderers to provide detailed information about their organization, key personnel, and the Contractor ' s Representative (see Sub-Clause 4.3 on Contractor's Representative and Sub- Clause 6.12 on Key Personnel), which is essential for evaluating the capability and resources of the tenderer.
Option A is incorrect because Instructions to Tenderers are separate from Employer's Requirements; the latter define the scope and technical needs of the project.
Option B is incorrect; Contract Data may include specific data relevant to the particular project beyond just the General Conditions, including amendments and project-specific information.
Option D is incorrect because the General Conditions can be amended through the Particular Conditions (within limits), provided the amendments are balanced and agreed upon by both Parties.
References:
FIDIC Red Book 2017, Guide to Tendering Documents
FIDIC Red Book 2017, Sub-Clause 4.3 - Contractor's Representative
FIDIC Red Book 2017, Sub-Clause 6.12 - Key Personnel
FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts

NEW QUESTION # 81
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