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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. Managed care models and funding sources 2. Government and commercial insurance plans - Case management concepts, processes, and principles
Rehabilitation Concepts and Strategies	9%	- Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways 1. Chronic illness and disability support models 2. Assistive device adaptation strategies
Psychosocial Concepts and Support Systems	27%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Cultural competency and spiritual influences 2. Crisis intervention techniques 3. Family and support system evaluation
Ethical, Legal, and Practice Standards	15%	- CCMC Code of Professional Conduct parameters - Regulatory compliance requirements and frameworks 1. Affordable Care Act impacts 2. Patient privacy mandates and HIPAA
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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q93-Q98):

NEW QUESTION # 93
(In FIDIC contracts, a number of time limits are included for the Parties and the Engineer to perform various obligations. How are failures to comply with these time limits most typically being dealt with in these forms of contracts? [2017 Edition] (1 correct answer))

A. In these cases, there is a " deemed " outcome if the stakeholder does not take action within the pre-set period of time - all enabling to secure continuity of contractual processes.
B. If a Party fails to perform an obligation within the allocated time limit, then the failing party shall pay damages to the other Party.
C. A Party ' s failure to perform an obligation within the allocated time limit would mean that the Engineer
' s or Employer's decision becomes automatically binding.
D. In all these cases, the stakeholder not performing a required action within the allocated time limit loses all of his/her related rights that he/she otherwise would have in relation to this matter.

Answer: A

Explanation:
In the FIDIC 2017 suite of contracts, time bars and procedural time limits are widely used to ensure efficient contract administration and avoid delays in decision-making. However, FIDIC does not uniformly impose a strict penalty such as automatic loss of rights or damages for every missed deadline. Instead, a key contractual mechanism frequently used is the concept of a "deemed" outcome.
This means that if a Party, the Engineer, or the Employer fails to respond or act within a specified time period, the contract may prescribe an automatic consequence-often referred to as a "deemed approval," "deemed consent," or "deemed rejection." For example, under claims procedures (Clause 20), if the Engineer does not respond within the defined timeframe, certain submissions may be deemed accepted or rejected depending on the clause.
This approach ensures continuity and prevents contractual deadlock. It avoids situations where inaction by one party halts progress or creates uncertainty. It also supports the proactive management philosophy embedded in FIDIC 2017, emphasizing timely communication, strict procedural compliance, and administrative discipline.
Option A is too absolute, as loss of rights applies only in specific cases (e.g., failure to give notice of claim).
Option B is incorrect because damages are not the general remedy for missed procedural deadlines. Option D is also incorrect because outcomes are not universally made binding automatically; instead, deemed mechanisms vary depending on the clause.
Thus, the most typical approach is the use of "deemed" outcomes to maintain contractual flow.

NEW QUESTION # 94
Applying FIDIC Silver Book (edition 1999), which one of the following elements shallnotform part of the time Programme/revised programme?

A. Review periods under Sub-Clause 5.2.
B. The intended order of the works.
C. The sequence and timing of inspections and tests.
D. The remedial work (if any) instructed under Sub-Clause 7.6.

Answer: D

Explanation:
Comprehensive and Detailed Explanation:
According to the FIDIC Silver Book, 1999 Edition (The Conditions of Contract for EPC/Turnkey Projects), the Contractor is required under Sub-Clause 8.3 ("Programme") to submit a time programme that illustrates the sequence and timing of the works, including milestones and key events. The intended order of the works (Option A), sequence and timing of inspections and tests (Option B), and review periods (Option D) related to contract management processes such as approval of design or submissions (Sub-Clause 5.2) are integral to effective scheduling and coordination.
However,remedial work instructed under Sub-Clause 7.6, which concerns remedying defects or damage, is generally not part of the initial or revised programme. Instead, remedial works are typically handled as separate tasks or incorporated into specific defect liability or rectification schedules after the main programme has been executed. Such remedial works arise from defects liability obligations and do not belong to the original or revised time programme used to plan the main construction phases.
This distinction is important because the programme reflects planned works execution, whereas remedial work is reactive and may be scheduled separately under defects liability clauses or final project close-out arrangements.
References:
FIDIC Silver Book 1999 Edition, Clause 8.3 - Programme
FIDIC Silver Book 1999 Edition, Clause 7.6 - Remedial Work
FIDIC Contract Manager Study Guide, Module on Time and Delay Management

NEW QUESTION # 95
The FIDIC Red Book (edition 1999) deals with Value Engineering Clause. It follows from this clause that the Contractor shall give notice to the Engineer with supporting particulars. Upon receiving this notice, the Engineer shall proceed in accordance with Sub-Clause 3.5 to agree or determine this Cost, which shall be included in the Contract Price.

A. False
B. True

Answer: B

Explanation:
Under FIDIC Red Book (1999), the Value Engineering Clause requires the Contractor to notify the Engineer with full details and cost implications when proposing Value Engineering changes. The Engineer then follows the Variation procedure in Sub-Clause 3.5 to agree or determine the cost adjustment, which will be reflected in the Contract Price.
This ensures transparent handling of Value Engineering proposals and proper contractual adjustments.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 13.1 - Value Engineering
FIDIC Contract Manager Study Guide, Module on Variations and Value Engineering

NEW QUESTION # 96
Which one of the following is NOT considered a change made in the 2017 edition of the FIDIC Red, Yellow, and Silver Books?

A. New procedures requiring the Contractor to prepare and implement a Quality Management System to show compliance with the Contract requirements.
B. New procedures requiring the Contractor to prepare and implement a Compliance Verification System to show that the design, materials, workmanship and certain other matters all comply.
C. A fair and balanced approach where risk is allocated to the Party that is best able to bear and control that risk.
D. The concentration on dispute avoidance, including an enhanced role for the Dispute Avoidance and Adjudication Board (DAAB) in this respect, and promoting cooperation between the parties during the project.

Answer: B

Explanation:
Option D is not a new procedure introduced in the 2017 FIDIC editions.
The 2017 editions focus on dispute avoidance (A), quality management systems (B), and fair risk allocation (C), but do not explicitly require a Compliance Verification System as described.
References:
FIDIC Red, Yellow, Silver Books 2017 Editions - Overview of Changes
FIDIC Contract Manager Study Guide, Module on Contract Updates

NEW QUESTION # 97
Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?

A. " The Contractor should take advantage of its bargaining power every time possible " AND " Disputes are avoided to the extent achievable, minimised when they do arise, and resolved efficiently. "
B. " Only the Employer should be the one to obtain the best value for money " AND " The Contractor
/Subcontractor is paid adequately and timely in accordance with the Contract to maintain its cash flow. "
C. " The Contractor/Subcontractor is paid adequately and in a timely manner in accordance with the Contract to maintain its cash flow " AND " The terms of the Contract are comprehensive and fair to primarily the Employer " .
D. " The Employer obtains the best value for money " AND " Disputes should be avoided to the extent achievable. "

Answer: D

Explanation:
Option A correctly reflects Golden Principles emphasizing the Employer's objective of obtaining value for money and the importance of avoiding disputes as much as possible.
Other options either misrepresent the balanced nature of FIDIC principles or promote unfair or unbalanced positions.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Legal and Ethical Considerations

NEW QUESTION # 98
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