CCM Key Concepts - CCM Valid Study Questions

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Medical Professional CCM Exam Syllabus Topics:

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

>> CCM Key Concepts <<

Medical Professional CCM Valid Study Questions | Exam CCM Questions

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q46-Q51):

NEW QUESTION # 46
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. 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.
B. Under the General Conditions, the amount of advance payment is to be paid in full by the Employer through one instalment.
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: A,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 # 47
(FIDIC Red Book (edition 2017) stipulates that the measurement shall be made as per the actual quantities executed at Site. Which one of the following statements is correct?)

A. None of the above are correct.
B. Measurements of the actual quantity of an item of the Permanent Works that was not specified in the Bill of Quantities, the Contractor will choose the appropriate price.
C. The measurement shall be always made of the net actual quantity of each item of the Permanent Works.
D. The measurement shall be made of actual quantity of each item of the Permanent Works with allowance of shrinkage of the used materials.

Answer: C

Explanation:
Under the FIDIC Red Book 2017, Clause 12 [Measurement and Evaluation], specifically Sub-Clause 12.1
[Works to be Measured] , establishes that the Works shall be measured, and payment shall be based on the actual quantities of work executed in accordance with the Contract.
The key principle is that measurement is based on the "net actual quantities" of each item of Permanent Works. This means that only the final in-place quantities are considered, excluding wastage, shrinkage, or temporary excesses unless explicitly stated otherwise in the Contract. Therefore, Option A correctly reflects this fundamental rule.
Option B is incorrect because FIDIC does not generally allow additions for shrinkage or material losses unless expressly provided in the Particular Conditions or Specifications. Measurement is based on completed work, not material input.
Option C is incorrect because if an item is not included in the Bill of Quantities, valuation is determined under Sub-Clause 12.3 [Evaluation], where the Engineer determines appropriate rates-not the Contractor unilaterally.
Option D is incorrect because Option A is clearly aligned with FIDIC provisions.
Thus, Option A correctly represents the measurement methodology under FIDIC Red Book 2017.

NEW QUESTION # 48
Which of the following form a Contractor's entitlement, in case the Contractor does not receive an interim payment within the allocated contractual deadline for payment? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A. In case the Employer paid the Contractor late, the Contractor becomes entitled to receive financing charges applying the % included in the Contract Data (if this is not stated, then applying the percentage as included under the corresponding Sub-Clause).
B. If the payment is not made within the time period required, after the expiry of such period, from the next day onwards, the Contractor is entitled to suspend all his/her activities on Site.
C. Right after the expiry of the payment deadline, the Contractor may terminate the contract.
D. Beyond receiving the financing charges, the Contractor has no further entitlements in such a case.
E. The Contractor is entitled to suspend the works or reduce the rate of progress of the work, after giving a due Notice (21 days) about this intention.

Answer: A,E

Explanation:
Option C is correct: The Contractor is entitled to financing charges (interest) on late payments, calculated as per the percentage specified in the Contract Data or corresponding Sub-Clause.
Option D is correct: The Contractor can suspend works or reduce progress after giving due notice, usually 21 days, if payments are not made on time.
Option A is incorrect; termination is not automatic right after the payment deadline expires.
Option B is incorrect; suspension requires prior notice rather than immediate action.
Option E is incorrect because the Contractor has additional remedies such as suspension, beyond just financing charges.
References:
FIDIC Red, Yellow, Silver Books 1999 & 2017 Editions, Sub-Clause 14.8 - Payment of Retention Money and Financing Charges FIDIC Contract Manager Study Guide, Module on Payment Procedures and Remedies

NEW QUESTION # 49
Under the FIDIC Red, Yellow, and Silver Books (edition 2017), if a Dispute is referred to the Dispute Avoidance and Adjudication Board (DAAB) to obtain its decision, the Parties shall suspend performing their obligations in accordance with the Contract, until they receive further directions from the DAAB. Is this statement true or false?

A. False
B. True

Answer: A

Explanation:
The statement is false. Under FIDIC 2017 editions, the referral of a dispute to the DAAB does not automatically suspend the Parties' contractual obligations. The works and contract performance generally continue while the dispute is adjudicated, unless otherwise agreed or ordered.
Suspension of obligations can disrupt project progress and is not encouraged by FIDIC procedures, which emphasize dispute resolution without delaying the work.
References:
FIDIC Red, Yellow, and Silver Books 2017 Edition, Clause 21 - Disputes and Adjudication FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 50
Choose which one statement consists of an example of an unclear and ambiguously drafted Particular Conditions.

A. The clarifications to the Contract given during the tender period are never to be attached to the Contract, as such clarifications are reflected by amending the Particular Conditions.
B. Clarifications to the meaning of tender documents together with answers to tenderers' inquiries made during the tender period by the Employer should be e-mailed in a Excel table in both PDF and XLS file format.
C. All deletions of a General Conditions are replaced with new Particular Conditions that cover the same scope.
D. Provisions of the General Conditions are deleted and replaced in the Particular Conditions solely by the words "not used".

Answer: D

Explanation:
The use of vague phrases such as "not used" in Particular Conditions to delete provisions of the General Conditions without replacement or explanation leads to ambiguity and unclear contractual obligations. Such drafting can cause confusion as it fails to clarify whether the deleted provisions are simply not applicable or replaced by other terms. This practice is discouraged because it creates legal uncertainty and possible disputes regarding the rights and responsibilities of the parties.
Option A exemplifies this problem, as it deletes General Conditions clauses without specifying alternatives or clarifications.
Option B is a good practice where deletions are replaced by well-defined clauses to maintain contract balance.
Option C describes a clear method of issuing clarifications, promoting transparency and traceability.
Option D is consistent with standard practice, where clarifications during tender are formalized by contract amendments.
References:
FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures and Particular Conditions drafting FIDIC Red Book 2017 Guide notes on drafting Particular Conditions

NEW QUESTION # 51
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