Medical Professional CCM Examcollection Dumps Torrent - Real CCM Braindumps

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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Healthcare Delivery Systems and Community Resources	10%	- Healthcare policy and systems - Interdisciplinary collaboration - Community-based services and resources - Continuum of care settings
Topic 2: Ethics, Legal, and Practice Standards	18%	- Advocacy and patient rights - Professional ethics and conduct - Scope of practice and roles - Legal and regulatory requirements - Confidentiality and privacy
Topic 3: Psychosocial Concepts and Support Systems	20%	- Cultural competence and diversity - Behavioral change theories and models - Family dynamics and support systems - Mental health and substance use considerations - Abuse and neglect recognition
Topic 4: Quality and Outcomes Evaluation and Measurements	10%	- Cost-benefit and effectiveness analysis - Performance improvement - Outcome measurement and analysis - Accreditation and regulatory standards - Data collection and reporting
Topic 5: Care Management	30%	- Evidence-based case management models and tools - Client-centered care plan development - Care coordination and collaboration - Caseload assignment and selection criteria - Age-specific care application - Medication management - Cost containment principles
Topic 6: Reimbursement Methods	12%	- Insurance principles and benefit structures - Managed care and accountable care concepts - Coding and utilization review principles - Financial resources and negotiation - Payment and reimbursement methodologies

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q42-Q47):

NEW QUESTION # 42
Which of the following obligations are relevant to the Engineer ' s roles with regards to insurance? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A. The Engineer is entitled to take out an insurance on behalf of the Contractor, in case the Contractor fails to extend the validity of a specific insurance.
B. The Engineer shall receive a copy of the evidence(s) demonstrating Contractor ' s payment of the necessary insurance premiums.
C. The Engineer should continuously monitor that the Contractor ' s insurance policies are kept valid, and extensions are duly arranged, when necessary.
D. The Engineer shall immediately suspend all construction activities at the Site, in case the Contractor failed to take out any necessary insurance.

Answer: B,C

Explanation:
Option A is correct: The Engineer is entitled to receive evidence that the Contractor has paid for the necessary insurance policies.
Option C is correct: The Engineer has the role of monitoring the validity of these insurances and ensuring that renewals or extensions are arranged in a timely manner.
Option B is incorrect; the Engineer does not have the authority to take out insurance on behalf of the Contractor.
Option D is incorrect; suspension of construction activities is not automatically the Engineer's role for insurance lapses but may require instructions from the Employer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 18 - Insurances FIDIC Contract Manager Study Guide, Module on Contract Administration and Insurance

NEW QUESTION # 43
Which one of the following statements is correct regarding the Provisional Sum under the FIDIC Red, Yellow, and Silver Books (edition 1999)?

A. The Provisional Sum cannot be issued by instruction either by the Engineer (or Employer in case of FIDIC Silver Book).
B. Each Provisional Sum shall not be used, in whole or in part, in accordance with instructions from the Engineer.
C. The Contractor shall, when required by the Engineer, produce proof to substantiate how it has used the Provisional Sum.

Answer: C

Explanation:
Option B is correct. Under FIDIC contracts, the Contractor must provide proof of how the Provisional Sum has been expended when requested by the Engineer. This ensures transparency and proper use of funds allocated as Provisional Sums.
Option A is incorrect; Provisional Sums are often used based on instructions from the Engineer or Employer.
Option C is incorrect because Provisional Sums are precisely intended to be used, in whole or in part, according to Engineer's or Employer's instructions.
References:
FIDIC Red, Yellow, and Silver Books 1999 Edition, Sub-Clause 13.2 - Provisional Sums FIDIC Contract Manager Study Guide, Module on Payment Procedures

NEW QUESTION # 44
(Under the FIDIC Yellow Book (edition 1999), any delay caused by Authorities will be considered as a cause of Delay under sub paragraph (b) of Sub-Clause 8.5 under the only condition that the Contractor has diligently followed the procedures laid down by the public authorities in the Country. Is this statement true or false?)

A. False
B. True

Answer: B

Explanation:
Under FIDIC Yellow Book 1999, Sub-Clause 8.5 [Delays Caused by Authorities] addresses situations where delays arise due to actions or inactions of public authorities. Sub-paragraph (b) specifically provides that delays caused by authorities may entitle the Contractor to an extension of time, provided certain conditions are satisfied.
A critical condition clearly stated in this clause is that the Contractor must have "diligently followed the procedures laid down by the relevant legally constituted public authorities in the Country." This requirement reflects an important FIDIC contract management principle: entitlement to relief is conditional upon proper Contractor performance. If the Contractor fails to comply with statutory procedures, permit processes, or administrative requirements, then delays cannot be attributed to the authorities for the purpose of claiming time extension.
From a practical perspective, this clause ensures a balanced allocation of risk. While the Employer bears the risk of delays caused by external authorities, the Contractor retains responsibility for proper compliance with all legal and procedural obligations. The Engineer will typically assess whether the Contractor acted diligently before granting any extension of time under Clause 8.4 in conjunction with Sub-Clause 8.5.
Therefore, the statement is correct, as diligence in following authority procedures is a prerequisite for claiming delay under this provision.

NEW QUESTION # 45
You are the Contract Manager of the Employer for a Data Centre Project using the FIDIC Yellow Book (edition 2017). As a Contract Manager during the procurement stage, you are to explain the difference between Dispute Avoidance and Adjudication Board (DAAB) and other alternative dispute resolutions for this type of project. Which one of the following statements of its explanation is NOT correct?

A. The function of the DAAB is to remain in place as part of the Parties ' project team to assist both Parties, equally and impartially.
B. DAAB is to provide for a fair, timely and efficient resolution of Disputes.
C. Avoidance of Disputes on the project and resolution of Disputes at or soon after the time they arise is a two-part role of the DAAB.
D. DAAB provided supports for Parties during arbitration, as a witness to give factual evidence on the background for the DAAB ' s Decision.

Answer: D

Explanation:
Option D is NOT correct. The DAAB does not act as a witness or provide support during arbitration. Its role is to avoid and adjudicate disputes early during the project lifecycle impartially and fairly, but it does not serve as witness support in arbitration proceedings.
References:
FIDIC Yellow Book 2017 Edition, Clause 21 - Dispute Avoidance and Adjudication Board FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 46
Under the FIDIC Construction Contract, which one of the following statements is correct?

A. For an ad-hoc DAB, a retainer fee for each DAB Member must be paid to the Member on the first day of each calendar month.
B. Payment to DAB Members must be certified by the Employer.
C. Payments of a DAB Member's retainer fee is the sole responsibility of the Contractor.
D. If all persons nominated to serve as members of an ad hoc DAB do not sign a DAB Agreement, an appointing entity can make appointments.
E. A DAB must give its decision in writing on any dispute when requested by one of the Parties.

Answer: E

Explanation:
Under the FIDIC Conditions of Contract (particularly 2017 editions), the Dispute Adjudication Board (DAB) is a standing or ad hoc body that provides binding decisions on disputes. One key requirement is that the DAB must give its decisions in writing upon request by either Party, ensuring clarity and enforceability.
Option E is correct as the DAB's decision must be documented formally.
Option A is incorrect; the cost of the DAB is generally shared by Employer and Contractor as per the contract.
Option B is incorrect because retainer fees can be paid on different schedules, not necessarily monthly on the first day.
Option C is incorrect; payments to DAB members do not require Employer's certification but are agreed as part of the DAB contract.
Option D is partially true but not a standalone correct statement without additional context.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Clause 21 - Disputes and DAB Procedures FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution

NEW QUESTION # 47
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