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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Care Delivery and Reimbursement Methods	31%	- Case management concepts, processes, and principles - Reimbursement pathways and utilization management tools 1. Government and commercial insurance plans 2. Managed care models and funding sources
Topic 2: 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
Topic 3: Psychosocial Concepts and Support Systems	27%	- Client dynamics and social determinants of health 1. Cultural competency and spiritual influences 2. Family and support system evaluation 3. Crisis intervention techniques - Behavioral health conditions and dependencies
Topic 4: Ethical, Legal, and Practice Standards	15%	- Regulatory compliance requirements and frameworks 1. Affordable Care Act impacts 2. Patient privacy mandates and HIPAA - CCMC Code of Professional Conduct parameters
Topic 5: Rehabilitation Concepts and Strategies	9%	- Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways 1. Assistive device adaptation strategies 2. Chronic illness and disability support models

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q67-Q72):

NEW QUESTION # 67
Giving "Notice" .... [2017 edition] (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).

A. ... is intended for written communications, in full compliance with the formal requirements outlined in the dedicated Sub-Clause.
B. ... is always compulsory together with a clear indication of the relevant Sub-Clause under which the Notice is being served.
C. ... is not a compulsory obligation, but "highly recommended".
D. ... is a special obligation for the Engineer only, in order to enable him/her to manage the implementation of the contract.

Answer: A,B

Explanation:
Option B is correct: Notices are compulsory when required and must reference the relevant Sub-Clause to be valid.
Option D is correct: Notices are formal written communications and must comply with the contract's prescribed procedures.
Option A is incorrect; notices are often mandatory, not merely recommended.
Option C is incorrect; notices are obligations for all Contract Participants, not just the Engineer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 1.3 - Communications FIDIC Contract Manager Study Guide, Module on Notices and Communication

NEW QUESTION # 68
Regarding the FIDIC Red Book (edition 1999), which two statements are true?

A. A notice and other communications may be delivered by hand, courier and mail. In each case with proof of receipt is required to qualify as legally valid.
B. In emergency situations notices can also be submitted verbally (rather than (also) in writing).
C. Notices and other communications may be sent in hand written, type written, in print or through an electronic original transmission system.
D. A notice is to be signed by the Engineer, Contractor ' s Representative or Employer ' s Authorised Representative.

Answer: B,C

Explanation:
Option A is true: In emergencies, verbal notices are permitted with the requirement to follow up in writing.
Option D is true: Notices and communications may be sent in various formats including handwritten, typed, printed, or electronic systems.
Option B is incorrect; a notice does not necessarily have to be signed by all these representatives; it depends on the party issuing the notice.
Option C is incorrect; proof of receipt is ideal but not always strictly required for legal validity depending on contract provisions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 1.3 - Communications and Notices FIDIC Contract Manager Study Guide, Module on Contract Communication

NEW QUESTION # 69
Which one of the following claim events does NOT allow profit?

A. Under the Construction Contract, the relevant authority had unnecessarily delayed the approval.
B. Under the Construction Contract, interference by the Employer with Tests on Completion.
C. Under the Plant and Design-Build Contract, errors in the Employer ' s requirements.
D. Under the Construction Contract, the failure of the Employer to give right of access to the site.
E. Under the Construction Contract, the Engineer ' s delay in supplying drawings or issuing instructions.

Answer: A

Explanation:
Under FIDIC contracts:
Profit is usually allowed on claims arising from Employer-caused delays, instructions, or breaches that directly affect the Contractor's performance or costs (Options A, B, C, and E).
Option D relates to delays caused by third parties (authorities). Typically, delays caused by relevant authorities (e.g., permit or approval delays) are treated differently, and profit is not generally recoverable on these claims as they are considered neutral or force majeure-type delays. The Contractor may receive an extension of time and reimbursement of direct costs but not profit.
Thus, Option D is the claim event where profit is not allowed.
References:
FIDIC Red, Yellow, and Silver Books 1999 and 2017 Editions, Clauses on Claims and Compensation FIDIC Contract Manager Study Guide, Module on Claims and Profit on Claims

NEW QUESTION # 70
If a FIDIC Red, Yellow, or Silver Book (edition 2017) is applied, in which of the following two cases is the Contractor required to submit a revised programme?
Choose all of the correct answers (multiple possibilities).

A. The Contractor shall revise the Programme only by request from the Engineer or the Employer (in case of FIDIC Silver Book).
B. To accurately reflect the actual progress of the Works, whenever any Programme ceases to reflect actual progress or is otherwise inconsistent with the Contractor ' s obligations.
C. To accurately reflect the actual progress of the Works, but only if any Programme ceases to reflect actual progress with at least 42 days.
D. Upon a request from the Engineer (under FIDIC Red or Yellow Books) or Employer (under FIDIC Silver Book) notifying it that the Programme fails to comply with the Contract, to a specified extent, or no longer reflects actual progress or is otherwise inconsistent with the Contractor ' s obligations.

Answer: B,D

Explanation:
Option C is correct: The Contractor must revise the programme whenever it no longer accurately reflects progress or obligations.
Option D is correct: The Contractor must also revise the programme upon formal request if it fails contract compliance or progress reflection.
Option A is incorrect; the Contractor has ongoing obligations beyond formal requests.
Option B is incorrect; no 42-day threshold applies in the contract for revision.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 8.3 - Programme FIDIC Contract Manager Study Guide, Module on Programme and Delay Management

NEW QUESTION # 71
(You are the Contract Manager in a contract using the FIDIC Red Book with a Dispute Avoidance and Adjudication Board. The DAAB is already appointed (standing DAAB). You are coaching your team on the steps to be followed to request for informal assistance from the DAAB during a Site visit. Which one of the following does NOT belong to those steps?)

A. The Employer and the Contractor have identified an issue and disagreement, and have agreed between themselves that they want the DAAB to provide assistance and/or informally discuss and attempt to resolve that issue/disagreement.
B. The Engineer has made a non-objection letter, in which it is stated that the issue/disagreement does not concern the matter that is being dealt with by the Engineer.
C. Both Parties should be present at the meeting in which the DAAB provides assistance.
D. The Employer and the Contractor have made a " joint request " in writing before the DAAB gives the requested assistance.

Answer: B

Explanation:
Under FIDIC Red Book 2017, Clause 21 (Dispute Avoidance/Adjudication Board), particularly Sub-Clause
21.3, provides for the DAAB's role in dispute avoidance, including informal assistance during site visits. This is a proactive mechanism designed to resolve issues before they escalate into formal disputes.
Key procedural requirements include: (1) both Parties must agree that they want DAAB involvement (Option A), (2) a joint written request must be submitted to the DAAB before assistance is provided (Option C), and (3) both Parties must be present during any informal discussions to ensure transparency and fairness (Option D). These steps ensure neutrality, equal participation, and procedural integrity.
Option B is incorrect and therefore the correct answer to the question. The Engineer has no formal role in authorizing or issuing a "non-objection letter" for DAAB informal assistance. The DAAB operates independently of the Engineer, and its involvement is strictly based on joint agreement between the Employer and Contractor. Introducing Engineer approval would contradict the independence and dispute avoidance function of the DAAB.
Thus, Option B does not belong to the required steps and is not supported by FIDIC provisions.

NEW QUESTION # 72
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