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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: 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 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%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Crisis intervention techniques 2. Family and support system evaluation 3. Cultural competency and spiritual influences
Topic 4: 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
Topic 5: Care Delivery and Reimbursement Methods	31%	- Reimbursement pathways and utilization management tools 1. Government and commercial insurance plans 2. Managed care models and funding sources - Case management concepts, processes, and principles

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q54-Q59):

NEW QUESTION # 54
Which of the following FIDIC contract forms require certification in the payment process? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A. FIDIC Conditions of Contract for EPC/Turnkey Projects ("Silver Book").
B. FIDIC Conditions of Contract for Plant and Design Build ("Yellow Book").
C. FIDIC Conditions of Contract for Construction ("Red Book").

Answer: B,C

Explanation:
Comprehensive and Detailed Explanation:
Options A and B are correct: Both the Red and Yellow Books require the Engineer to certify payments before the Employer pays the Contractor.
Option C (Silver Book) typically places the risk on the Contractor and often provides for payment without Engineer certification, reflecting the turnkey nature of the contract.
References:
FIDIC Red and Yellow Books 1999 & 2017 Editions, Clauses on Payment Certification FIDIC Silver Book 1999 & 2017 Editions - Payment Provisions FIDIC Contract Manager Study Guide, Module on Payment Procedures

NEW QUESTION # 55
Towards the end of implementing a varied work (initiated originally by the Contractor as a "Value Engineering Proposal", relevant designs provided by the Contractor) it turned out, that there is some part of it not complying with the otherwise prevailing standards. Which statements are correct in this situation? [FIDIC Red Book, 2017 Edition] Choose all of the correct answers (multiple possibilities).

A. Since the design was approved by the Engineer, the Contractor might not be found responsible for such discrepancy, hence, to be fully compensated.
B. The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.
C. In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
D. In case it is necessary, the Contractor shall prepare designs for works subject to the Value Engineering, hence, it is up to the Contractor to ensure that the works are fit for the purposes, including that the designs are correct, regardless of any approval or "no-objection" of the Engineer.

Answer: B,D

Explanation:
Option C is correct: The Contractor is obligated to rectify any non-compliance with prevailing standards promptly.
Option D is correct: The Contractor carries responsibility for design fitness and correctness, even if the Engineer has approved or not objected to the design.
Option A is incorrect; Engineer approval does not absolve the Contractor from responsibility for defective design or works.
Option B is not necessarily required; only non-compliant parts need correction, not entire varied works.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 4.1 and Clause 13 - Contractor's Obligations and Variations FIDIC Contract Manager Study Guide, Module on Variations and Design Responsibilities

NEW QUESTION # 56
Under the FIDIC Yellow Book (both editions), the Contract is administered by the Employer (unless it appoints an Employer ' s Representative) who endeavours to reach agreement with the Contractor on each claim. Is this statement true or false?

A. True
B. False

Answer: A

Explanation:
This statement is true. The Employer administers the contract unless an Employer's Representative or Engineer is appointed to act on its behalf. The Employer (or its Representative) is responsible for reviewing and negotiating claims in good faith with the Contractor to reach agreement, in line with FIDIC procedures.
References:
FIDIC Yellow Book 1999 & 2017 Editions, Clause 3 - Employer's Administration Role FIDIC Contract Manager Study Guide, Module on Contract Administration

NEW QUESTION # 57
(Which two of the following statements are correct regarding types of Claims under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

A. The time bar only applies to Contractor's Claims and not to Employer's Claims.
B. The limit in time referred to in Sub-Clause 20.2.1 (also known as time bar) applies to all types of Claims.
C. If a Claim is submitted as per sub-paragraph (c) of Sub-Clause 20.1, this is dealt with by the Engineer or Employer's Representative (in case of FIDIC Silver Book) as per Sub-Clause 3.7/3.5.
D. If a Claim is submitted as per sub-paragraphs (a) or (b) of Sub-Clause 20.1, it is dealt with in accordance with Sub-Clause 20.2, which specifically covers claims for time and/or money. Part of the procedure under Sub-Clause 20.2 is for a payment and/or an extension of time-related claim to be agreed or determined by the Engineer/Employer's Representative (in case of the FIDIC Silver Book) in accordance with Sub-Clause 3.7/3.5.

Answer: B,D

Explanation:
Under FIDIC 2017, Clause 20 introduces a structured and unified claims procedure applicable to both Contractor's and Employer's Claims. Claims are categorized broadly into:
* Claims for time and/or money (Sub-Clause 20.2), and
* Other claims (e.g., disputes or matters under Sub-Clause 20.1(c)).
Option A is correct. The 28-day time bar under Sub-Clause 20.2.1 applies to all claims for time and/or money and is a fundamental procedural requirement. Importantly, unlike FIDIC 1999, this time bar applies equally to both Parties, reinforcing fairness and discipline in claims management.
Option C is also correct. Claims under Sub-Clause 20.1(a) and (b) (typically relating to payment and/or extension of time) are processed under Sub-Clause 20.2, and the Engineer (or Employer's Representative in the Silver Book) must agree or determine the claim in accordance with Sub-Clause 3.7 (Red/Yellow) or 3.5 (Silver).
Option B is incorrect because claims under 20.1(c) are not handled through Sub-Clause 3.7/3.5 in the same structured determination process as time/money claims.
Option D is incorrect because FIDIC 2017 clearly applies the time bar to both Employer and Contractor claims, which is a key update from earlier editions.
This reflects FIDIC 2017's emphasis on symmetry, procedural clarity, and proactive claim management.

NEW QUESTION # 58
Which one of the following statements is NOT correct in respect of FIDIC Yellow Book (both editions)?

A. The Contractor provides plant and designs (except as otherwise specified) and executes the other works, all in accordance with the Contract, which includes its Proposal and the Employer's Requirements.
B. The Contract typically becomes legally effective when the Employer issues the Letter of Acceptance to the Contractor.
C. A disproportionate amount of risks is allocated to the Contractor under the General Conditions.
D. The General Conditions allocate the risks between the parties on a fair and equitable basis.

Answer: C

Explanation:
Option C is NOT correct. FIDIC Yellow Book General Conditions aim to allocate risks fairly and equitably between the Employer and Contractor. The contract balances risks according to who is best able to manage them. It does not impose a disproportionate risk burden on the Contractor.
Options A, B, and D are correct statements describing typical contract formation, risk allocation, and Contractor's design and execution responsibilities.
References:
FIDIC Yellow Book 1999 and 2017 Editions - Introduction and Risk Allocation Clauses FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts

NEW QUESTION # 59
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