Medical Professional CCM Exam Questions Pdf - CCM Online Test

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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q136-Q141):

NEW QUESTION # 136
Under the FIDIC Red Book, which one of the following statements is correct for a claim by the Contractor?

A. It is the Employer's Representative who must first respond to the claim by the Contractor.
B. The Employer has the authority to accept a claim by the Contractor, even in the case of the Contractor's failure to comply with the notice requirements.
C. The Engineer's response to the Contractor's submission of detailed particulars that are required by the procedure for claims by the Contractor must include the Engineer's final decision on the quantum.
D. If the Engineer does not make a determination, the Employer and the Contractor are unable to agree to settle an issue that gave rise to a claim.
E. The Engineer's response to a claim by the Contractor is final and binding upon the Employer.

Answer: D

Explanation:
Under FIDIC Red Book 1999, the Engineer plays a key role in determining claims submitted by the Contractor (Clause 20). If the Engineer fails to make a determination within the prescribed time, the Parties may be unable to resolve the dispute and thus the matter may proceed to dispute resolution mechanisms.
Option B is correct because if the Engineer does not decide, the claim remains unsettled, and the Parties are left to resolve the dispute, often via Dispute Adjudication Board or arbitration.
Option A is incorrect; claims must comply with notice requirements to be valid.
Option C is incorrect because the Engineer may request further particulars but is not obligated to give a final decision on quantum immediately.
Option D is incorrect as the Engineer, not the Employer's Representative, first responds to claims.
Option E is incorrect since the Engineer's decision is not final and binding if disputed; it may be challenged.
References:
FIDIC Red Book 1999 Edition, Clause 20 - Claims, Disputes and Arbitration FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution

NEW QUESTION # 137
Applying FIDIC Silver Book (edition 1999), which one of the following elements shallnotform part of the time Programme/revised programme?

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

Answer: C

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 # 138
Regarding the FIDIC Red Book (edition 1999): which two statements are true in respect of Building Information Modelling (BIM)?
Choose all of the correct answers (multiple possibilities).

A. BIM is one of the digital data technologies used in all aspects of project planning, investigation, design, construction and operation.
B. For construction or building projects involving BIM, many Sub-Clauses of FIDIC Red Book (edition
2017) should be thoroughly reviewed when drafting the Particular Conditions.
C. General Conditions of Contract require the use of BIM.
D. BIM is not related to the improvement of quality, accuracy, delivery times and cost savings.

Answer: A,B

Explanation:
Option B is correct: BIM is indeed a digital data technology applicable throughout the project lifecycle.
Option D is correct: Use of BIM requires careful consideration of contract clauses and appropriate adjustments in Particular Conditions.
Option A is incorrect; the 1999 edition does not mandate BIM use.
Option C is false; BIM improves quality, accuracy, delivery times, and cost efficiency.
References:
FIDIC Red Book 1999 & 2017 Editions - BIM and Contract Amendments
FIDIC Contract Manager Study Guide, Module on BIM and Digital Technologies

NEW QUESTION # 139
(During the execution of certain Works under a FIDIC Yellow Book (edition 1999), a Contract in a historical area along the silk route, one of the workers discovers a possible ancient treasure on the Site. The supervisor stops the Works, secures the Site, and informs the Engineer. How should the Engineer react?)

A. You inform the supervisor that a formal written notice under Sub-Clause 4.24 is required and no further instruction can be given until then.
B. You thank the supervisor, secure the Site, instruct guarding measures, inform the Employer and authorities, and issue a Variation to cover the costs of protection measures.
C. You instruct the supervisor to cover the finding and resume the Works immediately, and make a determination later.
D. You compliment the supervisor and ask him to excavate further and personally deliver the treasure to a university. No extension of time is granted.

Answer: B

Explanation:
This situation is governed by Sub-Clause 4.24 [Fossils] of the FIDIC Yellow Book 1999. According to this clause, all fossils, coins, articles of value, antiquities, and structures of geological or archaeological interest discovered on the Site are considered the property of the Employer. The Contractor is required to take reasonable precautions to prevent removal or damage and must immediately notify the Engineer upon discovery.
In this scenario, the supervisor has acted correctly by stopping the Works, securing the Site, and informing the Engineer. The Engineer's responsibility is then to take control of the situation in accordance with contractual and legal obligations. This includes ensuring the Site remains secure, instructing the Contractor to provide guards or protective measures, and notifying the Employer and relevant local authorities. Since these actions may cause delay and incur additional cost, the Engineer should formalize instructions through a Variation under Clause 13, allowing the Contractor to be compensated for such measures.
Option A is incorrect because it violates ownership rights and proper procedures. Option C is wrong because the Engineer is not prevented from acting pending formal notice-immediate action is required. Option D is incorrect because it disregards the importance of preserving archaeological findings and breaches Sub-Clause
4.24 obligations.
Thus, Option B fully aligns with FIDIC risk allocation, procedural compliance, and the Engineer's duty to administer the Contract properly.

NEW QUESTION # 140
Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?

A. "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."
B. "The Employer obtains the best value for money" AND "Disputes should be avoided to the extent achievable."
C. "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."
D. "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".

Answer: B

Explanation:
Comprehensive and Detailed 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 # 141
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