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Medical Professional CCM Exam Syllabus Topics:

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

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100% Pass Quiz 2026 Medical Professional Useful CCM: Certified Case Manager Certification Exam (CCM) Test Free

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q95-Q100):

NEW QUESTION # 95
(Please select the one answer in which the mentioned documents are in the correct order (hierarchy), as mentioned in the standard Contract Agreement form of the FIDIC Silver Book (edition 1999).)

A. Contract Agreement, Conditions of Contract, Addenda, Employer's Requirements, Contractor ' s Tender.
B. Contract Agreement, Addenda, Conditions of Contract, Employer's Requirements, Contractor ' s Tender.
C. Contract Agreement, Conditions of Contract, Addenda, Contractor ' s Tender, Employer's Requirements.
D. Contract Agreement, Conditions of Contract, Employer's Requirements, Contractor ' s Tender, Addenda.

Answer: A

Explanation:
Under the FIDIC Silver Book 1999, the priority of documents is defined in the Appendix to the Contract Agreement and reflected in Sub-Clause 1.5 [Priority of Documents]. This hierarchy determines which document prevails in case of discrepancies or inconsistencies.
The correct order begins with the Contract Agreement, which forms the legal foundation of the contract. It is followed by the Conditions of Contract (General and Particular Conditions), which define rights, obligations, and risk allocation.
Next in priority are Addenda, which include clarifications and modifications issued during the tender stage.
These are crucial because they may amend earlier tender documents and must take precedence over them.
After Addenda come the Employer's Requirements, which define the technical scope, specifications, and performance criteria of the project. Finally, the Contractor's Tender is ranked last, as it reflects the Contractor' s offer based on all preceding documents.
This hierarchy ensures consistency and clarity, especially in EPC/Turnkey projects where design responsibility lies with the Contractor but is guided by the Employer's Requirements. Proper understanding of document priority is essential for resolving ambiguities and managing contractual risks effectively.

NEW QUESTION # 96
(Which of the following types of insurances belong to the basic (typical) scope of insurances? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).)

A. Injury to persons and damage to property.
B. Force Majeure Insurance.
C. Insurance of Goods and other things brought to Site.
D. Insurance for non-performance of the Works.

Answer: A,C

Explanation:
Under FIDIC 2017 (Clause 19 [Insurance]), the contract defines the typical mandatory insurances that the Contractor must obtain and maintain. These are designed to cover key project risks and ensure financial protection for both Parties.
Option A is correct. Insurance for injury to persons and damage to property corresponds to third-party liability insurance under Sub-Clause 19.2. This is a fundamental requirement, covering bodily injury, death, or property damage caused by the execution of the Works.
Option C is also correct. Insurance of Goods, materials, and Contractor's Equipment brought to the Site forms part of the insurance of the Works and related items under Sub-Clause 19.1. This ensures protection against loss or damage during construction.
Option B is incorrect because FIDIC does not define a specific "Force Majeure Insurance." Force Majeure (now referred to as Exceptional Events in 2017) is addressed contractually under Clause 18, not through a dedicated insurance requirement.
Option D is incorrect because "insurance for non-performance" is not part of the standard insurance framework. Instead, performance risk is typically addressed through Performance Security (Clause 4.2) rather than insurance.
These provisions reflect FIDIC's structured approach to risk management-separating insurable risks (covered under Clause 19) from contractual/commercial risks managed through securities and contractual remedies.

NEW QUESTION # 97
Which two of the following statements are correct regarding Dispute under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities)

A. If a Party is dissatisfied with the determination and has given Notice of Dissatisfaction (NOD) to the other party within a strict 28-day time limit, a Dispute arises and either Party may proceed under Sub- Clause 21.4 to obtain a DAAB decision on it.
B. Both 'Disagreement' and 'Dispute' are defined terms under the Conditions of Contract.
C. In case the Engineer refuses to issue a Performance Certificate or to issue one with a correct date under Sub-Clause 11.9, and the Contractor has disagreed with the requested entitlement or relief in connection with this refusal, Dispute shall be deemed to have arisen.
D. The Dispute must be submitted to the Dispute Avoidance and Adjudication Board (DAAB) within 42 days, otherwise the NOD is deemed to have lapsed and is no longer valid.

Answer: A,C

Explanation:
Option A is correct. Under Sub-Clause 11.9 (Performance Certificate) refusal or incorrect issuance by the Engineer, combined with disagreement by the Contractor, may cause a Dispute to arise.
Option B is correct. If a Party is dissatisfied with a determination, it must give a Notice of Dissatisfaction (NOD) within 28 days to escalate the matter to a Dispute, allowing either Party to refer it to the DAAB as per Sub-Clause 21.4.
Option C is incorrect. The contract does not specify a 42-day time limit for submission to DAAB after NOD; timelines vary by contract and stage.
Option D is incorrect. 'Disagreement' is not a formally defined term in FIDIC contracts, whereas 'Dispute' is.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 11.9 and Clause 21 - Claims, Disputes, and Adjudication FIDIC Contract Manager Study Guide, Module on Dispute Resolution

NEW QUESTION # 98
Which of the following statements are relevant to continuing effect claims? [FIDIC 2017 Edition] (2 correct answers apply)

A. In case the Contractor is the Claiming Party, when he/she misses to submit even just a single interim claim, then his/her entitlement is lost.
B. In general, a fully detailed Claim has to be submitted within 84 days after becoming aware of the event giving rise to the claim.
C. Continuing effect claims shall be noticed in the same way as " normal " claims, within 28 days after the Claiming Party became aware of the event or circumstance.
D. In case the Employer is the Claiming Party, then he/she is not obliged to submit interim claims.

Answer: B,C

Explanation:
Option A is correct: Continuing effect claims (claims where the event's impact continues over time) require notices like other claims, typically within 28 days of awareness.
Option D is correct: The fully detailed claim submission generally must be within 84 days of becoming aware of the event, allowing the Claiming Party to elaborate on the claim.
Option B is incorrect; Employer claims also require timely notification.
Option C is incorrect; missing a single interim claim does not necessarily result in losing entitlement if the contract allows for correction or continued claims.
References:
FIDIC Red, Yellow, and Silver Books 2017 Edition, Sub-Clause 20.1 - Claims and Notices FIDIC Contract Manager Study Guide, Module on Claims and Continuing Effects

NEW QUESTION # 99
Is the Employer obliged under FIDIC Silver Book (edition 1999) to describe which Documents are to be submitted to the Employer? (1 correct response applies)

A. No, according to Sub-Clause 5.7 provisional operation and maintenance manuals are always required.
B. No, because the Contractor has a duty to supply the Employer with every Document, given Sub-Clause
7.4.
C. Yes, because otherwise the Contractor doesn't have to submit any Document until Completion of the Works as stated in Sub-Clause 1.8.
D. Yes, the Employer should define which documents it wants to receive from the Contractor as Contractor's Documents in the Employer's Requirements, as stated in Sub-Clause 5.2.

Answer: D

Explanation:
Under the FIDIC Silver Book 1999 (Conditions of Contract for EPC/Turnkey Projects), the Employer must specify clearly in the Employer's Requirements which Contractor's Documents are to be submitted. Sub- Clause 5.2 states that the Contractor must submit all documents listed in the Employer's Requirements, ensuring clarity and enabling the Employer to control the documentation process.
Option D is correct because it highlights the need for Employer's Requirements to define the scope and content of the Contractor's Documents.
Option A is incorrect; although operation and maintenance manuals are generally required, they are part of the specified Contractor's Documents, not automatically required without Employer's direction.
Option B is incorrect as the Contractor's duty to supply documents is limited to those specified.
Option C is incorrect because documentation obligations are ongoing and not just at completion.
References:
FIDIC Silver Book 1999 Edition, Sub-Clause 5.2 - Contractor's Documents FIDIC Silver Book 1999 Edition, Sub-Clause 1.8 - Time for Completion FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures

NEW QUESTION # 100
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