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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Quality and Outcomes Evaluation and Measurements18%- Quality indicator metrics and performance tools
  • 1. Cost-benefit analysis algorithms
  • 2. Accreditation standard configurations
- Caseload calculation metrics and tracking standards
Topic 2: Psychosocial Concepts and Support Systems27%- Behavioral health conditions and dependencies
- Client dynamics and social determinants of health
  • 1. Crisis intervention techniques
  • 2. Cultural competency and spiritual influences
  • 3. Family and support system evaluation
Topic 3: Ethical, Legal, and Practice Standards15%- Regulatory compliance requirements and frameworks
  • 1. Affordable Care Act impacts
  • 2. Patient privacy mandates and HIPAA
- CCMC Code of Professional Conduct parameters
Topic 4: Care Delivery and Reimbursement Methods31%- 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 5: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Chronic illness and disability support models
  • 2. Assistive device adaptation strategies
- Worker recovery and return-to-work solutions

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Medical Professional Certified Case Manager Certification Exam (CCM) 認定 CCM 試験問題 (Q96-Q101):

質問 # 96
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).

正解：A、D

解説：
Comprehensive and Detailed 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


質問 # 97
Which one statement is correct regarding the FIDIC Red Book (edition 2017)?

正解：C

解説：
Comprehensive and Detailed Explanation:
In the FIDIC Red Book 2017, Instructions to Tenderers are part of the tender documents but are distinct from the Employer's Requirements. They guide tenderers on how to prepare and submit their tenders. Specifically, Instructions to Tenderers may require tenderers to provide detailed information about their organization, key personnel, and the Contractor's Representative (see Sub-Clause 4.3 on Contractor's Representative and Sub- Clause 6.12 on Key Personnel), which is essential for evaluating the capability and resources of the tenderer.
Option A is incorrect because Instructions to Tenderers are separate from Employer's Requirements; the latter define the scope and technical needs of the project.
Option B is incorrect; Contract Data may include specific data relevant to the particular project beyond just the General Conditions, including amendments and project-specific information.
Option D is incorrect because the General Conditions can be amended through the Particular Conditions (within limits), provided the amendments are balanced and agreed upon by both Parties.
References:
FIDIC Red Book 2017, Guide to Tendering Documents
FIDIC Red Book 2017, Sub-Clause 4.3 - Contractor's Representative
FIDIC Red Book 2017, Sub-Clause 6.12 - Key Personnel
FIDIC Contract Manager Study Guide, Module on Introduction to FIDIC Contracts


質問 # 98
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).

正解：C、D

解説：
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


質問 # 99
(What is the maximum period for the Engineer to issue the Notice of Commencement Date?)

正解：B

解説：
Under FIDIC 1999 and 2017 editions (e.g., Sub-Clause 8.1 [Commencement of Works]), the Engineer is required to give the Contractor not less than 7 days' notice of the Commencement Date. However, the contract also establishes an upper limit for when the Commencement Date must be determined.
The Commencement Date must be within 42 days after the Contractor receives the Letter of Acceptance (1999) or after the Contract Agreement (2017, depending on drafting). This effectively creates the maximum timeframe within which the Engineer must issue the Notice of Commencement.
This provision ensures that the project begins within a reasonable and predictable period after contract formation, preventing undue delay by the Employer or Engineer. It also provides certainty for the Contractor in terms of mobilization, resource planning, and scheduling.
The 42-day limit reflects FIDIC's emphasis on timely project initiation and aligns with other time-bound obligations in Clause 8, which governs commencement, delays, and completion.
Options A (84 days), C (21 days), and D (14 days) are not consistent with FIDIC provisions and therefore are incorrect.


質問 # 100
When does discharge become effective under the FIDIC Red Book (edition 1999)? (1 correct answer applies)

正解：A

解説：
Under the FIDIC Red Book 1999, discharge becomes effective when the Contractor has received full payment certified by the Final Payment Certificate and the return of the Performance Security (Sub-Clause 14.10).
Both elements must be completed for the contract to be considered fully discharged, releasing the Contractor from further obligations or liabilities under the contract.
Option A is incomplete as payment alone does not fully discharge the Contractor.
Option B is incomplete as return of Performance Security alone is insufficient.
Option D is incorrect because the contract does not require a discharge notice signed by the Employer beyond these conditions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 14.10 - Final Payment and Discharge FIDIC Contract Manager Study Guide, Module on Project Close-Out and Final Account


質問 # 101
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