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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Ethical, Legal, and Practice Standards	15%	- CCMC Code of Professional Conduct parameters - Regulatory compliance requirements and frameworks 1. Patient privacy mandates and HIPAA 2. Affordable Care Act impacts
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
Psychosocial Concepts and Support Systems	27%	- Client dynamics and social determinants of health 1. Cultural competency and spiritual influences 2. Crisis intervention techniques 3. Family and support system evaluation - Behavioral health conditions and dependencies
Quality and Outcomes Evaluation and Measurements	18%	- Caseload calculation metrics and tracking standards - Quality indicator metrics and performance tools 1. Cost-benefit analysis algorithms 2. Accreditation standard configurations
Rehabilitation Concepts and Strategies	9%	- Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways 1. Chronic illness and disability support models 2. Assistive device adaptation strategies

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q83-Q88):

NEW QUESTION # 83
(Which two of the following statements are correct regarding the dayworks under FIDIC Red, Yellow, and Silver Books (both editions)? Choose all correct answers.)

A. The dayworks related Sub-Clause is only used for remeasurement in the FIDIC Red Book (both editions) only.
B. If a Daywork Schedule is not included in the Contract, the Sub-Clause related to dayworks shall not apply.
C. The Engineer (or the Employer in case of FIDIC Silver Book) may instruct that a Variation shall be executed on a daywork basis.
D. The dayworks related Sub-Clause is also applicable to other types of works.

Answer: B,C

Explanation:
Under FIDIC 1999 and 2017 (Red, Yellow, and Silver Books), dayworks are governed under Clause 13
[Variations and Adjustments], specifically provisions dealing with valuation of Variations.
Option A is correct because dayworks require a predefined Daywork Schedule included in the Contract (usually within the Bill of Quantities or schedules). If such a schedule is not included, the contractual mechanism for valuation using dayworks cannot practically operate. Therefore, the Sub-Clause related to dayworks becomes inapplicable unless such rates are otherwise agreed.
Option D is also correct. The Engineer (or Employer in the Silver Book where no Engineer role exists) has the authority to instruct that certain Variations be executed on a daywork basis. This is typically used where the nature or extent of the work cannot be quantified in advance, making standard measurement or lump-sum pricing inappropriate.
Option B is incorrect because dayworks are specifically intended for valuation of Variations and not for general application to other types of works outside this context.
Option C is incorrect because dayworks are not limited to remeasurement contracts (Red Book); they are also applicable in Yellow and Silver Books for valuation of Variations when instructed.
Thus, Options A and D correctly reflect FIDIC principles regarding dayworks.

NEW QUESTION # 84
Which of the following statements are relevant to continuing effect claims? [FIDIC 2017 Edition] (2 correct answers apply)

A. In case the Employer is the Claiming Party, then he/she is not obliged to submit interim claims.
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 Contractor is the Claiming Party, when he/she misses to submit even just a single interim claim, then his/her entitlement is lost.

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 # 85
When is the Employer obliged to return the Performance Security (PS) under the FIDIC Red Book (edition
1999)?

A. Within 21 days after the issuance of the Performance Certificate.
B. Without undue delay after the issuance of the Taking-Over Certificate.
C. Without undue delay after the issuance of the Performance Certificate.
D. Within 21 days after the issuance of the Taking-Over Certificate.

Answer: A

Explanation:
Under FIDIC Red Book 1999, the Performance Security (or Performance Guarantee) is held to ensure the Contractor's performance during the defects liability period. The security is typically released only after the Employer issues the Performance Certificate, which confirms the completion of defects liability obligations and that the Contractor has fulfilled the contract.
The contract commonly specifies a fixed period (often 21 days) within which the Employer must return the Performance Security after issuance of the Performance Certificate (Option D). The Taking-Over Certificate (Options A and C) marks substantial completion but does not end the Contractor's obligations for defects.
References:
FIDIC Red Book 1999, Sub-Clause 10.2 - Taking-Over Certificate
FIDIC Red Book 1999, Sub-Clause 10.4 - Performance Certificate
FIDIC Red Book 1999, Sub-Clause 10.5 - Release of Performance Security
FIDIC Contract Manager Study Guide, Module on Payment Procedures and Financial Management

NEW QUESTION # 86
Which one of the following is NOT considered a change made in the 2017 edition of the FIDIC Red, Yellow, and Silver Books?

A. New procedures requiring the Contractor to prepare and implement a Quality Management System to show compliance with the Contract requirements.
B. A fair and balanced approach where risk is allocated to the Party that is best able to bear and control that risk.
C. New procedures requiring the Contractor to prepare and implement a Compliance Verification System to show that the design, materials, workmanship and certain other matters all comply.
D. The concentration on dispute avoidance, including an enhanced role for the Dispute Avoidance and Adjudication Board (DAAB) in this respect, and promoting cooperation between the parties during the project.

Answer: C

Explanation:
Option D is not a new procedure introduced in the 2017 FIDIC editions.
The 2017 editions focus on dispute avoidance (A), quality management systems (B), and fair risk allocation (C), but do not explicitly require a Compliance Verification System as described.
References:
FIDIC Red, Yellow, Silver Books 2017 Editions - Overview of Changes
FIDIC Contract Manager Study Guide, Module on Contract Updates

NEW QUESTION # 87
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. 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.
C. In this situation, the whole of the varied works should be removed, and the original technical content reinstated.
D. The Contractor shall immediately rectify, ensuring, that the varied work fully complies with the prevailing standards.

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 # 88
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