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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
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
Quality and Outcomes Evaluation and Measurements18%- Caseload calculation metrics and tracking standards
- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
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
Care Delivery and Reimbursement Methods31%- 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 Systems27%- 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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q92-Q97):

NEW QUESTION # 92
Under the FIDIC Red Book (edition 1999), as part of the Contractor submission of Statement, any amount to be deducted for retention, will be calculated by applying the percentage of retention stated in the Appendix to Tender to the total of: (two correct answers apply) Choose all of the correct answers (multiple possibilities).

Answer: A,B

Explanation:
Under FIDIC Red Book 1999, retention is calculated as a percentage (stated in Appendix to Tender) of the value of Works executed and Plant and Materials in accordance with Sub-Clause 14.5 that are on or off Site but intended for incorporation.
Option A is correct: Retention applies to the value of executed works.
Option D is correct: It also applies to Plant and Materials under Sub-Clause 14.5.
Option B is incorrect; advance payments and repayments are not part of retention calculations.
Option C is incorrect; changes due to legislation or costs are not included in retention calculation.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 14.5 - Plant and Materials; Sub-Clause 14.6 - Retention FIDIC Contract Manager Study Guide, Module on Payment and Retention Procedures


NEW QUESTION # 93
(Under FIDIC Red and Yellow Books (both editions) the Engineer must have received technical education. Is this statement true or false?)

Answer: A

Explanation:
Under both FIDIC Red and Yellow Books (1999 and 2017 editions), the Engineer is defined as the person appointed by the Employer to carry out duties assigned under the Contract (Clause 3). However, FIDIC does not prescribe any specific qualification, such as requiring the Engineer to have a formal technical education.
The contract focuses on the role and functions of the Engineer rather than formal credentials. The Engineer is expected to act as a professional administrator of the contract, performing duties such as issuing instructions, certifying payments, making determinations, and acting neutrally when required (especially under FIDIC
2017, Clause 3.7). While in practice Engineers are typically qualified professionals (often engineers by training), this is a matter of industry practice, not a contractual requirement.
FIDIC intentionally avoids prescribing qualifications to allow flexibility for the Employer in appointing a suitable representative with the necessary competence and experience for the specific project. The emphasis is on capability and impartiality, rather than formal academic credentials.
Therefore, the statement is false because FIDIC contracts do not mandate that the Engineer must have received technical education


NEW QUESTION # 94
When is the Employer obliged to return the Performance Security (PS) under the FIDIC Red Book (edition
1999)?

Answer: A

Explanation:
Comprehensive and Detailed 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 # 95
Which one of the following claim events does NOT allow profit?

Answer: E

Explanation:
Comprehensive and Detailed Explanation:
Under FIDIC contracts:
Profit is usually allowed on claims arising from Employer-caused delays, instructions, or breaches that directly affect the Contractor's performance or costs (Options A, B, C, and E).
Option D relates to delays caused by third parties (authorities). Typically, delays caused by relevant authorities (e.g., permit or approval delays) are treated differently, and profit is not generally recoverable on these claims as they are considered neutral or force majeure-type delays. The Contractor may receive an extension of time and reimbursement of direct costs but not profit.
Thus, Option D is the claim event where profit is not allowed.
References:
FIDIC Red, Yellow, and Silver Books 1999 and 2017 Editions, Clauses on Claims and Compensation FIDIC Contract Manager Study Guide, Module on Claims and Profit on Claims


NEW QUESTION # 96
Which one of the following statements is NOT correct in respect of FIDIC Red Book (both editions)?

Answer: A

Explanation:
Option A is NOT correct because the wording of the Letter of Tender is usually governed by the tender documents and contract terms; it is not solely at the Contractor ' s discretion to dictate when the Contract becomes effective. The standard process is that the Contract becomes effective upon the Employer's issuance of the Letter of Acceptance.
Options B, C, and D correctly describe standard FIDIC practices.
References:
FIDIC Red Book 1999 & 2017 Editions - Contract Formation and Tendering
FIDIC Contract Manager Study Guide, Module on Contract Formation


NEW QUESTION # 97
......

The Certified Production and CCM certification is a valuable credential earned by individuals to validate their skills and competence to perform certain job tasks. Your Certified Case Manager Certification Exam (CCM) CCM Certification is usually displayed as proof that you’ve been trained, educated, and prepared to meet the specific requirement for your professional role.

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