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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Psychosocial Concepts and Support Systems	27%	- Behavioral health conditions and dependencies - Client dynamics and social determinants of health 1. Cultural competency and spiritual influences 2. Crisis intervention techniques 3. Family and support system evaluation
Topic 2: Care Delivery and Reimbursement Methods	31%	- Reimbursement pathways and utilization management tools 1. Managed care models and funding sources 2. Government and commercial insurance plans - Case management concepts, processes, and principles
Topic 3: 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
Topic 4: 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
Topic 5: 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 (Q54-Q59):

NEW QUESTION # 54
You are the Contract Manager for the Engineer in a hotel project using FIDIC Red Book (edition 1999). The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during construction. Which one of the following is NOT considered as a Variation?

A. The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.
B. The Engineer requests a proposal regarding a change in type of windows and doors of the business centre.
C. The Employer verbally instructs a change in the layout of the rooftop restaurant. The Engineer issued an Instruction describing the required change with revised design drawings.
D. The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.

Answer: A

Explanation:
Option A is NOT a Variation because it originates from a Value Engineering proposal by the Contractor, not from Employer or Engineer instruction or request.
Options B, C, and D are all variations initiated by the Employer or Engineer.
References:
FIDIC Red Book 1999 Edition, Clause 3 - Variations
FIDIC Contract Manager Study Guide, Module on Variations

NEW QUESTION # 55
Through which two of the following documents may the Employer give information to the Contractor of a planned timetable of meetings such as management meetings, site meetings, technical meetings, and progress meetings?
Choose all of the correct answers (multiple possibilities).

A. Special Conditions
B. Employer's Requirements
C. Specification
D. General Conditions of Contract

Answer: A,B

Explanation:
The timetable for meetings is usually set out in the Special Conditions (Particular Conditions) and/or the Employer's Requirements, which define project-specific administrative and management arrangements.
Special Conditions customize the General Conditions to the project and often specify meeting schedules.
Employer's Requirements detail the Employer's expectations, including communication protocols and meeting timetables.
The General Conditions (Option A) are standard and do not include project-specific meeting schedules.
The Specification (Option B) mainly covers technical requirements, not administrative matters like meetings.
References:
FIDIC Red and Yellow Books 1999 and 2017 Editions, Special Conditions and Employer's Requirements Sections FIDIC Contract Manager Study Guide, Module on Communication and Reporting

NEW QUESTION # 56
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:
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 # 57
Under the FIDIC Red Book (edition 2017), if the Contractor fails to comply with Site clearance obligation, what two options does the Employer have?
Choose all of the correct answers (multiple possibilities)

A. The Employer cannot reinstate and clear the Site and dispose the remaining Contractor ' s items on the Site if the Contractor fails, as this is the Contractor ' s obligation.
B. The Employer may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
C. The Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor ' s Cost.
D. The Employer is entitled to the cost of reinstating, clearing the Site and disposal cost to the extent they exceed the money received from selling the remaining Contractor ' s items on the Site.

Answer: B,D

Explanation:
* Option A is correct: The Employer may sell or dispose of any items left by the Contractor and reinstate the Site, recovering costs from the Contractor.
* Option C is correct: The Employer is entitled to recover costs for clearing, reinstatement, and disposal exceeding proceeds from sale.
* Option B is incorrect; the Engineer does not hold this authority, but the Employer does under the contract.
* Option D is incorrect; if the Contractor fails to clear the Site, the Employer may take action to protect the Site.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.7 - Contractor ' s Use of Site FIDIC Contract Manager Study Guide, Module on Contract Administration Procedures

NEW QUESTION # 58
Under the FIDIC Red, Yellow, and Silver Books (both editions), the Employer has an obligation to give a detailed notice to the Contractor about intended changes that are material to its financial arrangements.

A. False
B. True

Answer: B

Explanation:
The Employer must provide detailed notice to the Contractor regarding intended changes material to financial arrangements, enabling transparency and allowing the Contractor to assess impacts and prepare claims or adjustments accordingly.
This obligation supports fair risk allocation and project control.
References:
FIDIC Red, Yellow, Silver Books 1999 & 2017 Editions - Various clauses on Notices and Variations FIDIC Contract Manager Study Guide, Module on Communication and Financial Notices

NEW QUESTION # 59
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