Medical Professional CCM Valid Study Questions | Valid CCM Cram Materials

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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q71-Q76):

NEW QUESTION # 71
Giving "Notice" .... [2017 edition] (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).

A. ... is always compulsory together with a clear indication of the relevant Sub-Clause under which the Notice is being served.
B. ... is intended for written communications, in full compliance with the formal requirements outlined in the dedicated Sub-Clause.
C. ... is a special obligation for the Engineer only, in order to enable him/her to manage the implementation of the contract.
D. ... is not a compulsory obligation, but "highly recommended".

Answer: A,B

Explanation:
Option B is correct: Notices are compulsory when required and must reference the relevant Sub-Clause to be valid.
Option D is correct: Notices are formal written communications and must comply with the contract's prescribed procedures.
Option A is incorrect; notices are often mandatory, not merely recommended.
Option C is incorrect; notices are obligations for all Contract Participants, not just the Engineer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 1.3 - Communications FIDIC Contract Manager Study Guide, Module on Notices and Communication

NEW QUESTION # 72
You are the new Contract Manager of the Contractor in a bridge project using FIDIC Yellow Book (edition
2017). The project had been suspended due to a material change in the Employer ' s financial arrangement.
You have worked with your team to identify several failures of the Employer in carrying its obligations under the Contract. Which one of the following does NOT allow the Contractor to issue Notice to terminate the Contract?

A. A prolonged suspension for more than 1 year has affected the whole of the Works.
B. The Contractor has requested the Employer but has not received any evidence that the financial arrangement is being maintained, despite having sent a notice thereto 4 months earlier.
C. The Employer failed to comply with a final and binding determination issued by the Engineer, and such failure constitutes a material breach of the Employer ' s obligations under the Contract.
D. The Contractor does not receive the amount due under the latest Payment Certificate for more than 4 months after the due date.

Answer: B

Explanation:
Option C does NOT, on its own, provide grounds for termination. The Contractor's request for evidence of financial arrangement, without further contractual breach, is insufficient to terminate.
Options A, B, and D are valid grounds for termination under FIDIC Yellow Book 2017 due to prolonged suspension, non-payment beyond allowed period, or failure to comply with binding determinations.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clauses 15.1 (Suspension) and 15.2 (Termination by Contractor) FIDIC Contract Manager Study Guide, Module on Suspension and Termination

NEW QUESTION # 73
Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?

A. The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.
B. The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.
C. People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
D. Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.

Answer: C

Explanation:
Option D is correct because contract drafting should strategically allocate risks between parties based on who can best manage them and the Employer's budget for risk and reward. Understanding risk appetite is key to tailoring FIDIC contracts appropriately.
Option A is exaggerated; while amendments can introduce issues, careful drafting can preserve benefits of standardization.
Option B is partly true but mixing arrangements is complex and not always straightforward.
Option C is incorrect; the Employer usually chooses the contract form.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Contract Drafting and Risk Allocation

NEW QUESTION # 74
Under the FIDIC Red, Yellow, and Silver Books (both editions), the Contractor has a contractual obligation to submit a Value Engineering Proposal. Such proposal shall be prepared at the cost of the Employer. Are both these statements true or false?

A. False
B. True

Answer: A

Explanation:
The Contractor may submit Value Engineering proposals to improve efficiency or reduce costs; however, it is not an absolute contractual obligation to submit such proposals. Also, the preparation of these proposals is generally at the Contractor's own cost initially. If the proposal is accepted and results in a Variation, then adjustments to the Contract Price may occur, potentially reimbursing the Contractor.
Thus, both statements are false.
References:
FIDIC Red, Yellow, Silver Books 1999 & 2017 Editions, Sub-Clause 13.1 - Value Engineering FIDIC Contract Manager Study Guide, Module on Variations and Value Engineering

NEW QUESTION # 75
You are the Contract Manager of the Engineer and person Y is the Contract Manager of the Employer in a construction project under FIDIC 2017 Red Book. The project is late in schedule and Y has issued Employer's claim on Delay Damages. You have asked Y to consider whether the Contractor's delay to completion is a reflection of cash-flow shortfall from interim payments before making deductions to the Contractor's payment. Y replied that even if the Contractor pays Delay Damages to the Employer, the Contractor is still obliged to complete the Works and is not relieved from its duties and obligations. You warned Y of the risks of further reduction of cash-flow by the deduction of Delay Damages from payments. As this could worsen the situation of the Contractor, leading to further delays to the completion of the Works. Who is right?

A. Both you and Y are wrong.
B. Both you and Y are both correct.
C. You are correct, Y is wrong.
D. You are wrong, Y is correct.

Answer: B

Explanation:
Both statements are correct:
Y is right that payment of Delay Damages does not relieve the Contractor from completing the Works.
You are also correct that excessive deduction of Delay Damages can reduce the Contractor's cash flow, potentially worsening delays.
This situation requires careful balance between enforcing contractual rights and maintaining project progress.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.7 - Delay Damages
FIDIC Contract Manager Study Guide, Module on Claims and Cash Flow Management

NEW QUESTION # 76
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