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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q22-Q27):

NEW QUESTION # 22
Applying FIDIC Silver Book (edition 1999), which one of the following elements shall not form part of the time Programme/revised programme?

A. Review periods under Sub-Clause 5.2.
B. The remedial work (if any) instructed under Sub-Clause 7.6.
C. The intended order of the works.
D. The sequence and timing of inspections and tests.

Answer: B

Explanation:
According to the FIDIC Silver Book, 1999 Edition (The Conditions of Contract for EPC/Turnkey Projects), the Contractor is required under Sub-Clause 8.3 ("Programme") to submit a time programme that illustrates the sequence and timing of the works, including milestones and key events. The intended order of the works (Option A), sequence and timing of inspections and tests (Option B), and review periods (Option D) related to contract management processes such as approval of design or submissions (Sub-Clause 5.2) are integral to effective scheduling and coordination.
However, remedial work instructed under Sub-Clause 7.6, which concerns remedying defects or damage, is generally not part of the initial or revised programme. Instead, remedial works are typically handled as separate tasks or incorporated into specific defect liability or rectification schedules after the main programme has been executed. Such remedial works arise from defects liability obligations and do not belong to the original or revised time programme used to plan the main construction phases.
This distinction is important because the programme reflects planned works execution, whereas remedial work is reactive and may be scheduled separately under defects liability clauses or final project close-out arrangements.
References:
FIDIC Silver Book 1999 Edition, Clause 8.3 - Programme
FIDIC Silver Book 1999 Edition, Clause 7.6 - Remedial Work
FIDIC Contract Manager Study Guide, Module on Time and Delay Management

NEW QUESTION # 23
In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
"In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction." What GP(s) is/are breached?

A. GP3 only
B. GP1, GP2 and GP3
C. GP1 only
D. GP1 and GP3

Answer: D

Explanation:
This clause breaches Golden Principles (GP) 1 and 3:
GP1 promotes fairness and balanced risk allocation between parties. Forcing the Contractor to carry out determinations despite a notice of dissatisfaction undermines fair dispute resolution and contractual balance.
GP3 emphasizes the importance of clear and unambiguous contract drafting that reflects agreed procedures.
This sentence introduces ambiguity and overrides contractual rights to dispute determinations.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Contract Administration and Contract Clauses

NEW QUESTION # 24
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 may sell or otherwise dispose any remaining items and reinstate the Site at the Contractor's Cost.
B. 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.
C. 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.
D. The Engineer cannot sell or otherwise dispose any remaining items and reinstate the Site at the Contractor's Cost.

Answer: A,C

Explanation:
* Option Ais correct: The Employer may sell or dispose of any items left by the Contractor and reinstate the Site, recovering costs from the Contractor.
* Option Cis correct: The Employer is entitled to recover costs for clearing, reinstatement, and disposal exceeding proceeds from sale.
* Option Bis incorrect; the Engineer does not hold this authority, but the Employer does under the contract.
* Option Dis 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 # 25
During the execution of certain Works under a FIDIC Yellow Book (edition 1999), a Contract in a historical area along the silk route, one of the workers on the excavator shouts out to the supervisor of the Contractor it has discovered something on the Site. The supervisor inspects the finding and concludes this is possibly an ancient treasure in a wooden box. The supervisor sees some golden coins through the cracked lid of the box.
The supervisor immediately stops the execution of the Works, sends the workers away and blocks access to the Site for all persons. Given the sensitive nature of the findings, the supervisor informs you as Engineer.
How do you react?

A. You compliment the supervisor for their swift and decisive action. However, the Works should advance as soon as possible. You ask the supervisor to excavate the box further, and place it in the back of your truck. You promise the supervisor you will drive the box yourself to the University in the city nearby, because it is very important to preserve found treasures like this. The Contractor is not entitled to an extension of time, as no delay has been incurred.
B. You thank the supervisor for their action. You make sure the Site is secured and ask the Contractor to make an improvised barrier around the Site. You ask the Contractor to appoint its most trustworthy guards to set a perimeter. You inform the Employer and local authorities and you ask the Contractor to send you a notice in writing whereby it requests for a Variation (as this is needed for you to instruct the Contractor), thereby already including a fixed proposal for the costs of the guards and barrier, all in accordance with Sub-Clause 4.24.
C. You immediately take action and give the instruction to the supervisor to make sure to cover this finding and till the excavation with material. You then redesign and make a determination (Sub-Clause
3.5) on a change of the Works - if needed - to make sure the execution can restart within days because of the need to finish this project.
D. You inform the supervisor that given the sensitive nature of the findings, you need a formal and written notice as mentioned in Sub-Clause 4.24 second paragraph, otherwise you cannot give further instructions. You ask them to send it to you as soon as possible, because otherwise you are not able to entitle the Contractor to any extension of time and payment of costs.

Answer: B

Explanation:
Under FIDIC Yellow Book 1999, Sub-Clause 4.24 ("Unforeseeable Physical Conditions") deals with unexpected discoveries such as archaeological finds. The Engineer's role includes ensuring site safety, notifying the Employer and relevant authorities, and managing the implications through variations.
Option B reflects best practice: securing the site, appointing guards, notifying Employer and authorities, and requesting a formal Variation Notice to cover costs and entitlement to extension of time.
Options A and D are unsafe or legally risky actions that could damage the find and breach legal obligations.
Option C delays the necessary immediate protective actions.
References:
FIDIC Yellow Book 1999 Edition, Sub-Clause 4.24 - Unforeseeable Physical Conditions FIDIC Contract Manager Study Guide, Module on Claims and Variation Management

NEW QUESTION # 26
Regarding the FIDIC Red Book (edition 1999), which two statements are true?

A. A notice and other communications may be delivered by hand, courier and mail. In each case with proof of receipt is required to qualify as legally valid.
B. A notice is to be signed by the Engineer, Contractor ' s Representative or Employer ' s Authorised Representative.
C. In emergency situations notices can also be submitted verbally (rather than (also) in writing).
D. Notices and other communications may be sent in hand written, type written, in print or through an electronic original transmission system.

Answer: C,D

Explanation:
Option A is true: In emergencies, verbal notices are permitted with the requirement to follow up in writing.
Option D is true: Notices and communications may be sent in various formats including handwritten, typed, printed, or electronic systems.
Option B is incorrect; a notice does not necessarily have to be signed by all these representatives; it depends on the party issuing the notice.
Option C is incorrect; proof of receipt is ideal but not always strictly required for legal validity depending on contract provisions.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 1.3 - Communications and Notices FIDIC Contract Manager Study Guide, Module on Contract Communication

NEW QUESTION # 27
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