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Medical Professional CCM Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Rehabilitation Concepts and Strategies	9%	- Vocational and physical rehabilitation pathways 1. Chronic illness and disability support models 2. Assistive device adaptation strategies - Worker recovery and return-to-work solutions
Topic 2: Ethical, Legal, and Practice Standards	15%	- Regulatory compliance requirements and frameworks 1. Patient privacy mandates and HIPAA 2. Affordable Care Act impacts - CCMC Code of Professional Conduct parameters
Topic 3: 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
Topic 4: Psychosocial Concepts and Support Systems	27%	- Client dynamics and social determinants of health 1. Family and support system evaluation 2. Cultural competency and spiritual influences 3. Crisis intervention techniques - Behavioral health conditions and dependencies
Topic 5: Quality and Outcomes Evaluation and Measurements	18%	- Quality indicator metrics and performance tools 1. Accreditation standard configurations 2. Cost-benefit analysis algorithms - Caseload calculation metrics and tracking standards

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q136-Q141):

NEW QUESTION # 136
Which of the following statements are relevant to continuing effect claims? [FIDIC 2017 Edition] (2 correct answers apply)

A. 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.
B. 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.
C. In general, a fully detailed Claim has to be submitted within 84 days after becoming aware of the event giving rise to the claim.
D. In case the Employer is the Claiming Party, then he/she is not obliged to submit interim claims.

Answer: A,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 # 137
Which two statements are correct regarding the FIDIC Red Book (edition 2017)?

A. There is never a difference in effect whether in the Particular Conditions when the term "Works" is used, or when the term "works" is used.
B. Words and expressions stated in Sub-Clause 1.1 Definitions do not apply in respect of Specifications and Drawings.
C. In some cases, if a certain information is not provided in the Contract Data, the relevant Sub-Clause shall not be applicable.
D. Contract Data contains information which is required by certain Sub-Clauses in the General Conditions.

Answer: C,D

Explanation:
Comprehensive and Detailed Explanation:
Option B is correct: The Contract Data provides information required by specific Sub-Clauses in the General Conditions to complete the contract.
Option D is correct: If required data is missing in the Contract Data, some Sub-Clauses may not apply.
Option A is incorrect; definitions generally apply throughout the contract including Specifications and Drawings.
Option C is incorrect; case sensitivity of terms can affect contractual meaning.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 1.1 - Definitions and Contract Data FIDIC Contract Manager Study Guide, Module on Contract Documents

NEW QUESTION # 138
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 Compliance Verification System to show that the design, materials, workmanship and certain other matters all comply.
B. New procedures requiring the Contractor to prepare and implement a Quality Management System to show compliance with the Contract requirements.
C. 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.
D. A fair and balanced approach where risk is allocated to the Party that is best able to bear and control that risk.

Answer: A

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 # 139
(Which two statements are correct for the FIDIC Red Book (edition 2017)?
Choose all of the correct answers (multiple possibilities).)

A. Contract Data is part of General Conditions of Contract.
B. The Contract includes the General Conditions and Particular Conditions, and no other documentation.
C. Contract Agreement, Letter of Acceptance and Letter of Tender are part of the Contract.
D. Conditions of Contract means these General Conditions as amended by Particular Conditions.

Answer: C,D

Explanation:
Under FIDIC Red Book 2017, Clause 1.1 [Definitions] and Clause 1.5 [Priority of Documents] define the composition and hierarchy of the Contract. The Contract is not limited to only General and Particular Conditions; it includes multiple documents such as the Contract Agreement, Letter of Acceptance, Letter of Tender, Specifications, Drawings, and Schedules. Therefore, Option A is incorrect.
Option B is correct. The term "Conditions of Contract" explicitly refers to the General Conditions as modified or amended by the Particular Conditions. This reflects how Particular Conditions adapt the standard FIDIC provisions to project-specific requirements while forming a single integrated set of contractual conditions.
Option C is incorrect because Contract Data forms part of the Particular Conditions, not the General Conditions. It contains project-specific data that complements and modifies the General Conditions.
Option D is correct. The Contract Agreement, Letter of Acceptance, and Letter of Tender are explicitly listed as core Contract documents under FIDIC 2017. These documents establish the legal formation of the Contract and define the agreed scope, price, and commitments between the Parties.
This structure ensures clarity, proper hierarchy, and enforceability of contractual obligations in FIDIC contracts.

NEW QUESTION # 140
The FIDIC Red Book (edition 1999) deals with Value Engineering Clause. It follows from this clause that the Contractor shall give notice to the Engineer with supporting particulars. Upon receiving this notice, the Engineer shall proceed in accordance with Sub-Clause 3.5 to agree or determine this Cost, which shall be included in the Contract Price.

A. False
B. True

Answer: B

Explanation:
Under FIDIC Red Book (1999), the Value Engineering Clause requires the Contractor to notify the Engineer with full details and cost implications when proposing Value Engineering changes. The Engineer then follows the Variation procedure in Sub-Clause 3.5 to agree or determine the cost adjustment, which will be reflected in the Contract Price.
This ensures transparent handling of Value Engineering proposals and proper contractual adjustments.
References:
FIDIC Red Book 1999 Edition, Sub-Clause 13.1 - Value Engineering
FIDIC Contract Manager Study Guide, Module on Variations and Value Engineering

NEW QUESTION # 141
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