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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Reimbursement Methods | 12% | - Insurance principles and benefit structures - Payment and reimbursement methodologies - Financial resources and negotiation - Managed care and accountable care concepts - Coding and utilization review principles |
| Topic 2: Healthcare Delivery Systems and Community Resources | 10% | - Interdisciplinary collaboration - Healthcare policy and systems - Continuum of care settings - Community-based services and resources |
| Topic 3: Quality and Outcomes Evaluation and Measurements | 10% | - Performance improvement - Outcome measurement and analysis - Accreditation and regulatory standards - Cost-benefit and effectiveness analysis - Data collection and reporting |
| Topic 4: Psychosocial Concepts and Support Systems | 20% | - Abuse and neglect recognition - Family dynamics and support systems - Cultural competence and diversity - Mental health and substance use considerations - Behavioral change theories and models |
| Topic 5: Care Management | 30% | - Age-specific care application - Evidence-based case management models and tools - Medication management - Client-centered care plan development - Cost containment principles - Care coordination and collaboration - Caseload assignment and selection criteria |
| Topic 6: Ethics, Legal, and Practice Standards | 18% | - Confidentiality and privacy - Legal and regulatory requirements - Advocacy and patient rights - Scope of practice and roles - Professional ethics and conduct |
These Medical Professional CCM practice tests simulate the real Certified Case Manager Certification Exam (CCM) (CCM) exam pattern, track your progress, and help you overcome mistakes. Our Certified Case Manager Certification Exam (CCM) (CCM) desktop software is compatible with Windows. Whereas, the web-based Medical Professional CCM Practice Exam works online on iOS, Linux, Android, Windows, and Mac. Additionally, the web-based Certified Case Manager Certification Exam (CCM) (CCM) practice exam is also compatible with MS Edge, Internet Explorer, Opera, Firefox, Safari, and Chrome.
NEW QUESTION # 84
You are the Contract Manager for the Engineer in a hospital project using FIDIC Yellow Book (edition 2017).
The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during design and construction. Which one of the following is considered to be a valid Variation?
Answer: C
Explanation:
Option B is correct: A Variation is a formal change to the Works instructed by the Engineer via a Notice (Sub- Clause 3.5). This includes changes to design or execution such as slopes on a road.
Option A is a proposal, not yet a Variation. Positive interest does not constitute a Variation.
Option C is partially correct but depends on formal instruction after proposal acceptance; the question specifies the Engineer instructs the Variation, but since it was a request for proposal first, the Variation instruction comes later. Without explicit instruction, this is not yet a Variation.
Option D is invalid as verbal instruction plus a Notice denying cost claims does not constitute a proper Variation.
References:
FIDIC Yellow Book 2017 Edition, Sub-Clause 3.5 - Variation Procedure
FIDIC Contract Manager Study Guide, Module on Variations and Change Management
NEW QUESTION # 85
You are the Contract Manager of the Employer's Representative in a Thermal Power Plant Project. The Contract for this project is EPC Turnkey Contract using the FIDIC Silver Book (edition 2017) with a Contract Price of 28 million USD. The Employer's Requirements require that: "the Contractor design in accordance with international and national technical regulations, and standards, [etc.]".
For piling works, the Employer's Requirements state that the Contractor will design according to a specific national standard for piling works NTS-PW-01. After all piles for the jetty have been installed, a pile load test on lateral bearing capacity shows that actual lateral bearing capacity is much lower than the calculated lateral bearing capacity. It was later revealed by the Technical Standard Committee that there was a typo mistake during preparation of the NTS-PW-01 (translated from a foreign standard). The lateral bearing capacity of installed piles had been substantially overestimated as a result of this typo. Contractor submits a claim for
200,000 USD regarding extra costs for installing additional piles as a result of errors in the Employer's Requirements.
In the hydrological information of Site Data provided by the Employer, the annual high water level is 4.0m.
However, during the design stage, with updated data from local stations along the rivers, the Contractor found out there was a mistake in the calculation. The annual high water level should be 4.5m. As a result, the Contractor has to design and build additional flood walls along the river to protect the Plant from flooding.
The Contractor claims an amount of 300,000 USD to construct the flood wall, based on Unforeseeable difficulties.
As the Employer's Representative, after you have consulted with both Parties but failed to reach agreement, you will make a fair determination of the Claims of the Contractor.
In your "Notice of the Employer's Representative's determination", what is your determination for the Contractor?
Answer: D
Explanation:
Both claims are valid under the Silver Book principles:
The error in the Employer's Requirements (typo in NTS-PW-01) leads to entitlement for additional piling costs.
The unforeseen hydrological data causing additional flood protection works qualify as unforeseeable physical conditions entitling the Contractor to compensation.
Hence, Option D is correct - the Contractor is entitled to both claims.
References:
FIDIC Silver Book 2017 Edition, Sub-Clause 4.1 (Employer's Requirements) and Sub-Clause 4.12 (Unforeseeable Physical Conditions) FIDIC Contract Manager Study Guide, Module on Claims and Employer's Requirements
NEW QUESTION # 86
Towards the end of implementing a varied work (initiated originally by the Contractor as a "Value Engineering Proposal", relevant designs provided by the Contractor) it turned out, that there is some part of it not complying with the otherwise prevailing standards. Which statements are correct in this situation? [FIDIC Red Book, 2017 Edition] Choose all of the correct answers (multiple possibilities).
Answer: C,D
Explanation:
Option C is correct: The Contractor is obligated to rectify any non-compliance with prevailing standards promptly.
Option D is correct: The Contractor carries responsibility for design fitness and correctness, even if the Engineer has approved or not objected to the design.
Option A is incorrect; Engineer approval does not absolve the Contractor from responsibility for defective design or works.
Option B is not necessarily required; only non-compliant parts need correction, not entire varied works.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 4.1 and Clause 13 - Contractor's Obligations and Variations FIDIC Contract Manager Study Guide, Module on Variations and Design Responsibilities
NEW QUESTION # 87
(What is the maximum period for the Engineer to issue the Notice of Commencement Date?)
Answer: B
Explanation:
Under FIDIC 1999 and 2017 editions (e.g., Sub-Clause 8.1 [Commencement of Works]), the Engineer is required to give the Contractor not less than 7 days' notice of the Commencement Date. However, the contract also establishes an upper limit for when the Commencement Date must be determined.
The Commencement Date must be within 42 days after the Contractor receives the Letter of Acceptance (1999) or after the Contract Agreement (2017, depending on drafting). This effectively creates the maximum timeframe within which the Engineer must issue the Notice of Commencement.
This provision ensures that the project begins within a reasonable and predictable period after contract formation, preventing undue delay by the Employer or Engineer. It also provides certainty for the Contractor in terms of mobilization, resource planning, and scheduling.
The 42-day limit reflects FIDIC's emphasis on timely project initiation and aligns with other time-bound obligations in Clause 8, which governs commencement, delays, and completion.
Options A (84 days), C (21 days), and D (14 days) are not consistent with FIDIC provisions and therefore are incorrect.
NEW QUESTION # 88
Under both FIDIC Yellow Book (YB) and Silver Book (SB) (edition 1999), if the Engineer (YB) / Employer (SB) instructs the Contractor based on Sub-Clause 8.6 to provide a revised programme, the acceptance by the Engineer (YB) / Employer (SB) of a revised programme with a completion within Time of Completion entitles the Contractor to a payment of the needed extra costs. Is this statement true or false?
Answer: A
Explanation:
This statement is false. Acceptance of a revised programme that shows completion within the Time for Completion does not automatically entitle the Contractor to extra payment. The Contractor must demonstrate additional costs arising from the instruction or circumstances to claim payment.
The acceptance of a compliant programme is a scheduling and administrative matter, not a compensation guarantee.
References:
FIDIC Yellow and Silver Books 1999 Editions, Sub-Clause 8.6 - Revised Programme FIDIC Contract Manager Study Guide, Module on Claims and Payment
NEW QUESTION # 89
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