Exam Medical Professional CCM Pass Guide & CCM Study Plan

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Medical Professional CCM Exam Syllabus Topics:

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

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Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q44-Q49):

NEW QUESTION # 44
(Which two answers show characteristics of Test on Completion or Test After Completion under the FIDIC Silver Book (edition 1999)?
Choose all of the correct answers (multiple possibilities).)

A. Although Tests after Completion fail, it may be considered as passed when performance damages specified in the contract are paid by the Contractor.
B. Tests after Completion are carried out by the Employer.
C. The Employer can either opt for Tests on Completion or Tests after Completion, but not both.
D. In case of failure of the Test on Completion, the Employer may accept the Works, thereby reducing the Contract Price.

Answer: A,D

Explanation:
Under the FIDIC Silver Book 1999, Clause 9 governs Tests on Completion, while Clause 12.4 addresses Tests after Completion. These provisions define performance verification before and after Taking-Over.
Option A is correct. Under Sub-Clause 9.4 [Failure to Pass Tests on Completion], if the Works fail the Tests on Completion, the Employer has several options, including accepting the Works subject to a reduction in the Contract Price. This reflects the commercial flexibility within FIDIC, allowing completion despite minor deficiencies, with financial adjustment.
Option D is also correct. Under Sub-Clause 12.4 [Failure to Pass Tests after Completion], if the Works fail post-completion performance tests, the Contractor may be required to pay performance damages. Once these damages are paid, the Works may be deemed to have satisfied the required performance levels. This mechanism ensures that operational deficiencies are compensated financially rather than requiring physical rectification in all cases.
Option B is incorrect because both Tests on Completion and Tests after Completion can coexist within the same contract; they serve different purposes (pre-taking-over vs post-taking-over performance verification).
Option C is incorrect because Tests after Completion are generally carried out by or under the responsibility of the Contractor, not solely the Employer, although the Employer may witness them.
These provisions demonstrate FIDIC's structured approach to quality assurance and risk allocation across different project stages.

NEW QUESTION # 45
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 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.
B. The Engineer requests a proposal regarding a change in type of windows and doors of the business centre.
C. The Engineer instructs a change in slopes of stairs to the parking lot with an Instruction in accordance with Sub-Clause 3.3.
D. The Contractor submits a Value Engineering proposal, in which it proposed to change the colour of the outdoor paint. The Engineer approved the proposal.

Answer: D

Explanation:
Comprehensive and Detailed 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 # 46
Under the FIDIC Red Book (edition 2017), the Engineer has suspended works to come to a change of the design of a part of the Works. After expiry of 84 days of suspension, the Contractor gave notice thereof.
Following this notice, the suspension was not lifted within 28 days. What two statements are correct in such a situation?

A. Under the Contract the Parties cannot agree on further suspension and the Contractor may immediately terminate the Contract if it affects the whole Works.
B. The Contractor may terminate the Contract if it affects the whole Works, but only after it has given a second notice to the Engineer.
C. The Contractor cannot terminate the Contract.
D. The Contractor may omit the affected part of Works and deny to carry out such Work going forward, but only after it has given a second notice to the Engineer.

Answer: A,B

Explanation:
Under FIDIC Red Book 2017, if the Engineer suspends works for more than 84 days and the Contractor notifies the Engineer, but the suspension is not lifted within 28 days, the Contractor may terminate the contract if the suspension affects the whole of the Works (Option A).
Additionally, the Contractor must give a second notice before termination (Option C). This process ensures proper communication and adherence to contractual procedures.
Option B is incorrect; termination is allowed under specified conditions.
Option D is incorrect; omission of work is not generally permitted without formal termination.
References:
FIDIC Red Book 2017 Edition, Sub-Clause 8.9 - Suspension by Engineer
FIDIC Contract Manager Study Guide, Module on Suspension and Termination

NEW QUESTION # 47
Which of the following obligations are relevant to the Engineer ' s roles with regards to insurance? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

A. The Engineer shall receive a copy of the evidence(s) demonstrating Contractor ' s payment of the necessary insurance premiums.
B. The Engineer should continuously monitor that the Contractor ' s insurance policies are kept valid, and extensions are duly arranged, when necessary.
C. The Engineer is entitled to take out an insurance on behalf of the Contractor, in case the Contractor fails to extend the validity of a specific insurance.
D. The Engineer shall immediately suspend all construction activities at the Site, in case the Contractor failed to take out any necessary insurance.

Answer: A,B

Explanation:
Option A is correct: The Engineer is entitled to receive evidence that the Contractor has paid for the necessary insurance policies.
Option C is correct: The Engineer has the role of monitoring the validity of these insurances and ensuring that renewals or extensions are arranged in a timely manner.
Option B is incorrect; the Engineer does not have the authority to take out insurance on behalf of the Contractor.
Option D is incorrect; suspension of construction activities is not automatically the Engineer's role for insurance lapses but may require instructions from the Employer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 18 - Insurances FIDIC Contract Manager Study Guide, Module on Contract Administration and Insurance

NEW QUESTION # 48
Before applying the procurement process of any FIDIC Book, the Employer should always check if there are local procurement rules that also apply. Which one of these responses is correct?

A. Yes, but this is only applicable for public entities like governments. If the Employer is a private organisation (like a company), they are free to procure how they want.
B. No, because Employers never have specific procurement rules.
C. Yes, based on the law system, internal governance or type of Employer additional procurement rules can apply.
D. No, because the FIDIC procurement process is universal.

Answer: C

Explanation:
Local procurement laws, regulations, and internal governance rules often apply in addition to or alongside FIDIC contract provisions. Employers, whether public or private, must comply with applicable national or sector-specific rules, which may affect procurement procedures, documentation, and contract award processes.
Option C is correct because procurement requirements depend on local legal systems, the nature of the Employer, and applicable governance.
Option A is incorrect as FIDIC contracts provide contractual frameworks but do not override local legal obligations.
Option B is incorrect because many Employers have procurement policies.
Option D is incorrect since private entities may also be subject to procurement laws or internal policies.
References:
FIDIC Contract Manager Study Guide, Module on Contract Formation and Procurement Strategies World Bank Procurement Guidelines and National Procurement Laws

NEW QUESTION # 49
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