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Medical Professional CCM Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Quality and Outcomes Evaluation and Measurements | 18% | - Caseload calculation metrics and tracking standards - Quality indicator metrics and performance tools
|
| Psychosocial Concepts and Support Systems | 27% | - Behavioral health conditions and dependencies - Client dynamics and social determinants of health
|
| Ethical, Legal, and Practice Standards | 15% | - Regulatory compliance requirements and frameworks
|
| Care Delivery and Reimbursement Methods | 31% | - Reimbursement pathways and utilization management tools
|
| Rehabilitation Concepts and Strategies | 9% | - Worker recovery and return-to-work solutions - Vocational and physical rehabilitation pathways
|
Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions:
1. (Under the FIDIC Red Book, which of the following statements are correct? [2017 Edition] (2 correct answers apply) Choose all of the correct answers (multiple possibilities).)
A) A DAAB member nominated by one of the Parties must be agreed by the other Party.
B) The FIDIC Red Book ' s General Conditions specify a standing DAAB.
C) If the Employer or the Contractor fails to notify its dissatisfaction with an Engineer ' s ruling within the specified time, the DAAB ' s decision is final and binding.
D) An attempt to reach an amicable settlement is a mandatory requirement before an Engineer ' s ruling can be referred to a DAAB.
E) A decision by a DAAB is not final and binding on the Parties until it is confirmed by an arbitration award.
2. (If a Section or Part has been taken-over but the Taking-Over Certificate has not been issued for the Works, the Engineer has the right to instruct a Variation to that Section/Part. Is this statement true or false?)
A) True
B) False
3. Which two of the following statements are correct regarding Dispute under the FIDIC Red, Yellow, and Silver Books (edition 2017)?
Choose all of the correct answers (multiple possibilities)
A) Both ' Disagreement ' and ' Dispute ' are defined terms under the Conditions of Contract.
B) If a Party is dissatisfied with the determination and has given Notice of Dissatisfaction (NOD) to the other party within a strict 28-day time limit, a Dispute arises and either Party may proceed under Sub- Clause 21.4 to obtain a DAAB decision on it.
C) In case the Engineer refuses to issue a Performance Certificate or to issue one with a correct date under Sub-Clause 11.9, and the Contractor has disagreed with the requested entitlement or relief in connection with this refusal, Dispute shall be deemed to have arisen.
D) The Dispute must be submitted to the Dispute Avoidance and Adjudication Board (DAAB) within 42 days, otherwise the NOD is deemed to have lapsed and is no longer valid.
4. What does discharge confirm under the FIDIC Red Book (edition 1999)?
A) It confirms full and final settlement of all money due to the Contractor.
B) It confirms interim settlement of all money due to the Contractor
C) None of the above three statements is correct.
D) It confirms the immediate end to the Contract unconditionally whenever issued.
5. What are two differences between a notice and other communications under the FIDIC Red Book (edition
2017)? (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).
A) Notice is a defined term, while other communications are not defined as a term in the General Conditions.
B) Contractually there is no difference between a notice and other communications.
C) Both ' Notice ' and ' Other Communications ' are defined terms under the Conditions of Contract.
D) The Parties and Engineer shall be given original or copy of any Notice, Notice of Dissatisfaction (NOD) and Certificates, which is not always the case for other communications.
Solutions:
| Question # 1 Answer: A,B | Question # 2 Answer: B | Question # 3 Answer: B,C | Question # 4 Answer: A | Question # 5 Answer: A,D |



