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Medical Professional Medical Professional Exams CCM

CCM

Exam Code: CCM

Exam Name: Certified Case Manager Certification Exam (CCM)

Updated: Oct 05, 2026

Q & A: 142 Questions and Answers

CCM Free Demo download:

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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Quality and Outcomes Evaluation and Measurements18%- Quality indicator metrics and performance tools
  • 1. Accreditation standard configurations
  • 2. Cost-benefit analysis algorithms
- Caseload calculation metrics and tracking standards
Topic 2: Rehabilitation Concepts and Strategies9%- Vocational and physical rehabilitation pathways
  • 1. Assistive device adaptation strategies
  • 2. Chronic illness and disability support models
- Worker recovery and return-to-work solutions
Topic 3: Care Delivery and Reimbursement Methods31%- 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 Systems27%- Client dynamics and social determinants of health
  • 1. Crisis intervention techniques
  • 2. Cultural competency and spiritual influences
  • 3. Family and support system evaluation
- Behavioral health conditions and dependencies
Topic 5: Ethical, Legal, and Practice Standards15%- Regulatory compliance requirements and frameworks
  • 1. Patient privacy mandates and HIPAA
  • 2. Affordable Care Act impacts
- CCMC Code of Professional Conduct parameters

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

Question #1
(You are the Contract Manager for the Engineer in a highway project using FIDIC Red Book (edition 1999).
There is a Schedule of cost indexation included in the Contract. The project must be completed by 31 December of this year. If the Contractor fails to complete the Works by then, how will the adjustment of prices take place thereafter? (1 correct answer applies))

A. Either the current index/price, or index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works, whichever is more favourable to the Employer.
B. Either the current index/price, or index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works, whichever is agreed by the Parties.
C. Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
D. The current index or price.


Question #2
Which of the following situations form legally binding contracts? (2 correct answers apply) Choose all of the correct answers (multiple possibilities)

A. The Employer received the Contractor ' s Letter of Tender and issued Letter of Acceptance.
B. The Employer received the Contractor ' s Letter of Tender and issued a Letter of Intent.
C. The Employer and the Contractor signed the Contract Agreement.
D. The Employer received the Contractor ' s Letter of Tender and issued a conditional Letter of Acceptance.


Question #3
Which of the following statements are not correct?
Choose all of the correct answers (multiple possibilities).

A. Subcontractors cannot attend management or progress meetings unless the Engineer ' s approval is obtained.
B. Only the Engineer can call for a meeting
C. The Engineer shall keep records of the Progress Meetings.
D. The Contractor or the Engineer can request a meeting.
E. Only the Employer can call for a meeting.


Question #4
The Employer has prepared a contract for a waste-to-energy project based on the FIDIC Yellow Book (edition
1999). You are preparing negotiations on behalf of one of the Subcontractors with the Contractor. The main Contractor will manage the design and build of the Works, whereby the Subcontractor will deliver critical systems regarding power generation and cooling. The Contractor intends to contract the main Contract back- to-back with the Subcontractor. In the proposed back-to-back subcontract, the following amendment is proposed through Particular Conditions:
" Sub-Clause 4.4. The following paragraph is added: The Subcontractor is required to scrutinize the Employer
' s Requirements in a manner identical to the obligations of the Contractor as stated in Sub-Clause 5.1 of the Main Contract. The Subcontractor will indemnify and hold harmless (up to the maximum liability of the Subcontractor) the Contractor with regard to any error, fault or other defect found in the Employer ' s Requirements, its items of reference or Contractor ' s design of the Works for the scope part for which Subcontractor is contracted. " What is your advice to the Subcontractor (SC) in regard to entering this proposed subcontract?

A. I would advise the SC not to enter this contract, because Sub-Clause 4.4 describes the obligations of SC towards Contractor, but this amendment positions the SC in a vulnerable position for claims regarding all errors, faults or other Defects (whether originating from the Employer ' s Requirements or the design of the Contractor). Essentially, this means the SC becomes liable for the design part, which is within the scope of Contractor even without SC having the opportunity to review it.
B. I would advise the SC not to enter this contract because the Contractor is obliged to act in accordance with good faith. A proposed paragraph like this opposes good faith.
C. I would advise the SC to discuss this amendment with the insurance company just to be sure there will be no transfer of risks. This amendment is mainly a consequence of the FIDIC Yellow Book structure, where the Contractor has obligations in terms of scrutinizing the Employer ' s Requirements. This amendment makes this obligation more explicit. If the insurance company has no problems with insuring the parts which will be delivered by SC to Contractor, the SC can accept this risk and enter into the subcontract.
D. I would advise the SC to enter the Contract with the request to the Contractor to delete this amendment in the Particular Conditions. If the Contractor does not agree to do so, at least the Subcontractor has tried its best.


Question #5
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. The Contractor may terminate the Contract if it affects the whole Works, but only after it has given a second notice to the Engineer.
B. Under the Contract the Parties cannot agree on further suspension and the Contractor may immediately terminate the Contract if it affects the whole Works.
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.


Solutions:

Question #1
Correct Answer: A
Question #2
Correct Answer: A,C
Question #3
Correct Answer: B,E
Question #4
Correct Answer: A
Question #5
Correct Answer: A,B

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