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Last Updated: Oct 06, 2026

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Medical Professional CCM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Care Delivery and Reimbursement Methods31%- Case management concepts, processes, and principles
- Reimbursement pathways and utilization management tools
  • 1. Managed care models and funding sources
  • 2. Government and commercial insurance plans
Topic 2: 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 3: Rehabilitation Concepts and Strategies9%- 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 4: Ethical, Legal, and Practice Standards15%- CCMC Code of Professional Conduct parameters
- Regulatory compliance requirements and frameworks
  • 1. Affordable Care Act impacts
  • 2. Patient privacy mandates and HIPAA
Topic 5: Psychosocial Concepts and Support Systems27%- Client dynamics and social determinants of health
  • 1. Cultural competency and spiritual influences
  • 2. Family and support system evaluation
  • 3. Crisis intervention techniques
- Behavioral health conditions and dependencies

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

Question #1

Which of the following documents form part of a FIDIC Construction Contract [ " Red Book " (1999)], hence, to be drafted and included among the Tender Documents? (2 correct answers apply) Choose all of the correct answers (multiple possibilities).

  • A. Specifications
  • B. Schedule of Guarantees
  • C. Schedule of Baselines
  • D. Bill of Quantities
  • E. Employer ' s Requirements
Reveal Solution  Discussion  0

Correct Answer: A,D  🗳️

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 a Letter of Intent.
  • B. The Employer received the Contractor ' s Letter of Tender and issued Letter of Acceptance.
  • C. The Employer received the Contractor ' s Letter of Tender and issued a conditional Letter of Acceptance.
  • D. The Employer and the Contractor signed the Contract Agreement.
Reveal Solution  Discussion  0

Correct Answer: B,D  🗳️

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Question #3

Under the FIDIC Red Book (edition 1999), as part of the Contractor submission of Statement, any amount to be deducted for retention, will be calculated by applying the percentage of retention stated in the Appendix to Tender to the total of: (two correct answers apply) Choose all of the correct answers (multiple possibilities).

  • A. The estimated contract value of the Works executed.
  • B. Any amounts to be added and/or deducted for the advance payment and repayments under Sub-Clause
    14.2.
  • C. Any amounts to be added and deducted for Plant and Materials in accordance with Sub-Clause 14.5.
  • D. Any amounts to be added and deducted for changes in legislation and changes in cost.
Reveal Solution  Discussion  0

Correct Answer: A,C  🗳️

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Question #4

There are four reasons that the Employer/Contractor shall advise in advance each other and the Engineer of any known or future events or circumstances.
Which two of the following statements are NOT applicable reasons?
(Choose all correct answers - multiple possibilities)

  • A. Adversely affect the work of the Contractor ' s Personnel.
  • B. Increase the performance of the Works when completed.
  • C. Decrease the Contract Price.
  • D. Delay the execution of the Works or a Section.
Reveal Solution  Discussion  0

Correct Answer: B,C  🗳️

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Question #5

(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. Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
  • 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 agreed by Parties.
  • C. The current index or price.
  • D. 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.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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