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

  • Exam Code: CCM
  • Exam Name: Certified Case Manager Certification Exam (CCM)
  • Updated: Aug 22, 2026   Q&As: 142 Questions and Answers

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About Medical Professional CCM Exam

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Medical Professional CCM Exam Syllabus Topics:
SectionWeightObjectives
Topic 1: 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 2: Quality and Outcomes Evaluation and Measurements18%- Caseload calculation metrics and tracking standards
- Quality indicator metrics and performance tools
  • 1. Cost-benefit analysis algorithms
  • 2. Accreditation standard configurations
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:

1. (Golden Principle 2 states that " The Particular Conditions must be drafted clearly and unambiguously. " Which statement best underlines this Golden Principle in relation to the FIDIC Red, Yellow, and Silver Books (both editions)?)

A) Clarifications to the meaning of tender documents together with answers to tenderers' inquiries made during the tender period by the Employer can be inconsistent. If Sub-Clause 1.5 does not provide for the right order, this Sub-Clause can be amended explicitly or implicitly, and this can be done through any of the documents mentioned in Sub-Clause 1.5.
B) Modifications made to the Conditions of Contract during tender negotiations that were only documented in emails between the Parties can be part of the Contract as long as those emails are subsequently included in the List of Contract documents. In such a case, it is not necessary to incorporate those modifications in, for instance, the Particular Conditions.
C) In the Particular Conditions, all changes to the General Conditions must be clearly identified by reference to specific Sub-Clause numbers. Additionally, the Particular Conditions Sub-Clauses must clearly indicate the relationship between the newly introduced text and the corresponding General Conditions Sub-Clauses' original text, e.g., addition, omission, replacement, or amendment.
D) When clarifications are given during the tender period, which might impact several general conditions, it is not necessary to amend all these conditions through the Particular Conditions or to consider which exact general conditions require amendment, as such clarifications are deemed to be self-explanatory.


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. Under the FIDIC Red Book (edition 1999), if the Contractor as per Sub-Clause 14.2 has to ensure the Employer receives an Advance Payment Guarantee as per the standard model, what type of instrument should this be?

A) A surety bond
B) A declaration of joint and several liability
C) A bank guarantee
D) A parent company guarantee


4. Is the Employer obliged under FIDIC Silver Book (edition 1999) to describe which Documents are to be submitted to the Employer? (1 correct response applies)

A) Yes, because otherwise the Contractor doesn ' t have to submit any Document until Completion of the Works as stated in Sub-Clause 1.8.
B) No, because the Contractor has a duty to supply the Employer with every Document, given Sub-Clause
7.4.
C) Yes, the Employer should define which documents it wants to receive from the Contractor as Contractor ' s Documents in the Employer ' s Requirements, as stated in Sub-Clause 5.2.
D) No, according to Sub-Clause 5.7 provisional operation and maintenance manuals are always required.


5. 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?

A) The Contractor is not entitled to either of the Claims.
B) The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer ' s Requirement only.
C) The Contractor is entitled to the Claim for the additional flood wall based on Unforeseeable difficulties only.
D) The Contractor is entitled to both Claims.


Solutions:

Question # 1
Answer: C
Question # 2
Answer: B
Question # 3
Answer: C
Question # 4
Answer: C
Question # 5
Answer: D

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