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- Medical Professional CCM Exam Syllabus Topics:
- Section Objectives
- Rehabilitation and Disability Management - Rehabilitation principles
- Return-to-work planning
- Ethics, Legal, and Regulatory Aspects - Professional ethics in case management
- Legal and regulatory compliance
- Psychosocial and Support Systems - Community resources and support systems
- Psychosocial assessment
- Quality and Outcomes Evaluation - Outcome measurement and evaluation
- Quality improvement methods
- Care Delivery and Reimbursement Methods - Insurance and reimbursement structures
- Healthcare delivery systems
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- Medical Professional Certified Case Manager Certification Exam (CCM) Sample Questions (Q77-Q82):
- NEW QUESTION # 77
- You are the Contract Manager for the Engineer in a hospital project using FIDIC Yellow Book (edition 2017).
- The Employer demands perfection in the project ' s design and construction quality. There are many Variations initiated by the Employer during design and construction. Which one of the following is considered to be a valid Variation?
- A. The Engineer requests a proposal regarding a change in type of windows and doors. The Contractor submitted the proposal accordingly to the Engineer. The Engineer instructs the Variation.
- B. The Employer verbally instructs a change in the type of doors. The Engineer issued a Notice describing the required change and denying any costs for the Contractor.
- C. The Contractor submits a Value Engineering proposal regarding the lighting system for the operation rooms. The Engineer is positive about the proposal and tells the Contractor they need to look into it.
- D. The Engineer instructs a change in slopes of the access road to the intensive care unit to meet the Employer ' s Requirement. The Engineer does so with a Notice in accordance with Sub-Clause 3.5.
- Answer: D
- Explanation:
- Option B is correct: A Variation is a formal change to the Works instructed by the Engineer via a Notice (Sub- Clause 3.5). This includes changes to design or execution such as slopes on a road.
- Option A is a proposal, not yet a Variation. Positive interest does not constitute a Variation.
- Option C is partially correct but depends on formal instruction after proposal acceptance; the question specifies the Engineer instructs the Variation, but since it was a request for proposal first, the Variation instruction comes later. Without explicit instruction, this is not yet a Variation.
- Option D is invalid as verbal instruction plus a Notice denying cost claims does not constitute a proper Variation.
- References:
- FIDIC Yellow Book 2017 Edition, Sub-Clause 3.5 - Variation Procedure
- FIDIC Contract Manager Study Guide, Module on Variations and Change Management
- NEW QUESTION # 78
- Which one of the following claim events does NOT allow profit?
- A. Under the Construction Contract, interference by the Employer with Tests on Completion.
- B. Under the Construction Contract, the failure of the Employer to give right of access to the site.
- C. Under the Plant and Design-Build Contract, errors in the Employer ' s requirements.
- D. Under the Construction Contract, the Engineer ' s delay in supplying drawings or issuing instructions.
- E. Under the Construction Contract, the relevant authority had unnecessarily delayed the approval.
- Answer: E
- Explanation:
- Under FIDIC contracts:
- Profit is usually allowed on claims arising from Employer-caused delays, instructions, or breaches that directly affect the Contractor's performance or costs (Options A, B, C, and E).
- Option D relates to delays caused by third parties (authorities). Typically, delays caused by relevant authorities (e.g., permit or approval delays) are treated differently, and profit is not generally recoverable on these claims as they are considered neutral or force majeure-type delays. The Contractor may receive an extension of time and reimbursement of direct costs but not profit.
- Thus, Option D is the claim event where profit is not allowed.
- References:
- FIDIC Red, Yellow, and Silver Books 1999 and 2017 Editions, Clauses on Claims and Compensation FIDIC Contract Manager Study Guide, Module on Claims and Profit on Claims
- NEW QUESTION # 79
- 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?
- 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 agreed by Parties.
- C. The current index or price.
- D. Each index or price applicable on the date 49 days before the expiry of the Time for Completion of the Works.
- Answer: D
- Explanation:
- Comprehensive and Detailed Explanation:
- Under FIDIC Red Book 1999, price adjustments after the Time for Completion are based on the indices or prices applicable on the date 49 days before the expiry of the Time for Completion, not the current index. This prevents the Contractor from benefiting from price fluctuations after the contract period.
- This clause ensures fairness by locking the price basis as of a fixed reference date, protecting the Employer from increased costs due to delays.
- References:
- FIDIC Red Book 1999 Edition, Sub-Clause 13.8 - Adjustments for Changes in Cost FIDIC Contract Manager Study Guide, Module on Price Adjustment
- NEW QUESTION # 80
- 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 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.
- C. 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.
- D. 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.
- Answer: A
- Explanation:
- In FIDIC Yellow Book (1999), the Contractor is responsible for scrutinizing the Employer's Requirements per Sub-Clause 5.1 and must notify any discrepancies or errors. However, passing this obligation to a Subcontractor, and requiring the Subcontractor to indemnify the Contractor for errors or defects arising from the Employer's Requirements or the Contractor's design, unfairly shifts risk and liability to the Subcontractor.
- The Subcontractor is likely not in a position to fully review or control the Employer's Requirements or the overall Contractor's design. This exposes the Subcontractor to excessive risk, beyond their scope and capacity.
- Advice C highlights that the Subcontractor becomes vulnerable to claims for design defects outside their control. This misallocation of risk is generally not recommended and can be challenged during contract negotiation. Good contract management practice and risk allocation principles (FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution) support this position.
- While Options A, B, and D propose different approaches, only C correctly identifies the fundamental contractual and risk management issue that should prevent the Subcontractor from entering the contract as is.
- References:
- FIDIC Yellow Book 1999, Sub-Clause 5.1 - Contractor's General Obligations FIDIC Contract Manager Study Guide, Module on Claims and Dispute Resolution FIDIC Contract Manager Study Guide, Module on Risk Management
- NEW QUESTION # 81
- In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
- " In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction. " What GP(s) is/are breached?
- A. GP3 only
- B. GP1, GP2 and GP3
- C. GP1 only
- D. GP1 and GP3
- Answer: D
- NEW QUESTION # 82
- .....
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