CPCS EXAM BUNDLE 2023 QUESTIONS & ANSWERS(GRADED A+)

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - ANSWER HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - ANSWER Medical School, AMA, ECFMG, AOA According to NCQ...

What does NCQA stand for? - ANSWER National Committee for Quality Assurance What does URAC stand for? - ANSWER Utilization Review Accreditation Commission What does HFAP stand for? - ANSWER Health Facilities Accreditation Program What does AAAHC stand for? - ANSWER Accreditation Association...

TJC (The Joint Commission) Definition of Credentialing - ANSWER The process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital. NCQA (National Committee for Quality Assurance) definition of creden...

NCQA - ANSWER National Committee for Quality Assurance Which of the 7 accreditation bodies require appointment time frames no greater than 3 years AND base their cycle to the MONTH and NOT the day. - ANSWER NCQA & URAC (National Committee of Quality Assurance AND Utilization Review Accreditation ...

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANSWER a. A facility could lose its accreditation if it does not do so b. It is required by Medicare Conditions or Participation c. The...

Certified Provider Credentialing Specialist - ANSWER The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credent...

What is the 7 step process TJC uses to process applications? - ANSWER 1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Execu...

Why it is important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANSWER The facility won't get paid for treating patients unless service is provided by authorized provider. Which of the following cr...

TJC Phone PSV - ANSWER What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP - ANSWER any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision...

MCO acronym for - ANSWER Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - ANSWER National Association of Medical Staff Services CPCS acronym for - ANSWER Certified Provider Credentialing Specialist CVO acronym for - ANSWER Credential Verifications Organization ...