UPDATE
[MOST TESTED QUESTIONS] COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS GET IT 100%
CORRECT [ALREADY PASSED] GRADE A+
According to NCQA practitioners must be notified of credentialing
decision within how many days? - (correct answer) 60 Days
The DHHS mails a copy of the NPDB report to the named provider. If
the provider wishes to dispute the reports accuracy, the provider has
how many days to do so? - (correct answer) 60 Days
According to URAQ, within how many days must the practitioner be
notified of credentialing decisions? - (correct answer) 10 Days
What two accreditors state: a hospital may not rely solely on board
certification when considering practitioner for medical staff
membership? - (correct answer) HFAP, CMS
According to JC & HFAP name four approved sources PSV for Medical
Education - (correct answer) Medical School, AMA, ECFMG, AOA
,How many days does a practitioner have to dispute an NPDB report
accuracy - (correct answer) 60 Days
Which accrediting body requires five year verification of malpractice
history - (correct answer) NCQA
What is commonly used source for verifying malpractice history -
(correct answer) NPDB
According to the JC a fair hearing and appeals process as described in
the medical staff bylaws is available to whom? - (correct answer)
Medical staff members and non-members holding clinical privileges
T/F Only the highest of training must be verified according to NCQA -
(correct answer) True
According to the Joint Commission a peer recommendation should
address what six competencies? - (correct answer) Medical
knowledge\nTechnical & clinical skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are available for
credentialing a the original site? - (correct answer) Full
credentialing, use of the distant sites credentialing
,According to JC what is included in the process of planning and
implementing privileges? - (correct answer) Develop & approve
procedure list\nProcess the application\nEvaluate applicant specific
information\nSubmit recommendations to governing body for
applicant specific delineated privileges\nNotify the applicant, relevant
personnel\nMonitor the use of privileges
Are payments made by a physician in a malpractice claim reportable to
the NPDB? - (correct answer) No
Who requires Peer References - (correct answer) JC, HFAP, AAAHC
Who reappoints - (correct answer) JC, HFAP, NCQA, URAC
Who requires an attestation? - (correct answer) NCQA, URAC,
AAAHC
Who requires education verification? - (correct answer) JC, HFAP,
URAC, AAAHC
Who requires statement regarding felony convictions? - (correct
answer) HFAP, NCQA, AAAHC
, Attestation must state that the information submitted is complete &
correct - (correct answer) NCQA, AAAHC
Attestation must state that the information submitted is complete &
accurate - (correct answer) URAC
Attestation must include inquiry regarding illegal drug use? - (correct
answer) NCAQ
Attestation must include inquiry regarding inability to perform essential
functions? - (correct answer) NCQA
Attestation must include inquiry regarding history or loss or limitations
of licensure or privileges or disciplinary actions? - (correct answer)
NCQA
Attestation must include inquiry regarding current malpractice
coverage? - (correct answer) NCQA
Attestation must include inquiry regarding felony convictions? -
(correct answer) NCQA
Applicant must attest to limitations on ability to perform functions of
the position with or without accomodation, if any - (correct answer)
NCQA