NAMSS Study Combined Sets: CPCS Practice Q&A With Questions And
100% SURE ANSWERS
Pre
Terms in this set (30)
Why is it important to check that the practitioner is The Faciltiy won't get paid for treating patients unlsee service is provided by authorized provider.
not currently excluded, suspended, debarred, or
ineligeble to participate in Federal health care
programs?
Which of the following credentials must be tracked Licensure
on an ongoing basis
Accoding to NCQA standards, an organization that Determine if there is evidence of poor quality that could affect the health and safety of its members.
discovers sanction information, complaints, or
adverse events regarding a practitioner must take
what action?
NAMSS Study Combined Sets: CPCS Practice Q&A
, What is the name of the entity that was established The National Practitioner Data Bank
through the Health Care Quality Improvement Act
of 1986 to restrict the abiltiy of incompetent
physicians, dentists and other health care
practtitioners to move from state to state without
disclosure or discovery of previous medical
malpractice payment and adverse action history?
When developing clinical privileging criteria, which Established standards of practice such as, specialty board recommendations.
of the following is important to evaluate?
What is the main reason for periodically assessing To proctect patient safety by ensuring current competency, revelance to the facility, and accepted
appropriateness of clinical privileges for each standards of care.
specialty?
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Which of the following specialists is most likely to Interventional Cardiologist
perform a PTCA?
1. Receive application
2. Verify completeness and that all requested materials are included
3. Process Application: Conduct Primary Source Verification and verify current competency for
What is the correct order the JC uses to process privileges requested
applications? 4. Chief of Service/Department Chair review and recommendation (if departmentalized)
5. Executive Committee reviews and makes recommendations to the Board of Trustees
6. Board approves
7. Notify applicant of final decision
1. Receive application
2. Verifly completeness and that all requested materials are included
3. Process application: Conduct Primary Source Verification
What is the correct order NCQA uses to process
4. Medical Director reviews and approves or makes recommendation to Credentials Committee, if
applications?
required by procedure
5. Credentials Committee reviews for information only or to approve
6. Notify applicant of final decision
1. Receive application and then verify completeness and that all requested materials are included.
2. Process application: Conduct Primary Source Verification and verify current competency for
privileges requested.
What is the correct order HFAP uses to process 3. Chief of Service/Department Chair reviews and makes recommendation (if departmentalized)
applications? 4. Credentials Committee review and recommendation, if credentials committee exists.
5. Executive Committee reviews and makes recommendation to the Board of Trustees
6. Board Approves
NAMSS Study Combined Sets:7.CPCS Practice
Notify applicant of finalQ&A
decision
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