CPCS EXAM (ACTUAL EXAM) WITH
QUESTIONS WITH VERY ELABORATED
ANSWERS CORRECTRY WELL ORGANIZED
LATEST 2024 – 2025 ALREADY GRADED A+
describe the course of conduct or action pursued or the management of a matter
in certain circumstances. Policies are often used to address internal matters and
may be subject to frequent change. The medical Staff may delegate the authority
for changing the rules and regs to the MEC. - ANSWERS-Policies and Procedures -
Why should MSP's be familiar with the regs and accreditation standards that
apply to their organization? - ANSWERS-It is a good idea to audit bylaws, rules,
regs, and policies to make sure that they comply with state regs and accreditation
standards.
What if you find out you are not compliant with your bylaws? - ANSWERS-You
should determine the basis for the bylaw requirement, if it is not required by
accreditation standards, state of federal regs, confer with your legal counsel as to
whether not to change the bylaws to reflect your current practice.
,According to URAQ, within how many days must the practitioner be notified of
credentialing decisions? - ANSWERS-10 Days
How many days does a practitioner have to dispute an NPDB report accuracy -
ANSWERS-60 Days
Which accrediting body requires five year verification of malpractice history -
ANSWERS-NCQA
What is commonly used source for verifying malpractice history - ANSWERS-NPDB
According to the JC a fair hearing and appeals process as described in the medical
staff bylaws is available to whom? - ANSWERS-Medical staff members and non-
members holding clinical privileges
T/F Only the highest of training must be verified according to NCQA - ANSWERS-
True
According to the Joint Commission a peer recommendation should address what
six competencies? - ANSWERS-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? - ANSWERS-Full credentialing, use of the distant sites
credentialing
According to JC what is included in the process of planning and implementing
privileges? - ANSWERS-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?
- ANSWERS-No
Who requires Peer References - ANSWERS-JC, HFAP, AAAHC
Who reappoints - ANSWERS-JC, HFAP, NCQA, URAC
Who requires an attestation? - ANSWERS-NCQA, URAC, AAAHC
Who requires education verification? - ANSWERS-JC, HFAP, URAC, AAAHC
What two accreditors state: a hospital may not rely solely on board certification
when considering practitioner for medical staff membership? - ANSWERS-HFAP,
CMS
, According to JC & HFAP name four approved sources PSV for Medical Education -
ANSWERS-Medical School, AMA, ECFMG, AOA
According to NCQA practitioners must be notified of credentialing decision within
how many days? - ANSWERS-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?
- ANSWERS-60 Days
Who requires statement regarding felony convictions? - ANSWERS-HFAP, NCQA,
AAAHC
Attestation must state that the information submitted is complete & correct -
ANSWERS-NCQA, AAAHC
Attestation must state that the information submitted is complete & accurate -
ANSWERS-URAC
Attestation must include inquiry regarding illegal drug use? - ANSWERS-NCAQ
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