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CPCS Exam UPDATED Actual Exam Questions and CORRECT Answers

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CPCS Exam UPDATED Actual Exam Questions and CORRECT Answers 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 Me...

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  • September 14, 2024
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CPCS Exam UPDATED Actual Exam
Questions and CORRECT Answers
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


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


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



Applicant must attest to lack of present illegal drug use - CORRECT ANSWER✔✔ -
AAAHC


Applicant must attest to history or loss of license and felony convictions, if any - CORRECT
ANSWER✔✔ - AAAHC


Applicant must attest to history of loss or limitations of privileges or disciplinary actions, if
any - CORRECT ANSWER✔✔ - AAAHC



Applicant must attest to current malpractice insurance coverage? - CORRECT ANSWER✔✔
- AAAHC

, Who requires a malpractice history for applicants? - CORRECT ANSWER✔✔ - JC, HFAP,
NCQA, URAC, AAAHC


Who must have a process in place to address complaints? - CORRECT ANSWER✔✔ - JC,
HFAP, NCQA, URAC


Who requires Board Certification? - CORRECT ANSWER✔✔ - None



Who requires criminal background checks? - CORRECT ANSWER✔✔ - HFAP



Who requires applicant ID - CORRECT ANSWER✔✔ - JC



Who requires an NPDB - CORRECT ANSWER✔✔ - JC, HFAP, NCQA, AAAHC



Who requires current competence? - CORRECT ANSWER✔✔ - JC, HFAP, CMS



How often does the OIG report to the NPDB? - CORRECT ANSWER✔✔ - Monthly


Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to
the NPDB? - CORRECT ANSWER✔✔ - Yes



According to the JC, who may amend the medical staff bylaws? - CORRECT ANSWER✔✔ -
Governing Body


Failure to meet the established qualifications and criteria for appointment should be reported
to whom? - CORRECT ANSWER✔✔ - The applicant


NCQA requires the MCO to obtain a minimum of ???? years of work history? - CORRECT
ANSWER✔✔ - Five Years

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