Exam (elaborations)
CPCS Questions with Correct Answers
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CPCS Questions with Correct Answers
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CPCS Questions with Correct AnswersAppointment Timeframe - TJC Correct Answer-Not to exceed two years
Appointment Timeframe - NCQA Correct Answer-Recredential at least
every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP Correct Answer-At least every 24
months
Appointment Timeframe - DNV Correct Answer-Not to exceed 3 years
Appointment Timeframe - URAC Correct Answer-At least every 3 years
Cycle to the month
Appointment Timeframe - AAAHC Correct Answer-Not to exceed 3
years
Appointment Timeframe - CMS Correct Answer-Practitioner - at least
every 24 months
Surgery - every two years
Attestation Statement Timeframe - NCQA Correct Answer-365 days
from final approval
,305 - CVO
Attestation Statement Timeframe - URAC Correct Answer-180 days
prior to credentials committee review
Doesn't require attestation statement Correct Answer-TJC, DNV, CoPs
Board Certification Time Limit - NCQA Correct Answer-180 days
120 days CVO
Board Certification Time Limit - URAC Correct Answer-6 months
Board Certification Verification Required at Recredentialing by Correct
Answer-NCQA - verification
HFAP - review
AAAHC
What is typically monitored for expiration? Correct Answer-Board
certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and Expiration by
Correct Answer-URAC
,PSV for Board Certification Correct Answer-ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of
board status
Confirmation from board
NCQA Approved Source: requirement for verifying source completes
PSV Correct Answer-Organization verifies source performs PSV
At least annually organization obtains written confirmation that source
performs PSV
QAPI Correct Answer-Medicare CoPs require periodical appraisals of
members through Quality Assessment Performance Improvement
(QAPI) process
must include complaints regarding medical staff-related issues
Complaints evaluation - NCQA Correct Answer-Evaluate history of
complaints for all practitioners at least every 6 months
CME not addressed by Correct Answer-NCQA, URAC, AAAHC, CoPs
Evaluation of CVO - TJC Correct Answer-9 principles
Data & Info available
processes utilized
limitations of info
, identification of primary source vs. secondary source
quality control measures related to data integrity, security, transmission,
etc.
Criminal Background Check - HFAP Correct Answer-Application
requests criminal history information for 7 - 10 years
Facility conducts background investigation as required
Criminal Background Check required by Correct Answer-TJC, HFAP
FSMB Correct Answer-Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board actions, or if
physician is clean.
Disciplinary alert service: notification for report of MD, DO, or PA
NPDB information available: Correct Answer-Medical malpractice
payments
Adverse licensure action
Dismissal or closure of proceedings
Adverse clinical privileging actions
Adverse professional society membership
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