CPCS Exam Questions with Correct Answers
NCQA Correct Answer-National Committee for Quality Assurance
Which of the 7 accreditation bodies require appointment time frames no
greater than 3 years AND base their cycle to the MONTH and NOT the
day. Correct Answer-NCQA & URAC (National Committee of Quality
Assurance AND Utilization Review Accreditation Commission )
Which of the 7 accreditation bodies makes the RECOMMENDATION
appointment timeframe be at LEAST 24 months, in the absence of a
State law. Correct Answer-CMS, HFAP, DNV, and AAAHC
TJC Correct Answer-The Joint Commission
Which of the 7 accreditation bodies only allow a 2 year appointment
Correct Answer-The Joint Commission
Which of the 7 accreditation bodies uses the terminology LIP Correct
Answer-The Joint Commission
By what standard do the TJC consider you a LIP (Licensed Independent
Practitioner) Correct Answer-Be permitted by State law and the
organization:
1) Provide Care
2) Treatment
3) Services
,Without direction OR supervision
The Joint Commission allows for the credentialing equivalent process
for Non LIP ONLY If they are not providing what type of care to
patient. Correct Answer-Medical Level of Care-
1) Making medical diagnosis
2)Treatment Decision
ABMS Correct Answer-American Board of Medical Specialties
HFAP Correct Answer-Healthcare Facilities Accreditation Program
AMA Correct Answer-American Medical Association
, What 2 types of practitioner must be on the medical staff for DNV
Correct Answer-MD and DO
What primary sources allowed to be used to verify Board Certification.
Correct Answer-AMA, AOA, ABMS, State License Agency,
Confirmation from Specialty Board
Does the FSMB (Federation State Medical Board) verify a practitioner
board certification? Correct Answer-No, the FSMB does not verify
board certification. FSMB verifies the following:
1)Education and Training
2)Ongoing Monitoring of Sanctions
3)Medicare/Medicaid Sanctions
4)Medical Board Sanctions
According to HFAP who decides the qualifications for NON- Physicians
First Assistant Correct Answer-Medical Staff Rules and Regulations
According to AAAHC how often does board certification need to be
monitored. Correct Answer-Verified at initial, reappointment and
ongoing basis.
Does TJC require you to verify Board Certification at the time of
reappointment? Correct Answer-TJC does not require board certification
be verified at reappointment. Individually each hospital decides if
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