NCQA - ACCURATE ANSWERS 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. - ACCURATE ANSWERS NCQA & URAC (National Committee of Quality Assurance AND Utilization ...
CPCS EXAM STUDY QUESTIONS
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NCQA - ACCURATE ANSWERS✔✔ 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. - ACCURATE ANSWERS✔✔ NCQA & URAC (National
Committee of Quality Assurance AND Utilization Review Accreditation
Commission ).U
Which of the 7 accreditation bodies makes the RECOMMENDATION
appointment timeframe be at LEAST 24 months, in the absence of a
State law. - ACCURATE ANSWERS✔✔ CMS, HFAP, DNV, and
AAAHC
TJC - ACCURATE ANSWERS✔✔ The Joint Commission
Which of the 7 accreditation bodies only allow a 2 year appointment -
ACCURATE ANSWERS✔✔ The Joint Commission
Which of the 7 accreditation bodies uses the terminology LIP -
ACCURATE ANSWERS✔✔ The Joint Commission
,By what standard do the TJC consider you a LIP (Licensed Independent
Practitioner) - ACCURATE ANSWERS✔✔ 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.
- ACCURATE ANSWERS✔✔ Medical Level of Care-
1) Making medical diagnosis
2)Treatment Decision
ABMS - ACCURATE ANSWERS✔✔ American Board of Medical
Specialties
URAC - ACCURATE ANSWERS✔✔ Utilization Review Accreditation
Commission
NPDB - ACCURATE ANSWERS✔✔ National Practitioner Data Bank
DNV - ACCURATE ANSWERS✔✔ Det Norske Veritas
, AAAHC - ACCURATE ANSWERS✔✔ Accreditation Association for
Ambulatory Health Care
LIP - ACCURATE ANSWERS✔✔ Licensed Independent Practitioner
HFAP - ACCURATE ANSWERS✔✔ Healthcare Facilities
Accreditation Program
AMA - ACCURATE ANSWERS✔✔ American Medical Association
What 2 types of practitioner must be on the medical staff for DNV -
ACCURATE ANSWERS✔✔ MD and DO
What primary sources allowed to be used to verify Board Certification. -
ACCURATE ANSWERS✔✔ AMA, AOA, ABMS, State License
Agency, Confirmation from Specialty Board
Does the FSMB (Federation State Medical Board) verify a practitioner
board certification? - ACCURATE ANSWERS✔✔ 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
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