CPMSM PREP QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Course
CPMSM
Institution
CPMSM
Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - ACCURATE ANSWERS The facility will not get paid for treating patients unless the service is provided by an authorized provider.
Which ...
CPMSM PREP QUESTIONS
CPMSM PREP QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
Why is it important to check that the practitioner is not currently
exclude, suspended, debarred, or ineligible to participate in Federal
health care programs? - ACCURATE ANSWERS✔✔ The facility will
not get paid for treating patients unless the service is provided by an
authorized provider.
Which of the following credentials must be tracked on an ongoing basis?
- ACCURATE ANSWERS✔✔ Licensure
According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must
take what action? - ACCURATE ANSWERS✔✔ Determine if there is
evidence of poor quality that could affect the health and safety of its
members.
,What is the name of the entity that was established thru the Health Care
Quality Improvement Act of 1986 to restrict the ability of incompetent
physicians, dentists, and other health care practitioners to move from
state to state without disclosure or discovery of previous medical
malpractice payment and adverse action history? - ACCURATE
ANSWERS✔✔ The Nation Practitioner Data Bank
When developing clinical privileging criteria, which of the following is
important to evaluate? - ACCURATE ANSWERS✔✔ Established
standards of practice such as specialty board recommendations.
What is the main reason for periodically assessing appropriateness of
clinical privileges for each specialty? - ACCURATE ANSWERS✔✔ To
protect patient safety by ensuring current competency, relevance to the
facility, and accepted standards of care.
Which of the following specialists is most likely to perform a PTCA? -
ACCURATE ANSWERS✔✔ Interventional Cardiologist
The Joint Commission hospital standards require that clinical privileges
are hospital specific and - ACCURATE ANSWERS✔✔ Based on the
individual's demonstrated current competence and the procedures the
hospital can support.
Which of the following would be routinely performed by a cardiologist?
- ACCURATE ANSWERS✔✔ Transesophageal Echocardiography
, Which NCQA required committee makes recommendations regarding
credentialing decisions? - ACCURATE ANSWERS✔✔ Credentialing
Committee
HFAP standards require three medical staff committees to be delineated
in the medical staff structure; what are they? - ACCURATE
ANSWERS✔✔ Medical Executive Committee, the Utilization Review
Committee and the Utilization of Osteopathic Methods and Concepts
Committee
If you needed to find out about what the federal government requires in
regards to anti-trust issues, what law would you consult? - ACCURATE
ANSWERS✔✔ The Sherman Anti-trust Act
Peer references should be obtained from: - ACCURATE ANSWERS✔✔
Practitioners in the same professional discipline as the applicant.
Patrick v. Burgett is an important case because it: - ACCURATE
ANSWERS✔✔ Illustrates the potential for antitrust liability arising out
of peer review activities.
If a medical staff member has privileges and / or medical staff
appointment revoked, he/she must be: - ACCURATE ANSWERS✔✔
Provided due process
Access to credentials files should be: - ACCURATE ANSWERS✔✔
Described fully in an access policy
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