CPMSM EXAM QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Course
CPMSM
Institution
CPMSM
HFAP - ACCURATE ANSWERS Refers to a CVO as a Professional Credentialing Organization (PCO)
HFAP Appointment time frame - ACCURATE ANSWERS 2 years
TJC Appointment time frame - ACCURATE ANSWERS No longer than every 2 years
NCQA Appointment time frame - ACCURATE ANSWERS 3 years (to the month)...
CPMSM EXAM QUESTIONS
CPMSM EXAM QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
HFAP - ACCURATE ANSWERS✔✔ Refers to a CVO as a Professional
Credentialing Organization (PCO)
HFAP Appointment time frame - ACCURATE ANSWERS✔✔ 2 years
TJC Appointment time frame - ACCURATE ANSWERS✔✔ No longer
than every 2 years
NCQA Appointment time frame - ACCURATE ANSWERS✔✔ 3 years
(to the month)
URAC Appointment time frame - ACCURATE ANSWERS✔✔ 3 years
,AAAHC Appointment time frame - ACCURATE ANSWERS✔✔ 3
years
Attestation Statement - ACCURATE ANSWERS✔✔ TJC and Medicare
do not specifically address, URAC allows electronic signature, all others
require.
Board Certification Verification - ACCURATE ANSWERS✔✔ Not
specifically required (only highest level of education) has to be verified
within 180 days per NCQA or 120 days if CVO is verifying.
CME - ACCURATE ANSWERS✔✔ HFAP may request every 2 years.
TJC requires documentation. No others require.
TJC views of Competence - ACCURATE ANSWERS✔✔ Monitoring of
provider competence must be ongoing.
URAC and NCQA views of Competence - ACCURATE ANSWERS✔✔
Monitoring of provider competence must be ongoing and organization
must have policies for monitoring in place.
HFAP view of Competence - ACCURATE ANSWERS✔✔ Competence
can be monitored by proof of procedures performed. This can be done
by the provider providing their procedure logs.
,AAAHC view of Competence - ACCURATE ANSWERS✔✔
Competence can be monitored by provided documentation of
competency.
Medicare view of Competence - ACCURATE ANSWERS✔✔
Governing body must verify character, competence, judgement,
education, and training.
Felony Conviction - ACCURATE ANSWERS✔✔ Only addressed by a
question or statement of provider application by NCAQ, HFAP, and
AAAHC
NCQA and URAC on Education - ACCURATE ANSWERS✔✔ Only
highest level of education verified.
TJC and Medicare - ACCURATE ANSWERS✔✔ Does no address
Medicare and Medicaid sanctions.
NPDB - ACCURATE ANSWERS✔✔ NCQA and URAC do not require
it but it is an acceptable verification of sanctions. All other organizations
require.
Site Visit - ACCURATE ANSWERS✔✔ NCQA is the only organization
that requires a site visit under certain circumstances.
, Temporary Privileges - ACCURATE ANSWERS✔✔ AAAHC and
Medicare do not specifically address.
Temporary Privileges granting requirements - ACCURATE
ANSWERS✔✔ This type of privilege can be granted by the CEO upon
recommendation from the Chief of Staff or authorized designee as long
as license, malpractice coverage, and NPDB have been verified.
NCQA specifically says Provisional (Temporary) Privileges -
ACCURATE ANSWERS✔✔ Can be granted by Chief Medical Official
as long as their is a policy in place, the application is clean, and the
privileges can be granted for no more than 60 days.
Work History - ACCURATE ANSWERS✔✔ URAC and Medicare do
not address, NCAQ: History must be verified and any gaps of 6 months
or greater require explanation.
TJC & HFAP Work History - ACCURATE ANSWERS✔✔ require the
question to be asked: Has the provider ever been terminated or
suspended and NPDB must be compared to answer of the above
question.
AAAHC Work History - ACCURATE ANSWERS✔✔ Any interruptions
in employment must be accounted for.
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