Exam (elaborations)
CPCS - CERTIFIED PROVIDER CREDENTIALING SPECIALIST QUESTIONS AND ANSWERS 2024
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CPCS - CERTIFIED PROVIDER CREDENTIALING SPECIALIST QUESTIONS AND ANSWERS 2024
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CPCS - CERTIFIED PROVIDER CREDENTIALINGSPECIALIST
Within how many days must a medical malpractice payer report payment
resulting from written claim or judgment to the NPDB & state licensing board? -
ANSWERS-30 days
According to TJC, appointment or reappointment to the medical staff and
granting, renewal or revision of clinical privileges are made for a period of how
long? - ANSWERS-No more than two years
According to NCQA how long is a verification of work history valid? - ANSWERS-
One year
What came first HIPDB or NPDB? - ANSWERS-HIPDB
According to NCQA, how long is the signature on the attestation good for? -
ANSWERS-365 days
According to NCQA, how long is the signature on the attestation good for CVO's? -
ANSWERS-305 days
, What is the verification time limit for verification of Medicare/Medicaid sanctions
according to NCQA? - ANSWERS-180 days
How often does AAAHC require recredentialing? - ANSWERS-At least every three
years
According to URAC, who should oversee the clinical aspects of the credentialing
program within the organization? - ANSWERS-Senior clinical staff person
Name three sources of verification of education of a dentist according to NCQA. -
ANSWERS-Dental school, specialty board, state licensing board
NCQA requires MCO's to recredential practitioners at least every___________? -
ANSWERS-3 years
HFAP is commonly known as what? - ANSWERS-AOA, an osteopathic organization
No accreditation body requires verification of malpractice insurance. (T/F) -
ANSWERS-True
According to TJC, which of the following should be used to verify current
competence? Board certification, malpractice face sheet, hospital verification or
patient complaint record. - ANSWERS-Hospital verification
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