1 Exam (elaborations) CPCS CPMSM Exam questions and answers graded A+ 2 Exam (elaborations) CPCS CPMSM Sample Questions correctly answered rated A+ 2023/2024 3 Exam (elaborations) CPMSM - Study Guide Material verified to pass 2023/2024 4 Exam (elaborations) CPMSM - Terms questions well answered ...
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NAMSS CPCS CPMSM 2021Healthcare Facilities Accreditation Program (HFAP) - correct answer Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and beha...
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Add to cartNAMSS CPCS CPMSM 2021Healthcare Facilities Accreditation Program (HFAP) - correct answer Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and beha...
Credentialing Environment Overview (CPMSM)Governing body - correct answer set the organization policy that supports quality patient care by developing the mission, vision, policies, and bylaws. Ultimate authority in the hospital organization. Governing body - correct answer They are legally respo...
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Add to cartCredentialing Environment Overview (CPMSM)Governing body - correct answer set the organization policy that supports quality patient care by developing the mission, vision, policies, and bylaws. Ultimate authority in the hospital organization. Governing body - correct answer They are legally respo...
CPMSMDarling v. Charleston Memorial Community Hospital - correct answer Failure to have proper supervision; Case set aside the Charitable Immunity Doctrine. Hospital liable for negligent treatment resulting in amputation of teenager's leg nurses failed to monitor; physician failed to consult; ho...
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Add to cartCPMSMDarling v. Charleston Memorial Community Hospital - correct answer Failure to have proper supervision; Case set aside the Charitable Immunity Doctrine. Hospital liable for negligent treatment resulting in amputation of teenager's leg nurses failed to monitor; physician failed to consult; ho...
CPMSM Ultimate Study Set 03 2019NPDB - correct answer National Practitioner Databank NPDB Contains: (what type of info) - correct answer - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medica...
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Add to cartCPMSM Ultimate Study Set 03 2019NPDB - correct answer National Practitioner Databank NPDB Contains: (what type of info) - correct answer - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medica...
CPMSM Test Miller v Eisenhower - correct answer Disruptive behavior must be related to patient care. Robinson v McGovern - correct answer Denied privileges. Hospital may determine proper limitations. Denial of application is not a restriction of trade. Patrick v Burget - correct answer Peer r...
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Add to cartCPMSM Test Miller v Eisenhower - correct answer Disruptive behavior must be related to patient care. Robinson v McGovern - correct answer Denied privileges. Hospital may determine proper limitations. Denial of application is not a restriction of trade. Patrick v Burget - correct answer Peer r...
CPMSM StudyWhen developing clinical privileges the following are important to evaluate? - correct answer Established standards of practice such as, specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? - corr...
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Add to cartCPMSM StudyWhen developing clinical privileges the following are important to evaluate? - correct answer Established standards of practice such as, specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? - corr...
CPMSM Study QuestionsWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless service is provided by an authorized prov...
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Add to cartCPMSM Study QuestionsWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless service is provided by an authorized prov...
CPMSM Study Guide Non-profit under religious/community control. - correct answer Voluntary/Charitable Hospital Non-profit under city, state, county. - correct answer Govt (non-federal) hospital Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon...
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Add to cartCPMSM Study Guide Non-profit under religious/community control. - correct answer Voluntary/Charitable Hospital Non-profit under city, state, county. - correct answer Govt (non-federal) hospital Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon...
CPMSM Study Guide (TJC) - CMH77Where must accreditors submit their standards for approval? - correct answer CMS When is deemed status given? - correct answer After approval by CMS What are requirements set by forces outside the organization? - correct answer External criteria What factors a...
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Add to cartCPMSM Study Guide (TJC) - CMH77Where must accreditors submit their standards for approval? - correct answer CMS When is deemed status given? - correct answer After approval by CMS What are requirements set by forces outside the organization? - correct answer External criteria What factors a...
CPMSM Study Guide - Credentialing and Privileging1. assists organizations in monitoring and improving quality of care 2. Deemed status 3. Marketing reasons - shows that expectations for providing safe, quality health care are met 4. may favorably influence liability insurance premiums 5. for a h...
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Add to cartCPMSM Study Guide - Credentialing and Privileging1. assists organizations in monitoring and improving quality of care 2. Deemed status 3. Marketing reasons - shows that expectations for providing safe, quality health care are met 4. may favorably influence liability insurance premiums 5. for a h...
CPMSM Study Group - 1st halfDoes not specifically addressed in the standards health status and Nondiscretionary a.TJC b.HFAP c.DNV GL D.NCQA - correct answer DNV GLS How many peer references does HFAP require at initial appointment? - correct answer 1 According to NCQA what requires ongoi...
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Add to cartCPMSM Study Group - 1st halfDoes not specifically addressed in the standards health status and Nondiscretionary a.TJC b.HFAP c.DNV GL D.NCQA - correct answer DNV GLS How many peer references does HFAP require at initial appointment? - correct answer 1 According to NCQA what requires ongoi...
CPMSM Study 1If a CVO that an AAAHC wants to use isn't accredited, you must do what first? - correct answer Perform an assessment of the capability & quality of the CVO's work When are changes in medical staff bylaws final? - correct answer After approval from the governing body What should ...
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Add to cartCPMSM Study 1If a CVO that an AAAHC wants to use isn't accredited, you must do what first? - correct answer Perform an assessment of the capability & quality of the CVO's work When are changes in medical staff bylaws final? - correct answer After approval from the governing body What should ...
CPMSM Preparation Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless the service is provided by an authorized pro...
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Add to cartCPMSM Preparation Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless the service is provided by an authorized pro...
CPMSM PreparationWhy is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless the service is provided by an authorized provi...
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Add to cartCPMSM PreparationWhy is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not get paid for treating patients unless the service is provided by an authorized provi...
CPMSM Practice Tests Extras What does HEDIS stand for? - correct answer Healthcare Effectiveness Data and Information Set What is HEDIS? - correct answer is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private...
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Add to cartCPMSM Practice Tests Extras What does HEDIS stand for? - correct answer Healthcare Effectiveness Data and Information Set What is HEDIS? - correct answer is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private...
CPMSM Practice TestWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility won't get paid for treating patients unless service is provided by authorized provider ...
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Add to cartCPMSM Practice TestWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility won't get paid for treating patients unless service is provided by authorized provider ...
CPMSM Knowledge Check Medicare requires providers to perform what process every 3-5 years? - correct answer Revalidation According to DNV standards, initial appointments to the medical staff are not to exceed what time period? - correct answer 36 months / 3 years T/F: The Joint Commission sta...
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Add to cartCPMSM Knowledge Check Medicare requires providers to perform what process every 3-5 years? - correct answer Revalidation According to DNV standards, initial appointments to the medical staff are not to exceed what time period? - correct answer 36 months / 3 years T/F: The Joint Commission sta...
CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)What does HCQIA stand for? - correct answer Health Care Quality Improvement Act When was HCQIA enacted by congress? - correct answer 1986 What is the purpose of HCQIA? - correct answer HCQIA was enacted ...
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Add to cartCPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)What does HCQIA stand for? - correct answer Health Care Quality Improvement Act When was HCQIA enacted by congress? - correct answer 1986 What is the purpose of HCQIA? - correct answer HCQIA was enacted ...
CPMSM Case StudiesDarling v. Charleston Memorial Community Hospital - correct answer Hospital liable for negligent treatment resulting in amputation of teenager's leg. Nurses failed to monitor; physician failed to consult; hospital claimed that charitable immunity doctrine limited damages to its in...
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Add to cartCPMSM Case StudiesDarling v. Charleston Memorial Community Hospital - correct answer Hospital liable for negligent treatment resulting in amputation of teenager's leg. Nurses failed to monitor; physician failed to consult; hospital claimed that charitable immunity doctrine limited damages to its in...
CPMSM Cards, CPMSM Study (MCO), CPMSMBoyd vS Albert Einstein - correct answer Doctrine of Ostensible Agency - HMO found liable in patient's death. Chest perforation during breast biopsy, chest pain/MI six weeks later. Elam vS CollegePark - correct answer Doctrine of Corporate Negligence - Med Re...
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Add to cartCPMSM Cards, CPMSM Study (MCO), CPMSMBoyd vS Albert Einstein - correct answer Doctrine of Ostensible Agency - HMO found liable in patient's death. Chest perforation during breast biopsy, chest pain/MI six weeks later. Elam vS CollegePark - correct answer Doctrine of Corporate Negligence - Med Re...
CPMSM AcronymsAAAHC Accreditation Association for Ambulatory Health Care - correct answer Formed in 1979. Ambulatory means the same as outpatient or overnight stay. It is the preeminent leader in developing standards to advance and promote patient safety, quality and value for ambulatory health c...
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Add to cartCPMSM AcronymsAAAHC Accreditation Association for Ambulatory Health Care - correct answer Formed in 1979. Ambulatory means the same as outpatient or overnight stay. It is the preeminent leader in developing standards to advance and promote patient safety, quality and value for ambulatory health c...
CPMSM accreditation questionsWhat is the NCQA timeframe for appointment - correct answer every 36 months to the month What is the HFAP appointment timeframe - correct answer not to exceed 2 years What is the TJC appointment timeframe - correct answer not to exceed 2 years What is the URAC a...
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Add to cartCPMSM accreditation questionsWhat is the NCQA timeframe for appointment - correct answer every 36 months to the month What is the HFAP appointment timeframe - correct answer not to exceed 2 years What is the TJC appointment timeframe - correct answer not to exceed 2 years What is the URAC a...
CPMSMAccording to URAC who should oversee the clinical aspects of the credentialing program within the organization? - correct answer Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - correct answer Dental school, specialty board, state lice...
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Add to cartCPMSMAccording to URAC who should oversee the clinical aspects of the credentialing program within the organization? - correct answer Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - correct answer Dental school, specialty board, state lice...
CPMSM HFAP Appointment time frame - correct answer 2 years TJC Appointment time frame - correct answer No longer than every 2 years NCQA Appointment time frame - correct answer 3 years (to the month) URAC Appointment time frame - correct answer 3 years AAAHC Appointment time frame - cor...
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Add to cartCPMSM HFAP Appointment time frame - correct answer 2 years TJC Appointment time frame - correct answer No longer than every 2 years NCQA Appointment time frame - correct answer 3 years (to the month) URAC Appointment time frame - correct answer 3 years AAAHC Appointment time frame - cor...
CPMSM Why it is important to check that the practitioner is not currently excluded suspended the board or in eligible to participate in federal healthcare programs - correct answer The facility won't get paid for treating patients unless service is provided by authorized provider Which of the ...
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Add to cartCPMSM Why it is important to check that the practitioner is not currently excluded suspended the board or in eligible to participate in federal healthcare programs - correct answer The facility won't get paid for treating patients unless service is provided by authorized provider Which of the ...
CPMSM HFAP stands for? - correct answer Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? - correct answer Governing Body or Board Which NCQA-req...
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Add to cartCPMSM HFAP stands for? - correct answer Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? - correct answer Governing Body or Board Which NCQA-req...
CPMSM - TermsPatient Self Determination Act 1990 - correct answer Advanced Directives - Living will, etc. Save Medical Devices Act 1990 (SMDA) - correct answer Deaths must be reported to the manufacturer & FDA Federal Anti-Kickback & Regulatory Safe Harbor - correct answer reduce connecting co...
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Add to cartCPMSM - TermsPatient Self Determination Act 1990 - correct answer Advanced Directives - Living will, etc. Save Medical Devices Act 1990 (SMDA) - correct answer Deaths must be reported to the manufacturer & FDA Federal Anti-Kickback & Regulatory Safe Harbor - correct answer reduce connecting co...
CPMSM - Study Guide MaterialWhat are four models of HMOs? - correct answer Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - correct answer Standing Ad hoc Task force Continuous quality improvement team How many medical ...
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Add to cartCPMSM - Study Guide MaterialWhat are four models of HMOs? - correct answer Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - correct answer Standing Ad hoc Task force Continuous quality improvement team How many medical ...
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