CPCS /1CPCS Training Exam Questions and Answers 2023

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, the provider has how many days to do so? - 60 Days According to URAQ, within how many days must the practitioner be notified of credentialing decisions? - 10 Days How many days does a practitioner have to dispute an NPDB report accuracy - 60 Days Which accrediting body requires five year verification of malpractice history - NCQA What is commonly used source for verifying malpractice history - NPDB According to the JC a fair hearing and appeals process as described in the medical staff bylaws is available to whom? - Medical staff members and non-members holding clinical privileges T/F Only the highest of training must be verified according to NCQA - True According to the Joint Commission a peer recommendation should address what six competencies? - Medical knowledgenTechnical & clinical skillnclinical judgmentninterpersonal skillsncommunication skillsnprofessionalism Telemedicine - according to JC what two options are available for credentialing a the original site? - Full credentialing, use of the distant sites credentialingAccording to JC what is included in the process of planning and implementing privileges? - Develop & approve procedure listnProcess the applicationnEvaluate applicant specific informationnSubmit recommendations to governing body for applicant specific delineated privilegesnNotify the applicant, relevant personnelnMonitor the use of privileges Are payments made by a physician in a malpractice claim reportable to the NPDB? - No Who requires Peer References - JC, HFAP, AAAHC Who reappoints - JC, HFAP, NCQA, URAC Who requires an attestation? - NCQA, URAC, AAAHC Who requires education verification? - JC, HFAP, URAC, AAAHC Who requires statement regarding felony convictions? - HFAP, NCQA, AAAHC Attestation must state that the information submitted is complete & correct - NCQA, AAAHC Attestation must state that the information submitted is complete & accurate - URAC Attestation must include inquiry regarding illegal drug use? - NCAQ Attestation must include inquiry regarding inability to perform essential functions? - NCQA Attestation must include inquiry regarding history or loss or limitations of licensure or privileges or disciplinary actions? - NCQA Attestation must include inquiry regarding current malpractice coverage? - NCQA Attestation must include inquiry regarding felony convictions? - NCQA