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CPCS 2018-Practice Exam With Questions And 100% DETAILED CORRECT ANSWERS
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JACKLINECPCS 2018-Practice Exam With Questions And 100% DETAILED CORRECT ANSWERS
Terms in this set (103)
Why is it important to check that the practitioner is a. A facility could lose its accreditation if it does not do so
not currently excluded, suspended, debarred, or b. It is required by Medicare Conditions or Participation
ineligible to participate in Federal health care c. The facility won't get paid for treating patients unless service is provided by an authorized
programs? provider.
a. Post graduate education completed
Which of the following credentials must be tracked
b. Closed medical malpractice claims
on an ongoing basis?
c. Licensure.
According to NCQA standards, an organization that a. Determine if there is evidence of poor quality that could affect the health and safety of its
discovers sanction information, complaints, or members.
adverse events regarding a practitioner must take b. Immediately take action to remove the provider from its panel
CPCS 2018-Practice Exam
what action? c. Notify the practitioner that he/she is under investigation and initiate the hearing process
, What is the name of the entity that was established a. Emergency Medical Treatment and Active Labor Act
through the Health Care Quality Improvement Act b. The National Practitioner Data Bank.
of 1986 to restrict the ability of incompetent c. The Patient Safety and Quality Improvement Act
practitioners to move from state to state without
disclosure or discovery of previous medical
malpractice payment and adverse action history?
a. How many providers are in that specialty
When developing clinical privileging criteria, which
b. Established standards of practice, such as specialty board recommendations.
of the following is important to evaluate?
c. Whether or not the quality department can support the FPPE process
a. It is required by accreditation standards
What is the main reason for periodically assessing
b. It is required by the Medicare Conditions of Participation
appropriateness of clinical privileges of each
c. To protect patient safety by ensuring current competency, relevance to the facility, and accepted
specialty?
standards of care.
We have an expert-written solution to this problem!
a. OB/GYN
Which of the following specialists is most likely to b. Urologist
perform a PTCA? c. Interventional Cardiologist.
(PTCA = Percutaneous transluminal coronary angioplasty aka stent placement)
a. Based on the individual's demonstrated current competence and the procedures the hospital can
The Joint Commission hospital standards require that support.
clinical privileges are hospital specific and... b. Based on board certification
c. Based on the privileges the individual is currently approved to perform at other hospitals
a. Hysterectomy
Which of the following would be routinely
b. Transesophageal Echocardiography.
performed by a cardiologist?
c. Urethral dilation
Which NCQA-required committee makes a. Medical Executive Committee
recommendations regarding credentialing b. Quality Care Committee
decisions? c. Credentialing Committee.
a. Medical Executive Committee.
b. Utilization of Osteopathic Methods & Concepts Committee. (required for hospitals with ten or
HFAP standards require which three medical staff
more DOs who admit patients and provide direct patient care)
committees to be delineated in the medical staff
c. Utilization Review Committee.
structure?
d. Credentials Committee
e. Investigational Review Board
a. Monthly
How often does NCQA require that delegation
b. Quarterly
reports be evaluated by the health plan?
CPCS 2018-Practice Exam c. Semi-Annually.
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