CERTIFIED PROVIDER CREDENTIALING
SPECIALIST(CPCS) STUDYGUIDE EXAM
(ACTUAL EXAM) WITH QUESTIONS WITH
VERY ELABORATED ANSWERS CORRECTRY
WELL ORGANIZED LATEST 2024 – 2025
ALREADY GRADED A+
Verification of malpractice history according to CMS - ANSWERS-CMS is silent
regarding evaluation of malpractice history, however CMS does require
organizations to be compliant with state and federal law.
Verification of work history according to TJC - ANSWERS-TJC does not use the
term "work history". But does require evidence of current competence. Require
that applicants provide a chronological history of education, training and
experience.
, Verification of work history according to NCQA - ANSWERS-The applicant must
provide a minimum of a five -year relevant work history statement on either the
application or CV, which allows identification of gaps.
Initial Appointment / Clinical privileges/ practioners covered according to CMS -
ANSWERS-The Governing body determines, in accordance with Staye Law, which
categories of practitioners are eligible for appointment to the medical staff. At a
minimum the medical staff must be composed of MD 's and DO's.
Verification of Medical education according to the TJC - ANSWERS-Requires
verification from the medical school or accepted PSV
TJC Accepted PSV for medical education - ANSWERS-The AMA, the AOA, and the
ECFMG
Verification of Medical education according to the NCQA - ANSWERS-Requires
HP/CVO the highest of three levels of education and training.
The three levels of education and training as defined by NCQA - ANSWERS-
Graduation from medical or professional school, residency, board certification.
Certified Provider Credentialing Specialist - ANSWERS-The Certified Provider
Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare
organization including, but not limited to, hospitals (health systems), health plans,
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