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CPMSM EXAM WITH 100 QUESTIONS AND VERIFIED ANSWERS
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CPMSM EXAM WITH 100QUESTIONS AND VERIFIED
ANSWERS
What does HFAP stand for? The AOA's accreditation organization is the ANSWER
Healthcare Facilities Accreditation Program. Offers accrediting programs for
mostly osteopathic hospitals.
Which of the following bodies approve clinical privileges? - ANSWER Governing
Body or Board
Which NCQA-mandated committee offers recommendations on credentialing
decisions? ANSWER Credentialing Committee
What primary source verification does NCQA demand before granting interim
privileges or provisional credentialing? - ANSWER Licensure and a five-year
malpractice history.
What is EMTALA stand for? - ANSWER Emergency Treatment and Active Labor
Act (anti-dumping) was enacted to stop hospitals from transferring, discharging, or
refusing to treat needy patients arriving to the ED due to economic concerns.
Divided into four standards or rules. Privacy, security, identification, and
transaction/code sets. - Respond to HIPAA.
A physician who has a financial relationship with a business is prohibited from
recommending Medicare or Medicaid patients to that entity for the performance of
a recognized health service. - ANSWER Stark Law
, What does HCQIA stand for? The ANSWER Healthcare Quality Improvement Act
of 1986.
Name the federal statute enacted to encourage good faith professional review
activities. - ANSWER HCQIA OF 1986
What does PSQIA stand for? The ANSWER Patient Safety and Quality
Improvement Act of 2005.
Patrick vs. Burget is a violation of and allows for the development of what
healthcare regulations? - ANSWER Federal Antitrust Laws (Anticompetitive Peer
Review - Led to the formation of HCQIA)
NCQA and URAC count the credentialing term by the month or the day? -
ANSWER Month
What is Medicare COPS stand for? - ANSWER: Medicare Conditions of
Participation
TJC defines the following as an element of a self-governing medical staff. -
ANSWER The Medical Staff decides the process for defining and enforcing criteria
for allocating oversight responsibilities to practitioners with independent privileges.
Is Roberts Rule of Order an example of? - ANSWER Parliamentary Procedure
What are the three primary sources of authority in the hospital's traditional
organizational structure? - ANSWER CEO, Governing Board, and Medical Staff
Which two sorts of governing boards are most commonly found? - ANSWER
Philanthropic or corporate?
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