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Exam (elaborations)

CPMSM PRACTICE EXAM

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CPMSM PRACTICE EXAM ...

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  • September 10, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPMSM
  • CPMSM
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luzlinkuz
CPMSM PRACTICE EXAM 2024-2025

Medical Staff - According to the Joint Commission, who is in charge of
formulating FPPE guidelines when difficulties compromising the delivery of safe
patient care are detected.

5 Years - ANSWER NCQA requires an organisation to get a claims history for at
least how many years?


Every 6 months - ANSWER According to NCQA, how frequently should a
delegate provide a report to the organisation?


The verification time restriction for malpractice claims history is 180 days for
health plans and 120 days for CVO.


ANSWER: Nurse practitioners, nurse midwives, optometrists, physical or
occupational therapists, speech and language therapists. During an NCQA
accreditation audit, which practitioner type would be included in an audit file


Every six months - ANSWER According to NCQA, how frequently should an
organisation produce evidence of an evaluation of the history of complaints for all
practitioners?


Medical staff structure Qualifications for Medical Staff Appointment Duties and
Privileges of Each Medical Staff Category Requirements for completing and
documenting histories and physicals: Description of medical staff members' voting
eligibility, medical staff officer positions, role, size, and MEC composition. -
ANSWER According to the Joint Commission, medical staff bylaws must specify
which of the following:


120 days - ANSWER To maintain compliance with NCQA guidelines, a CVO must
guarantee that time-sensitive material is no older than how many days when it is
delivered to the customer.

, Active state licence - ANSWER According to NCQA, the initial application must
include the following verifications.


CVO has 120 days, while health plans have 180 days. - ANSWER What is the
verification time restriction for a state licence?


When a complaint is submitted, ANSWER according to NCQA. When should a
specific practitioner site visit be conducted?


Tracer mythology - Answer Which of the following should be used to educate
medical staff leaders about the Joint Commission survey process?


Every three years, according to URAC. How often should a periodic review of
delegated functions occur?



HCQIA - ANSWER: Which of the following precisely defines the required
components of a fair hearing process?


Medical School Graduation - Answer According to the Joint Commission, the
American Medical Association is deemed an equivalent primary source for which
of the following


weekly unless the agency is not on a consistent schedule, it must be requested every
six months - ANSWER according to NCQA How often should continuing
monitoring of Medicare Medicaid sanctions be conducted?


License - ANSWER According to NCQA, which of the following papers must be
checked by direct source?

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