CPMSM-NCQA Credentialing & Recredentialing Standar
CPMSM-NCQA Credentialing & Recredentialing Standar
Exam (elaborations)
CPMSM-NCQA CREDENTIALING & RECREDENTIALING STANDARDS EXAM WITH GUARANTEED ACCURATE ANSWERS
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CPMSM-NCQA Credentialing & Recredentialing Standar
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CPMSM-NCQA Credentialing & Recredentialing Standar
Credentialing policies & procedures specify that the organization's time frame for notifying applicants of initial credentialing & recredentialing denials does not exceed_________? - ACCURATE ANSWERS 60 calendar days from Credentials Committee decision
Is the organization required to notify prac...
CPMSM-NCQA EXAM 2024\2025
CPMSM-NCQA CREDENTIALING & RECREDENTIALING STANDARDS EXAM WITH
GUARANTEED ACCURATE ANSWERS
Credentialing policies & procedures specify that the organization's time
frame for notifying applicants of initial credentialing & recredentialing
denials does not exceed_________? - ACCURATE ANSWERS✔✔ 60
calendar days from Credentials Committee decision
Is the organization required to notify practitioners regarding
recredentialing approvals? - ACCURATE ANSWERS✔✔ No
What can the organization use to document verifications in the
credentialing file? - ACCURATE ANSWERS✔✔ 1. Credentialing
documents signed/initialed & dated by the verifier
2. A signed/initialed & dated checklist
, What must a signed & dated verification checklist include? -
ACCURATE ANSWERS✔✔ 1. The source used
2. The date of verification
3. The signature/initials of the person who verified the information
4. The report date, if applicable
Are faxed, digital, electronic, scanned or photocopied signatures
acceptable? - ACCURATE ANSWERS✔✔ Yes
Are rubber stamp signatures acceptable? - ACCURATE ANSWERS✔✔
No
How long can a practitioner hold Provisional status? - ACCURATE
ANSWERS✔✔ 60 calendar days
What must be verified if an organization chooses to credential
provisionally? - ACCURATE ANSWERS✔✔ 1. Current, valid license
2. Past 5 years of malpractice claims or results of NPDB query
3. Current & signed application with attestation
What process must be followed when presenting provisional
credentialing files to the Credentials Committee or Medical Director? -
ACCURATE ANSWERS✔✔ The same as regular credentialing process
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