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CPCS PRACTICE EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
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CPCS PRACTICE EXAM QUESTIONS WITH 100% VERIFIED ANSWERS...
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CPCS PRACTICE EXAM QUESTIONS WITH100% VERIFIED ANSWERS
Why would this be necessary to verify that the practitioner is not currently
excluded, suspended, debarred, or otherwise ineligible to participate in Federal
health care programs? - ANSWER a. A facility may lose accreditation if it
doesn't do so; b. It's a requirement of Medicare Conditions or Participation; c.
The facility won't get paid for treating patients unless the service is provided by
an authorized provider.
Which of the following must be monitored ongoing? ANSWER a. Post graduate
education completed b. Closed medical malpractice claims c. Licensure.
According to NCQA standards, what must an organization do if it identifies any
of the following regarding a practitioner? - FIND Answer a. Identify whether
evidence of poor quality exists that may affect the health and safety of its
members.
b. Immediately take action and remove the provider from its panel
c. Notify the practitioner that he/she is under investigation and initiate the
hearing process
What did the Health Care Quality Improvement Act of 1986 create to limit the
ability of incompetent practitioners to move from state to state without
disclosure or discovery of previous medical malpractice payment and adverse
action history? - ANSWER a. Emergency Medical Treatment and Active
Labor Act b. The National Practitioner Data Bank. c. The Patient Safety and
Quality Improvement Act
,When developing clinical privileging criteria, which of the following is
important to evaluate? - ANSWER a. How many providers are in that specialty
b. Established standards of practice, such as specialty board recommendations.
c. Whether or not the quality department can support the FPPE process
What is the major reason for recurrent review of appropriateness of clinical
privileges of each specialty? - ANSWER a. It is mandated by requirements for
accreditation
b. It is mandated by the Medicare Conditions of Participation
c. To protect patient safety through evidence of current competency, relevance
to the facility, and accepted standards of care.
Which of the following specialists is most likely to perform a PTCA? -
ANSWER a. OB/GYN
b. Urologist
c. Interventional Cardiologist.
(PTCA = Percutaneous transluminal coronary angioplasty aka stent placement)
The Joint Commission hospital standards require that clinical privileges are
hospital specific and. - ANSWER a. Based on the individual's demonstrated
current competence and the procedures the hospital can support.
b. Based on board certification
c. Based on the privileges the individual is currently approved to perform at
other hospitals
Which of the following would a cardiologist do routinely? - ANSWER a.
Hysterectomy
b. Transesophageal Echocardiography.
, c. Urethral dilation
Which NCQA required committee makes recommendations regarding
credentialing decisions? - ANSWER a. Medical Executive Committee
b. Quality Care Committee
c. Credentialing Committee.
HFAP standards require which three medical staff committees to be delineated
in the medical staff structure? - ANSWER a. Medical Executive Committee.
b. Use of Osteopathic Methods & Concepts Committee. (required for hospitals
with ten or more DOs who admit patients and provide direct patient care)
c. Utilization Review Committee.
d. Credentials Committee
e. Investigational Review Board
How often must NCQA require that the health plan evaluate the delegation
reports? - ANSWER
a. Monthly
b. Quarterly
c. Semi-Annually.
Peer references are solicited from - ANSWER a. Practitioners who have
referred patients to the provider
b. Previous hospital administrators
c. Practitioners in the same professional discipline of the applicant.
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