Exam (elaborations)
CPCS PRACTICE EXAM 1 QUESTIONS AND ANSWERS
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CPCS PRACTICE EXAM 1 QUESTIONS AND ANSWERS...
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CPCS PRACTICE EXAM 1 QUESTIONS ANDANSWERS
What is the 7-step process TJC uses to process applications? - ANSWER 1.
Receive Application
2. Verify completeness & all requested materials are included
3. Process Application: conduct PSV and verify current competencies for
privileges requested
4. Dept. Chair review and recommendation
5. The Executive Committee reviews and makes recommendations to the Board
6. Board approves
7. Notify Applicant of final decision
According to NCQA, is the ABMS Certified Doctor Verification Program,
accessible through the ABMS Web site, an acceptable source for verifying
board certifications for an MD? - ANSWER No, This site is intended for
consumer reference only and is not considered PSV.
TJC requires licensure to be verified with the primary source at what 4 times? -
ANSWER 1. Initial granting of privileges
2. Reappointment of privileges
3. Privilege Revision
4. Upon expiration of licensure
According to The Joint Commissin for what three reasons the hospital must
query the NPDB when clinical privileges are granted? - ANSWER 1. Initial
Appointment
, 2. Reappointment
3. When a new privilege is requested
Can a hospital accept an NPDB self query performed by a physician to satisfy
The Joint Commissions requirement for an NPDB query? - ANSWER No, The
hospital or its designated agent must perform the query.
Q According to NCQA standards, an organization must verify sanctions or
limitations on licensure in each state where the practitioner holds or has ever
held licensure. - ANSWER No, Only in the state where the practitioner
provides care for its members.
Verifying licensure sanctions for physicians, what other organization, in
addition to NPDB, HIPDB, the appropriate state agency(ies), is verification
acceptable to NCQA? - ANSWER The Federation of State Medical Boards -
FSMB
According to NCQA Standards verification from the ECFMG is acceptable for
education and training completed through the AMA Fifth Pathway program? -
ANSWER False, This must be verified through PSV from the AMA.
Information from another health care organization that has performed PSV for
credentialing may be accepted in support of the credentialing of an applicant? -
ANSWER Yes, if that other health care organization provides the original
documents, or photocopies of the verification reports, which it has relied upon
directly from the primary source without transmission or involvement of the
applicant or other third party. A statement by the other health care organization
that it has done verification is not sufficient.
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