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CPCS exam Practice Questions Set, all Solved 100% Correct| Verified Answers
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CPCS exam Practice Questions Set, all Solved 100% Correct| Verified Answers
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CPCS exam Practice Questions Set, all Solved 100%Correct| Verified Answers
Who requires Board Certification? - ✔✔None
Who requires criminal background checks? - ✔✔HFAP
Who requires applicant ID - ✔✔JC
Who requires an NPDB - ✔✔JC, HFAP, NCQA, AAAHC
Who requires current competence? - ✔✔JC, HFAP, CMS
How often does the OIG report to the NPDB? - ✔✔Monthly
Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the
NPDB? - ✔✔Yes
According to the JC, who may amend the medical staff bylaws? - ✔✔Governing Body
Failure to meet the established qualifications and criteria for appointment should be reported
to whom? - ✔✔The applicant
NCQA requires the MCO to obtain a minimum of ???? years of work history? - ✔✔Five Years
According to NCQA what policy must an organization have in place to obtain approval to enter
into a delegated agreement? - ✔✔Credentialing policies
,Hospitals must query the NPDB when: - ✔✔Initial appointment\ngranting of
priveleges\nevery two years
NCQA requires verifications must be less than how many days old? - ✔✔180
What is the verification time limit on malpractice history according to the NCQA? - ✔✔180
days
Time limited credential must be verified by the CVO within how many days prior to submission
to the client? - ✔✔120 days
According to AAAHC, for initial appointments, in addition to licensure and education, what
verification is required? - ✔✔Experience and hospital affiliation
What accreditation body states "the NPDB is an acceptable source for sanctions or limitations
on licensure, Medicaid/Medicare sanctions and malpractice history? - ✔✔NCQA
Who is required to query the NPDB - ✔✔Hospitals
Is disciplinary action taken against the license of a dentist reportable to the NPDB? - ✔✔Yes
Under HCQIA, a hospital failure to report an adverse privilege action lasting longer than 30 days
may cause the organization to lose HCQIA immunity for how many years? - ✔✔3 years
According to NCQA verification of Medicare/Medicaid sanctions can be queried by any of what
sources? - ✔✔AMA, FSMB, HIPDB, OIG, Sanctions Report, NPDB, State Agency
,According to NCQA, how often must an organization conduct an audit of the credentialing
process delegated to another organization? - ✔✔Annually
How far back does the Joint Commission require evaluation of malpractice history? -
✔✔Back to Medical School
According to JC, what source may be used to verify malpractice history? - ✔✔NPDB
Is an internet verification from a website not contracted by the primary source that attest to
the accuracy and timeliness of the information considered a complete verification by NCQA? -
✔✔No
What accreditation bodies require privileges to be distributed to essential department
personnnel? - ✔✔Joint Commission - CMS
Who requires background checks? - ✔✔HFAP (the only organization that requires)
Is a payment made by an insurance company reportable to the NPDB? - ✔✔Yes
According to NCQA what providers are NOT required to be credentialed when working in an
independent relationship? - ✔✔Locum Tenens\nHospital based practitioners (i.e.,
anesthesia, pathology, radiology, etc.)
Is denial of a medical license application by a state medical board reportable to the NPDB -
✔✔Yes
Telemedicine - according to JC what two options are available for credentialing at the
originating site? - ✔✔Full credentialing\nUse of the distant sites credentialing
, What two accreditors state: a hospital may not rely solely on board certification when
considering practitioner for medical staff membership - ✔✔HFAP, CMS
According to who? Medical School, AMA, ECFMG, AOA are approves sources of medical
education? - ✔✔JC, HFAP
According to NCQA practitioners must be notified of credentialing decision within how many
days? - ✔✔60 Days
How long does a named provider have to dispute the accuracy of an NPDB report? - ✔✔60
Days
According to URAC, within how many days must the practitioner be notified of credentialing
decisions? - ✔✔10 Days
How many days does a practitioner have to dispute an NPDB report accuracy? - ✔✔60 Days
Which accrediting body requires five year verification of malpractice history? - ✔✔NCQA
What is the commonly used source for verifying malpractice history? - ✔✔NPDB
According to the JC, a fair hearing and appeals process as described in the medical staff bylaws
is available to whom? - ✔✔Medical staff members and non-members holding clinical
privileges
Who requires only the highest level of training be verified? - ✔✔NCQA
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