Certified provider Study guides, Class notes & Summaries

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. 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 how may years of work history? Five years According to the...

FMCSA Mission Statement - Answer- To reduce crashes, injuries, fatalities involving large trucks/buses Medical Examiner - Answer- Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test FMCSA - Answer- Federal Motor Carrier Safety Administration NRCME - Answer- National Registry of Certified Medical Examiners Commerical Motor Vehicle - Answer- Weight >1000 lb ; or transp...

What is a nursing program considered when certified by a state agency? a. Accredited b. Approved c. Provisional d. Exemplified ANS: B Approved means certified by a state agency for having met minimum standards; accredited means certified by the NLN for having met more complex standards. Provisional and exemplified are not terms used in regard to nursing program certification. DIF: Cognitive Level: Knowledge REF: p. 10 OBJ: 5 TOP: Nursing programs KEY: Nursing Process Step: N/A MSC: NC...

ATI PN Fundamentals Proctored (2023/2024) Exam Version 1| Graded A Questions and Verified Answers Q: A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Registered dietitian D. Occupational therapist Answer: D. Occupational therapist Q:...

Certified Provider Credentialing Specialist (CPCS) Study Guide (2023/2024) Rated A+ Certified Provider Credentialing Specialist The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC All l...

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass_2023/2024

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

EMD Test (EMD Test Review) Rated 100% Correct!! Latest 2023 All actual response assignments and emergency modes are: A. dictated by the IAEMD council of standards. B. listed on the MPDS response grid. C. predetermined by local medical control and EMS administration. D. Determined by individual EMD's based on the specific needs of each case. (Correct Answer) C. Predetermined by local medical control and EMS administraton. Medical professionals and communications experts from around the...

Board of Psychology Members - ANSWER-Seven people appointed by governor and confirmed by the Senate. Five members must be psychologists licensed in Florida who are in good standing. Two members must be citizens of the state who are not and have never been psychologists. No connection to psychology. One member must be 60+ y/o. Appointed for four years and shall serve until their successors are appointed. Licensure Requirements - ANSWER-1) Doctoral-level psychological education or the equivalen...

CPCS Certified Provider Credentialing Specialist (2023/2024) Graded A What elements should a peer recommendation include according to TJC? Patient Care, medical clinical knowledge, practice based learning, interpersonal and communication skills, system-based practice Peer recommendations according to NCQA There is no specific requirement for peer recommendations. The organization must designate a Credentialing Committee that uses a peer-review process to make recommendations regarding credentia...