Ncqa - Study guides, Class notes & Summaries

CPMSM NCQA Test questions and answers 2025 latest update

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...

NCQA & URAC question and answers 2023 verified NCQA defines credentialing as - correct answer A process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. According to NCQA standards, practitioners who do not need to be credentialed are: - correct answer - Those who practice exclusively within the inpatient setting and who provide care for organization members only as a result of members being directed to ...

CPCS Exam Questions & Answers 2024/2025 Appointment Timeframe - TJC - ANSWERSNot to exceed two years Appointment Timeframe - NCQA - ANSWERSRecredential at least every 3 years. Cycle to the month. Appointment Timeframe - HFAP - ANSWERSAt least every 24 months Appointment Timeframe - DNV - ANSWERSNot to exceed 3 years Appointment Timeframe - URAC - ANSWERSAt least every 3 years Cycle to the month Appointment Timeframe - AAAHC - ANSWERSNot to exceed 3 years Appointment Tim...

CPCS Exam Questions and Answers 100% Correct What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes...

CPCS Exam Questions and Answers Already Passed What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wish...

CPCS EXAM WITH 300 REAL EXAM QUESTIONS AND CORRECT ANSWERS (100% CORRECT ANSWERS) BRAND NEW!! How many days does a practitioner have to dispute an NPDB report accuracy - ANSWER-60 Days Which accrediting body requires five year verification of malpractice history - ANSWER-NCQA What is commonly used source for verifying malpractice history - ANSWERNPDB According to the JC a fair hearing and appeals process as described in the medical staff bylaws is available to whom? - ANSWER-Medical...

CPCS/CPMSM Sample Questions Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to the Joint Commission, 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? - 5 years According to NCQA what policy must an organiza...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? -Answer HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education -Answer Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? -Answer 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the re...

CPCS/CPMSM Exam Questions and Answers Graded A+ Applicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identi...