Aaahc - Study guides, Class notes & Summaries

CPCS Exam 2023 A+ What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - ANS-HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - ANS-Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - ANS-60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes t...

CPMSM HFAP Appointment time frame - correct answer 2 years TJC Appointment time frame - correct answer No longer than every 2 years NCQA Appointment time frame - correct answer 3 years (to the month) URAC Appointment time frame - correct answer 3 years AAAHC Appointment time frame - correct answer 3 years Attestation Statement - correct answer TJC and Medicare do not specifically address, URAC allows electronic signature, all others require. Board Certification Verification - ...

CPCS Exam Questions with Correct Answers Rated A+ 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 n...

Who reviews Health Status prior to recommending privileges Joint Commission Joint Commission Which organization requires identification as part of the Credential Process 00:23 01:23 Medicare Hospital COPs and Interp. Guidlines Does not specifically address Health Status although interp guidelines regarding surgical services to be reviewed through assessment of Training, experience, health status and performance Allied Health Professionals URAC addresses this gr...

Who reviews Health Status prior to recommending privileges Joint Commission Joint Commission Which organization requires identification as part of the Credential Process 00:23 01:23 Medicare Hospital COPs and Interp. Guidlines Does not specifically address Health Status although interp guidelines regarding surgical services to be reviewed through assessment of Training, experience, health status and performance Allied Health Professionals URAC addresses this gr...

Key resource study guide for JC, NCQA, HFAP, URAC, AAAHC, Medicare COP's

HFAP correct answer: Refers to a CVO as a Professional Credentialing Organization (PCO) HFAP Appointment time frame correct answer: 2 years TJC Appointment time frame correct answer: No longer than every 2 years NCQA Appointment time frame correct answer: 3 years (to the month) URAC Appointment time frame correct answer: 3 years AAAHC Appointment time frame correct answer: 3 years Attestation Statement correct answer: TJC and Medicare do not specifically address, URAC al...

CPCS Medical Staff Credentialing & Standards Questions and Answers Graded A Certified Provider Credentialing Specialist 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 TJC All licensed Independent practitioners must be credentialed and privileged ...

CPCS - Credentialing and Privileging Questions and Answers Rated A+ TJC Phone PSV What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, TJC - DNV - HFAP Accreditatio...

CPCS Exam 2023 Latest Update MCO acronym for - Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - National Association of Medical Staff Services CPCS acronym for - Certified Provider Credentialing Specialist CVO acronym for - Credential Verifications Organization HEDIS acronym for - Healthcare Effectiveness Data Information Set CAHPS acronym for - Consumer Assessment of Healthcare Providers & Systems Structure of a CVO - Director - Contract Sales - Credentialing ...