Ncqa Study guides, Class notes & Summaries
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CPCS Exam 2023-2024 Questions and Answers (Graded A)
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CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A) 
 
MCO acronym for - ANSWER-Managed Care Organization - main accreditors: NCQA, URAC 
 
NAMSS acronym for - ANSWER-National Association of Medical Staff Services 
 
CPCS acronym for - ANSWER-Certified Provider Credentialing Specialist 
 
CVO acronym for - ANSWER-Credential Verifications Organization 
 
HEDIS acronym for - ANS...
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CPMSM QUESTIONS AND ANSWERS FULLY SOLVED
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CPMSM QUESTIONS AND ANSWERS FULLY SOLVED 
 HFAP stands for? 
Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) 
 
 
 
The following bodies approves clinical privileges? 
Governing Body or Board 
 
 
 
 
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Which NCQA-required committee makes recommendations regarding credentialin...
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CPCS/CPMSM Sample Questions and Answers 2024
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CPCS/CPMSM Sample Questions and Answers 2024 
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 
 
 
 
 
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Failure to meet the established qualifications and criteria for appointment should be reported to whom? 
The a...
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CPCS - Certified Provider Credentialing Specialist | Questions with 100 % Correct Answers | Verified
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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 what policy must an organization have in place to obtain approval to...
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CPCS - Certified Provider Credentialing Specialist Exam Study Questions 2022 96 Questions with 100% Correct Answers – COMPLETE SOLUTION
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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 what policy must an organization have in place to obtain approval to...
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CPMSM Study Questions | 65 Questions with 100% Correct Answers | Updated & Verified | 2023
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Why is it important to check that the practitioner is not currently excluded, suspended, debarred, 
or ineligible to participate in Federal health care programs? - The facility will not get paid for 
treating patients unless service is provided by an authorized provider 
Which of the following credentials must be tracked on an ongoing basis? - Licensure 
According to NCQA standards, an organization that discovers sanction information, complaints, 
or adverse events regarding a practitioner must ...
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NCQA 2024 MOST RECENT UPDATE COMPLETE GUIDE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS [MOST TESTED QUESTIONS] GET IT RIGHT GRADE A+
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NCQA 2024 MOST RECENT UPDATE 
 
COMPLETE GUIDE COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS [MOST TESTED QUESTIONS] GET IT RIGHT GRADE A+
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CPCS - Certified Provider Credentialing Specialist 96 Questions And Answers
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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 what policy must an organization have ...
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CPMSM-NCQA Credentialing & Credentialing Standards
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CPMSM-NCQA Credentialing & Credentialing Standards
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NCQA & URAC question and answers 2023 verified
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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 ...
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