CPMSM BUNDLED exams 2023 with 100% correct answers

When developing clinical privileges the following are important to evaluate? Established standards of practice such as, specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? To protect patient safety by...

NPDB National Practitioner Databank NPDB Contains: (what type of info) - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other...

Medical Staff according to the Joint Commission who is responsible for developing criteria for FPPE when issues affecting the provision of safety patient care are identified. 5 years NCQA requires an organization to obtain a claims history for a minimum of how many years every 6 Mont...

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 cr...

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 ...

What does HEDIS stand for? Healthcare Effectiveness Data and Information Set What is HEDIS? is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private employers' needs and has been adopted by public purchas...

Where must accreditors submit their standards for approval? CMS When is deemed status given? After approval by CMS What are requirements set by forces outside the organization? External criteria What factors are defined by the hospital's medical staff and governing body or t...

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 Which NCQA-required committee makes recommen...

What are four models of HMOs? Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? 5 At ...

Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? The facility will not get paid for treating patients unless the service is provided by an authorized provider. Which of the followin...

AAAHC Accreditation Association for Ambulatory Health Care Formed in 1979. Ambulatory means the same as outpatient or overnight stay. It is the preeminent leader in developing standards to advance and promote patient safety, quality and value for ambulatory health care through peer-based accredi...