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Practice Test-- Exam Edge Questions With Verified Answers.

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Practice Test-- Exam Edge Questions With Verified Answers. Which of the following firms provides a service under which an employer can outsource employee management tasks, such as employee benefits, payroll and workers' compensation, recruiting, risk/safety management, and training and developm...

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Practice Test Questions With Verified
Answers.

Why it is important to check that the practitioner is not currently excluded, suspended, debarred,

or ineligible to participate in Federal health care programs?

a. A facility could lose its accreditation if it does not do so.

b. It is required by Medicare Conditions of Participation.

c. The facility won't get paid for treating patients unless service is provided by authorized

provider. - answer✔c. The facility won't get paid for treating patients unless service is provided

by authorized provider.

Which of the following credentials must be tracked on an ongoing basis?

a. Post graduate education completed

b. Closed medical malpractice claims

c. Licensure - answer✔c. Licensure

According to NCQA standards, an organization that discovers sanction information, complaints,

or adverse events regarding a practitioner must take what action?

, ©BRAINBARTER 2024/2025

a. Determine if there is evidence of poor quality that could affect the health and safety of its

members.

b. Immediately take action to remove the provider from its panel.

c. Notify the practitioner that he/she is under investigation and initiate the hearing process. -

answer✔a. Determine if there is evidence of poor quality that could affect the health and safety

of its members.

What is the name of the entity that was established through the Health Care Quality

Improvement Act of 1986 to restrict the ability of incompetent physicians, dentists, and other

health care practitioners to move from state to state without disclosure or discovery of previous

medical malpractice payment and adverse action history?

a. Emergency Medical Treatment and Active Labor Act

b. The National Practitioner Data Bank

c. The Patient Safety and Quality Improvement Act - answer✔b. The National Practitioner Data

Bank

When developing clinical privileging criteria, which of the following is important to evaluate?

a. How many providers are in that specialty.

b. Established standards of practice, such as specialty board recommendations.

c. Whether or not the quality department can support the FPPE process. - answer✔b. Established

standards of practice, such as specialty board recommendations.

, ©BRAINBARTER 2024/2025

What is the main reason for periodically assessing appropriateness of clinical privileges for each

specialty?

a. It's required by accreditation standards.

b. It is required by the Medicare Conditions of Participation.

c. To protect patient safety by ensuring current competency, relevance to the facility, and

accepted standards of care. - answer✔c. To protect patient safety by ensuring current

competency, relevance to the facility, and accepted standards of care.

Which of the following specialists is most likely to perform a PTCA?

a. OB/GYN

b. Urologist

c. Interventional Cardiologist - answer✔c. Interventional Cardiologist

The Joint Commission hospital standards require that clinical privileges are hospital specific and

a. Based on the individual's demonstrated current competence and the procedures the hospital

can support.

b. Based on board certification.

c. Based on the privileges the individual is currently approved to perform at other hospitals. -

answer✔a. Based on the individual's demonstrated current competence and the procedures the

hospital can support.

Which of the following would be routinely performed by a cardiologist?

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