Cpmsm study 1 - Study guides, Class notes & Summaries

CPMSM Exam Study Guide Questions and Correct Solutions 2024 What are four models of HMOs? - Answer -Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Answer -Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Answer -5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - Answer -5 At least five ...

CPMSM Study Group - 1st halfDoes not specifically addressed in the standards health status and Nondiscretionary a.TJC b.HFAP c.DNV GL D.NCQA - correct answer DNV GLS How many peer references does HFAP require at initial appointment? - correct answer 1 According to NCQA what requires ongoing monitoring between recredentialing cycles? - correct answer Medicare/Medicaid sanctions NCQA requires an attestation of good health and competence to perform essential functions. How is this ach...

CPMSM - Study Guide Material | 230 Questions with 100% Correct Answers | Latest Update 2024 | Verified 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 least five active medical staff How many medical staff members comprise a Credentials Committee? - 5 ...

CPMSM Study Guide Questions and Answers Fully solved 2024 Non-profit under religious/community control. Voluntary/Charitable Hospital Non-profit under city, state, county. Govt (non-federal) hospital Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:07 / 0:15 Full screen Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. Govt (federal) hospital Owned by corpor...

CPMSM - Study Guide Material Questions and Correct Solutions 2024 What are four models of HMOs? - Answer -Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Answer -Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Answer -5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - Answer -5 At least...

CPMSM Exam Study Questions and Correct Solutions 2024 According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Answer -Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - Answer -3 years HFAP is commonly known as - Answer -AOA, an osteopathic organizat...

CPMSM Study 1

CPMSM - Study Guide Material | 230 Questions with 100% Correct Answers | Latest Update 2024 | Verified 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 least five active medical staff How many medical staff members comprise a Credentials Committee? - 5...

CPMSM Study Guide - Credentialing and Privileging1. assists organizations in monitoring and improving quality of care 2. Deemed status 3. Marketing reasons - shows that expectations for providing safe, quality health care are met 4. may favorably influence liability insurance premiums 5. for a hospital, may be required in order to obtain managed care contracts 6. employers and unions may require for providing healthcare coverage to employees - correct answer Why get accredited? TJC - cor...

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 the MCO's board? - Internal criteria Name possible internal criteria? - Board certification, an office within close proximity of facility, alternate coverage, need for a particular specialty, application fees, mi...