Urac training Study guides, Class notes & Summaries

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

URAC Accreditation Quiz How do you (or the organization) provide oversight to ensure the company is compliant with applicable laws and regulations? - 1) Review the policies and procedures to confirm that we are accurately following the standard regulations. 2)The Compliance team conducts internal audits and reviews all POPs for regulatory compliance and accuracy. If you participate in multiple states, how are staff trained to resolve variations in processes that impact their job fun...

CPCS 2022 Fall Study (Accred Grid+Roberts Rules+Practice Exams) Already Passed True or False: According to The Joint Commission, the applicant's ability to perform privileges requested must be evaluated and this evaluation must be documented in the credentials file. True 2 MULTIPLE CHOICE OPTIONS According to HFAP – information regarding ability to perform is requested for each a. Applicant b. Applicant & Re-applicant c. Re-applicant Applicant & Reapplicant True or False: According to ...

CPMSM - Study Guide Material Questions and Answers Latest Updated 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 At least five active ...

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...

CPCS - Credentialing and Privileging Questions and Answers 100% CorrectCPCS - Credentialing and Privileging Questions and Answers 100% CorrectCPCS - Credentialing and Privileging Questions and Answers 100% Correct TJC Phone PSV - ANSWER-What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP - ANSWER-any individual permitted by law and by the hospital to provide patient care services w/o direction...

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 - ANSWER Healthcare Effectiveness Data Information Set CAHPS acronym for - ANSWER Consumer Assessment of Healthcare Providers & Systems Structure of a CVO - ANSWER Director - ...

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 ...

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

CPCS Exam 2023 Already Graded A 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 Staff - Huma...