Cpmsm 3 - Study guides, Class notes & Summaries

CPMSM Study Guide (TJC) - CMH77 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...

CPCS CPMSM Sample Questions Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - correct answer Yes According to the Joint Commission, who may amend the medical staff bylaws? - correct answer Governing Body Failure to meet the established qualifications and criteria for appointment should be reported to whom? - correct answer The applicant NCQA requires the MCO to obtain a minimum of ???? years of work history? - correct answer ...

CPMSM HFAP stands for? - correct answer Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? - correct answer Governing Body or Board Which NCQA-required committee makes recommendations regarding credentialing decisions? - correct answer Credentialing Committee What primary source verification is required by NCQA prior to temporary privileges/...

CPMSM Study Guide (TJC) - CMH77Where must accreditors submit their standards for approval? - correct answer CMS When is deemed status given? - correct answer After approval by CMS What are requirements set by forces outside the organization? - correct answer External criteria What factors are defined by the hospital's medical staff and governing body or the MCO's board? - correct answer Internal criteria Name possible internal criteria? - correct answer Board certification, an offi...

CPMSM Test Questions & Verified Answers Latest 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 organization T/...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)What does HCQIA stand for? - correct answer Health Care Quality Improvement Act When was HCQIA enacted by congress? - correct answer 1986 What is the purpose of HCQIA? - correct answer HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. What system was developed as a result of HCQIA? - correct answer The National ...

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 accreditation questionsWhat is the NCQA timeframe for appointment - correct answer every 36 months to the month What is the HFAP appointment timeframe - correct answer not to exceed 2 years What is the TJC appointment timeframe - correct answer not to exceed 2 years What is the URAC appointment timeframe - correct answer every 3 years to the month & day As defined by state law who had the appointment timeframe not to exceed 3 years - correct answer URAC Who recommends apprai...

Credentialing Environment Overview (CPMSM)Governing body - correct answer set the organization policy that supports quality patient care by developing the mission, vision, policies, and bylaws. Ultimate authority in the hospital organization. Governing body - correct answer They are legally responsible for everything that happens in the organization. Ensures the hospital is able to fulfill its mission and ensures resources are used efficiently and effectively. Governing body - correct answ...

CPMSM Test Questions | Questions with 100% Correct Answers | Latest Update 2024 | Verified According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - 3 years HFAP is commonly known as - AOA, an osteopathic org...