Hcqia and npdb - Study guides, Class notes & Summaries

CPCS Certified Provider Credentialing Specialist (2023/2024) Graded A What elements should a peer recommendation include according to TJC? Patient Care, medical clinical knowledge, practice based learning, interpersonal and communication skills, system-based practice Peer recommendations according to NCQA There is no specific requirement for peer recommendations. The organization must designate a Credentialing Committee that uses a peer-review process to make recommendations regarding credentia...

NPDB Question and answers correctly solved 2023/2024 Full Name - correct answer National Practitioner Data Base Purpose - correct answer prevents practitioners moving state to state without disclosure/discovery of previous damaging performance Effective Dates - correct answer Established- 1986 (by Congress) Opened for use- 1990 HIPD accepts reports- 1999 HIPDB and NPDB merged- 2013 NPDB open for all practitioners- 2010 Mission - correct answer To improve health care quality, protect th...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? correct answers Yes According to TJC, who may amend the medical staff bylaws? correct answers Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? correct answers The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? correct answers Five years According to the NCQA what p...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)

CPCS Exam 2023 Questions and Answers Rated A+ TJC (The Joint Commission) Definition of Credentialing The process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital. NCQA (National Committee for Quality Assurance) definition of credentialing process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. Should you u...

NPDB Question and answers already passed 2023/2024NPDB - correct answer a national register of physicians, dentists, and other health care practitioners, was established by the federal government in response to provisions of the Health Care Quality Improvement Act of 1986 (HCQIA). NPDB primary objective - correct answer to improve the quality of health care by encouraging state licensing boards, hospitals, professional societies, and other health care entities to identify and discipline those...

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 ...

HCQIA and NPDB

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)2024 M- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank) Study CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank) In-class activity Classic Live Checkpoint Self-study activity Flashcards Learn Test Match What does HCQIA stand for? Health Care Quality Improvement Act 1 / 22 Profile Picture ...

Can a patient successfully sue a doctor if there is no physician-patient relationship? - ANSWERNo If there is no prior physician-patient relationship, are you legally obliged to respond to a call from a patient for treatment? - ANSWERNo Does being on call give rise to a physician-patient relationship? - ANSWERNo How can one terminate a physician-patient relationship, without abandonment if there is ongoing treatment? - ANSWER30 days written notice; must provide for emergency Does a p...