Pcs exam - 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? -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 named provider. If the provider wishes to dispute the re...

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...

CPCS Exam Questions & Answers 2024/2025 Q - The _____ defines credentialing as "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. - ANSWERSA - The Joint Commission Q- The _____ defines credentialing as a process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. - ANSWERSA - NCQA Q - Wha...

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 named provider. If the provider wishes to disput...

HIM 2753 PCS Exam Questions With Complete Solutions (Verified And Updated) The fourth character of the Medical and Surgical section of ICD-10-PCs represents the _____. - answerbody part Nuclear medicine procedures are reported with a section identifier of _____. - answerC Mental Health procedures are reported with a section identifier of _____. - answerG Which of the following is NOT an example of a tubular body part? - answerliver An appendectomy would be reported in the _____ section of...

HIM 2753 PCS Exam Questions With Complete Solutions (Verified And Updated) The fourth character of the Medical and Surgical section of ICD-10-PCs represents the _____. - answerbody part Nuclear medicine procedures are reported with a section identifier of _____. - answerC Mental Health procedures are reported with a section identifier of _____. - answerG Which of the following is NOT an example of a tubular body part? - answerliver An appendectomy would be reported in the _____ section of...

CPCS Exam Questions and Answers 100% Correct 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...

CPCS Exam Questions and Answers Already Passed 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 wish...

CPCS Exam Questions and Answers Already Passed 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 wish...

HCPCS Exam Study Guide CPT, HCPCS Level II and HCPCS Level III codes are all HIPAA-approved National Codes Sets. a.) True b.) False - b: False. HCPCS Level III codes are not included in the HIPAA-approved National Code Sets. They will be eliminated on Dec. 31, 2003. In most cases, which modifier is needed for an emergency room case when reporting both a CPT surgery code and evaluation and management (E/M) code? a.) 52 b.) 59 c.) 25 - c: Modifier -25 is appended to the ED E/M c...