Cpcs certification Study guides, Class notes & Summaries
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![CERTIFIED PROVIDER CREDENTIALING SPECIALIST (CPCS) STUDY GUIDE](/docpics/5476303/665756e8d074e_5476303_121_171.jpeg)
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CERTIFIED PROVIDER CREDENTIALING SPECIALIST (CPCS) STUDY GUIDE
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Certified Provider Credentialing Specialist - Answer-The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. 
 
Initial Appointment / Clinical privileges/ practioners covered according to the TJC - Answer-All licensed Independent practitioners must be credentialed and privi...
![CPCS Exam- Studying for Success Toolkit - Comparing Similarities & Differences](/docpics/3570929/652018c91eec7_3570929_121_171.jpeg)
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CPCS Exam- Studying for Success Toolkit - Comparing Similarities & Differences
- Class notes • 8 pages • 2023
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CPCS Exam- Studying for Success Toolkit - 
Comparing Similarities & Differences 
NCQA - National Committee for Quality Assurance 
Which of the 7 accreditation bodies require appointment time frames no greater than 3 
years AND base their cycle to the MONTH and NOT the day. - NCQA & URAC 
(National Committee of Quality Assurance AND Utilization Review Accreditation 
Commission ) 
Which of the 7 accreditation bodies makes the RECOMMENDATION appointment 
timeframe be at LEAST 24 months, in the ...
![CPCS Exam 2023 Latest Update](/docpics/3570412/652000a054096_3570412_121_171.jpeg)
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CPCS Exam 2023 Latest Update
- Exam (elaborations) • 28 pages • 2023
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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 ...
![Certified Provider Credentialing Specialist (CPCS) Study Guide](/docpics/3608646/6527f25178eb7_3608646_121_171.jpeg)
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Certified Provider Credentialing Specialist (CPCS) Study Guide
- Exam (elaborations) • 4 pages • 2023
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Certified Provider Credentialing 
Specialist (CPCS) Study Guide 
Certified Provider Credentialing Specialist - The Certified Provider Credentialing 
Specialist (CPCS) is typically employed or contracted by a healthcare organization 
including, but not limited to, hospitals (health systems), health plans, ambulatory care 
settings, group practices, and credentialing verification organizations. 
Initial Appointment / Clinical privileges/ practioners covered according to the TJC - All 
license...
![CPCS 2023-Practice Exam](/docpics/3570479/652002f9cffb3_3570479_121_171.jpeg)
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CPCS 2023-Practice Exam
- Exam (elaborations) • 13 pages • 2023
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CPCS 2023-Practice Exam 
Why is it important to check that the practitioner is not currently excluded, suspended, 
debarred, or ineligible to participate in Federal health care programs? - ANS-a. A facility 
could lose its accreditation if it does not do so 
b. It is required by Medicare Conditions or Participation 
c. The facility won't get paid for treating patients unless service is provided by an 
authorized provider. 
Which of the following credentials must be tracked on an ongoing basi...
![CPCS Exam 2023 A+](/docpics/3571012/65201bd0f2afd_3571012_121_171.jpeg)
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CPCS Exam 2023 A+
- Exam (elaborations) • 22 pages • 2023
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CPCS Exam 2023 A+ 
What two accreditors state: a hospital may not rely solely on board certification when 
considering practitioner for medical staff membership? - ANS-HFAP, CMS 
According to JC & HFAP name four approved sources PSV for Medical Education - 
ANS-Medical School, AMA, ECFMG, AOA 
According to NCQA practitioners must be notified of credentialing decision within how 
many days? - ANS-60 Days 
The DHHS mails a copy of the NPDB report to the named provider. If the provider 
wishes t...
![CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass](/docpics/3813571/654eb363ead75_3813571_121_171.jpeg)
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CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass
- Exam (elaborations) • 15 pages • 2023
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CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass 
Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes 
According to TJC, who may amend the medical staff bylaws? Governing body/board. 
Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant 
NCQA requires the MCO to obtain a minimum of how may years of work history? Five years 
According to the...
![CPCS 2023-Practice Exam](/docpics/3572037/652052e9ed80c_3572037_121_171.jpeg)
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CPCS 2023-Practice Exam
- Exam (elaborations) • 13 pages • 2023
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Available in package deal
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CPCS 2023-Practice Exam 
Why is it important to check that the practitioner is not currently excluded, suspended, 
debarred, or ineligible to participate in Federal health care programs? - ANS-a. A facility 
could lose its accreditation if it does not do so 
b. It is required by Medicare Conditions or Participation 
c. The facility won't get paid for treating patients unless service is provided by an 
authorized provider. 
Which of the following credentials must be tracked on an ongoing basi...
![Certified Provider Credentialing Specialist (CPCS) study guide Questions & Answers Correct 100%](/docpics/3630403/652d121dca598_3630403_121_171.jpeg)
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Certified Provider Credentialing Specialist (CPCS) study guide Questions & Answers Correct 100%
- Exam (elaborations) • 4 pages • 2023
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Available in package deal
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- $9.99
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Certified Provider Credentialing Specialist - ANSWER The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. 
 
Initial Appointment / Clinical privileges/ practioners covered according to the TJC - ANSWER All licensed Independent practitioners must be credentialed and privi...
![CERTIFIED PROVIDER CREDENTIALING SPECIALIST (CPCS) STUDY GUIDE|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS](/docpics/3153115/64c5b653f37da_3153115_121_171.jpeg)
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CERTIFIED PROVIDER CREDENTIALING SPECIALIST (CPCS) STUDY GUIDE|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS
- Exam (elaborations) • 5 pages • 2023
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Available in package deal
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- $15.99
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Certified Provider Credentialing Specialist 
The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. 
 
 
 
Initial Appointment / Clinical privileges/ practioners covered according to the TJC 
All licensed Independent practitioners must be credentialed and privileged throug...
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