Npdb 3 - Study guides, Class notes & Summaries

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...

HFAP Refers to a CVO as a Professional Credentialing Organization (PCO) HFAP Appointment time frame 2 years TJC Appointment time frame No longer than every 2 years NCQA Appointment time frame 3 years (to the month) URAC Appointment time frame 3 years AAAHC Appointment time frame 3 years Attestation Statement TJC and Medicare do not specifically address, URAC allows electronic signature, all others require. Board Certification Verification ...

CPCS Practice Exam 1 Questions and Answers 100% Correct CPCS Practice Exam 1 Questions and Answers 100% Correct CPCS Practice Exam 1 Questions and Answers 100% Correct CPCS Practice Exam 1 Questions and Answers 100% Correct What is the 7 step process TJC uses to process applications? - ANSWER-1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review ...

What is the 7 step process TJC uses to process applications? - ANSWER 1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Verification Program, accessabl...

Methods of HC Provider Regulation by Fed correct answers 1. Education 2. Licensure Types of HC Provider Regulation correct answers 1. Private 2. State 3. Federal Physician Licensure correct answers - by state, not federal - AMA made recommendations for the states to follow - need to do continuing education Physician Discipline correct answers - State medical boards - Stored on NPDB (National Practitioner Data Bank) - consumers cannot see but hospitals can NBME correct answers ...

OPSEC - Answer-This is a process of identifying, analyzing, and controlling critical information indicating friendly actions associated with military operations and other activities Failure to implement these measures will be considered by commanders/directors for appropriate disciplinary action TEMPEST (Code Name) - Answer-This denies interception and exploitation of classified, and in some instances, unclassified, information transmitted via electromagnetic waves within a facility where ...

CPCS Practice Exam 1 (2023) What is the 7 step process TJC uses to process applications? - ANS-1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Ver...

Which organization requires cancer statistics to be reported from central registries to the national organization responsible for cancer statistics? - CORRECT ANSWER Centers for disease control and prevention (CDC) Which organization requires reporting of medical malpractice payments, federal licensure and certification actions, and adverse clinical privileges actions - CORRECT ANSWER National Practitioner Data Bank (NPDB) Which organization administers voluntary accreditation ...

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...

NCQA - ANSWER 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. - ANSWER 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 absence of a State law. - ANSWER CMS, HFAP, DNV, and AAAHC TJC - ANS...