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CPCS CPMSM Quiz Questions - class Test questions and answers 2025 latest update.
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CPCS CPMSM Quiz Questions - class Test questions and answers 2025 latest update.
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CPCS/CPMSM Quiz Questions -class Test questions and
answers 2025 latest update.
Are limitations of the clinical privileges of a psychiatrist
for more than 30 days reportable to the NPDB? - answer
YES
According to the Joint Commission, who may amend the
medical staff bylaws? - answer Medical Staff
Failure to meet the established qualifications and criteria
for appointment should be reported to whom? - answer
The applicant
NCQA requires the MCO to obtain a minimum of _____years
of work history? - answer Five years
According to NCQA what policy must an organization have
in place to obtain approval to enter into a delegated
agreement? - answer Credentialing policies
How often does the OIG report to the NPDB? - answer
Monthly
Hospitals must query the NPDB when: - answer Initial
appt, granting of privileges, every two years
,NCQA requires verifications be less than how many days
old? - answer 180
What is the verification time limit on malpractice history
according to the NCQA? - answer 180 days
Time limited credential must be verified by the CVO within
how many days prior to submission to the client? - answer
120 days
According to AAAHC, for initial appointments, in addition
to licensure and
education, what verification is required ? - answer
Experience and hospital affiliation
What accreditation body states "the NPDB is an
acceptable source for sanctions or limitations on
licensure, Medicaid/Medicare sanctions and malpractice
history"? - answer NCQA
Who is required to query the NPDB? - answer Hospitals
Is disciplinary action taken against the license of a dentist
reportable to the NPDB? - answer Yes
Under HCQIA, a hospital failure to report an adverse
privilege action lasting longer than 30 days may cause the
, organization to lose HCQIA immunity for how many years?
- answer 3 years
According to NCQA verification of Medicare/Medicaid
sanctions can be queried by any of what sources? - answer
AMA, FSMB, HIPDB, OIG, Sanctions Report, NPDB, State
Agency
According to NCQA, how often must an organization
conduct an audit of the credentialing process delegated to
another organization? - answer Annually
How far back does the Joint Commission require
evaluation of malpractice history?
What source may be used? - answer Back to medical
school
NPDB
Is an internet verification from a website not contracted
by the primary source that attests to the accuracy and
timeliness of the information considered a complete
verification by NCQA? - answer No
What accreditation bodies require privileges to be
distributed to essential department personnel? - answer
Joint Commission/CMS
T/F the Joint Commission does not require criminal
background checks. - answer True (unless employed,
then HR must perform background check)
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