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CPCS {CERTIFIED PROVIDER CREDENTIALING SPECIALIST} EXAM GUIDE |SOLVED!! $15.99   Add to cart

Exam (elaborations)

CPCS {CERTIFIED PROVIDER CREDENTIALING SPECIALIST} EXAM GUIDE |SOLVED!!

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Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - ACCURATE ANSWERS Yes. According to TJC, who may amend the medical staff bylaws? - ACCURATE ANSWERS Governing body/board. Failure to meet the established qualifications and criteria for...

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  • October 15, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPCS
  • CPCS
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EXAMLINKS
CPCS {CERTIFIED PROVIDER
CREDENTIALING SPECIALIST}
EXAM GUIDE |SOLVED!!

Are limitations of the clinical privileges of a psychiatrist for more than
30 days reportable to the NPDB? - ACCURATE ANSWERS✔✔ Yes.


According to TJC, who may amend the medical staff bylaws? -
ACCURATE ANSWERS✔✔ Governing body/board.


Failure to meet the established qualifications and criteria for
appointment should be reported to whom? - ACCURATE
ANSWERS✔✔ The applicant.


NCQA requires the MCO to obtain a minimum of how May years of
work history? - ACCURATE ANSWERS✔✔ Five years.


According to the NCQA what policy must an organization have in place
to obtain approval to enter into a delegated agreement? - ACCURATE
ANSWERS✔✔ Credentialing policies.


How often does the OIG report to the NPDB? - ACCURATE
ANSWERS✔✔ Monthly.


When must hospitals query the NPDB? - ACCURATE ANSWERS✔✔
Initial appointment, granting of privileges, every two years.

, NCQA requires verifications must be less than how many days old? -
ACCURATE ANSWERS✔✔ 180 days


What is the verification time limit on malpractice history according to
the NCQA? - ACCURATE ANSWERS✔✔ 180 days


Time limited credential must be verified by the CVO with how may days
prior to submission to the client? - ACCURATE ANSWERS✔✔ 120
days


According the AAAHC, for initial appointments, in addition to licensure
and education, what verification is required? - ACCURATE
ANSWERS✔✔ Experience and hospital affiliations.


What accreditation body states "The NPDB is an acceptable source for
sanctions or limitations on licensure, Medicaid/ Medicare sanctions and
malpractice history? - ACCURATE ANSWERS✔✔ NCQA


Who is required to query the NPDB? - ACCURATE ANSWERS✔✔
Hospitals


Is disciplinary action taken against the license of a dentist reportable to
the NPDB? - ACCURATE ANSWERS✔✔ Yes

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