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Exam (elaborations)

CPMSM EXAM STUDY QUESTIONS WITH GUARANTEED ACCURATE ANSWERS

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  • Course
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  • CPMSM

What are four models of HMOs? - ACCURATE ANSWERS Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - ACCURATE ANSWERS Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise ...

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  • October 16, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPMSM
  • CPMSM
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GRADEUNITS
CPMSM EXAM STUDY QUESTIONS
2024\2025
CPMSM EXAM STUDY QUESTIONS 2024\2025 WITH GUARANTEED ACCURATE
ANSWERS




What are four models of HMOs? - ACCURATE ANSWERS✔✔ Staff
Model
Group Model
Network Model
Independent Practice Association (IPA)


What are the four types of committees? - ACCURATE ANSWERS✔✔
Standing
Ad hoc
Task force

,Continuous quality improvement team


How many medical staff members comprise a Bylaws Committee? -
ACCURATE ANSWERS✔✔ 5


At least five active medical staff


How many medical staff members comprise a Credentials Committee? -
ACCURATE ANSWERS✔✔ 5


At least five active medical staff


How many medical staff members must serve on an Infection Control
Committee? - ACCURATE ANSWERS✔✔ 3


At least three active medical staff


How many medical staff members must serve on a Medical Records
Committee? - ACCURATE ANSWERS✔✔ 1


At least one active medical staff


How often should the Medical Records committee meet? - ACCURATE
ANSWERS✔✔ At least quarterly

,How many medical staff members must serve on a Pharmacy &
Therapeutics Committee? - ACCURATE ANSWERS✔✔ 5


At least five active medical staff


How often should the Pharmacy & Therapeutics committee meet? -
ACCURATE ANSWERS✔✔ At least quarterly


How many medical staff members must serve on a Utilization Review
Committee? - ACCURATE ANSWERS✔✔ 1


At least one active medical staff


How often should the Utilization Review Committee meet? -
ACCURATE ANSWERS✔✔ Every other month


What is 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? - ACCURATE ANSWERS✔✔
Credentialing


What are the three reasons for credentialing? - ACCURATE
ANSWERS✔✔ Patient Safety
Risk Management

, Required by agencies


Which three accreditors have been granted "deemed status"? -
ACCURATE ANSWERS✔✔ TJC, HFAP, DNV


Which two organizations offer accreditation for managed care
organizations? - ACCURATE ANSWERS✔✔ NCQA, URAC


Who is the main accreditor for ambulatory care facilities? - ACCURATE
ANSWERS✔✔ AAAHC


Physicians who are employees of a facility as hospitalists and who are
not listed in the provider directory are not included in the scope of the
credentialing standards with this accreditation? - ACCURATE
ANSWERS✔✔ URAC


For which accreditation, do the following practitioners need *not* to be
credentialed including:
-exclusively in the inpatient setting caring for organization members
only in the hospital setting
-practice exclusively in free-standing setting for members directed to
facility
-pharmacists working for a PBM (pharmacy benefits management)
organization for UM functions
-locum tenens working less than 90 days

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