Exam (elaborations)
CPCS EXAM QUESTIONS AND ANSWERS 2024
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CPCS EXAM QUESTIONS AND ANSWERS 2024
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CPCS EXAMHow can changes be made for rules and regulations for individual departments -
ANSWERS-the medical staff may delegate the authority for changing the rules and
regulations to the MEC.
describe the course of conduct or action pursued or the management of a matter
in certain circumstances. Policies are often used to address internal matters and
may be subject to frequent change. The medical Staff may delegate the authority
for changing the rules and regs to the MEC. - ANSWERS-Policies and Procedures -
Why should MSP's be familiar with the regs and accreditation standards that
apply to their organization? - ANSWERS-It is a good idea to audit bylaws, rules,
regs, and policies to make sure that they comply with state regs and accreditation
standards.
What if you find out you are not compliant with your bylaws? - ANSWERS-You
should determine the basis for the bylaw requirement, if it is not required by
accreditation standards, state of federal regs, confer with your legal counsel as to
whether not to change the bylaws to reflect your current practice.
Instead of Bylaws what do MCO's use? - ANSWERS-MCO's use policies and
procedures to delineate required functions.
Who gets credentialed - ANSWERS-Hospitals governing body and medical staff
define medical staff membership criteria in the bylaws.
,NCQA describes credentialing as- - ANSWERS-The process by which the managed
care organization authorizes contracts with or employs clinicians who are licensed
to practice independently to provide services to it members.
Who do the credentialing standards apply to? - ANSWERS-They apply to all
licensed practitioners or groups of practitioners who provide care to the
organizations members
What criteria must the bylaws include to meet CoPs requirements - ANSWERS-
Your bylaws must describe the qualifications required of a candidate in order for
the medical staff to recommend appointment by the governing body.
Main Motion - ANSWERS-This motion introduces items to membership for
consideration and cannot be made when any other motion is on the floor.
Subsidary Motion - ANSWERS-This motion changes or affects how a main motion
is handled. Subsidary motion is voted on before a main motion.
Call for Order of the Day - ANSWERS-A request to follow the agenda
Privileged motion - ANSWERS-This motion brings up items that are urgent -
unrelated to pending business. Take precedence over all other motions.
,A motion to divide the assemble - ANSWERS-A more exlicit type of vote (show of
hands)
Incidental motions - ANSWERS-Resolve particular questions that arise in
connections with the assembly's conduct of business. They take priority over main
motions.
Incidental motions include - ANSWERS-10 things - Objection To Considerations,
Point Of Order, Request For Information, Parliamentary Inquiry, Request To
Withdraw A Motion, Motion To Determine Manner Of Voting, Request For
Division Of A Question, Request For Division Of The Assembly, Appeal Of A Ruling
From The Chair, And Motion To Suspend A Rule
Main Motions - ANSWERS-Bring an item of business to the assembly for
consideration.
Negligent Tort has 4 elements, what are they? - ANSWERS-1. Duty to exercise due
care: standard of care, 2. Breach of duty, 3. Injury (no injury - no liability), 4.
Proximate Cause: injury must be caused by breach of duty
Recall motions - ANSWERS-To correct inadvertent errors, reexamine actions on
proposals and reverse them. 2 types of motions.
Secondary Motions - ANSWERS-Facilitate the discussion of main motions and are
divided into privileged, subsidiary, incidental, and recall motions.
, Requirements for appointment are called: - ANSWERS-criteria - reflective of
education, training current competence, health status, and licensure
External Criteria - ANSWERS-Set by forces outside the organization, accrediting &
certifying bodies such as JC, NCQA, state and federal regulations such as CMS.
Internal Criteria - ANSWERS-Defined by the hospitals medical staff and governing
board of the MCO's board
Does MCO's utilize Bylaws? - ANSWERS-No, MCO's use polices and procedures to
delineate required functions
What do Rules and Regulations describe? - ANSWERS-What medical staff
appointees may or may not do
What do policies and procedures describe? - ANSWERS-The course of conduct or
action pursued or the management of a matter in certain circumstances
The medical staff may delegate the authority to whom for changing the rules and
regulations? - ANSWERS-The MEC
Reasons for credentialing - ANSWERS-Patient Safety\nRisk Management
concerns\nRequired by Accrediting and Regulatory Agencies
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