HFAP/ACHC initial application forms are required?
application, privilege forms, attestation/release, and other documents as
required by the hospital
TJC requires an initial application to be completed in how many days?
It is up to the organization to define the timeline.
NCQA sets a 120-day time limit for verification of licensure by a CVO.
True/False?
True
NCQA sets what time limit for MCO verifications of licensures, malpractice
history, sanctions and boards.
180 days of application approval
TJC requires credentialing of all LIPs, ARPNs and PAs through the Medical
staff process. True/False?
True
NCQA allows signature stamps to be utilized on an application. True/False
True only in instances where the practitioner documents a disability in the file
,A consent and release on an application allows an organization to request
additional peer references beyond those provided by the applicant. True/False
True- written applicant consent should release organization and all people
involved for the gathering and obtaining and exchanging the info, docs, and
records for the application.
handsome
sexy
intellectual
hard-headed
Per AAAHC which Application includes info for physical, mental health, or
chemical dependency that would interfere with ability to perform when?
initial and reappointment.
AAAHC - If allowed by organization the governing body must provide a
procedure for initial appointment, reappointment, assignment or curtailment of
privileges and practice for which of the following type of providers?
Allied Health Professionals AHPs
AAAHC - Accredited organizations may include other categories of
professionals - dental assistants and ortho techs who are employed by a
credentialed dentist or physician to assist with
intraoperative surgical procedures.
AAAHC what is the appointment timeframe?
Every 3 yrs or as required by state law or organizational policy
,AAAHC Application or reapplication must have formal statement releasing the
organization from any liability in connection with credentialing decisions and
includes the applicant's attestation to the accuracy and completeness of the
application and the information provided and the
applicant's dated signature.
Per AAAHC what are the 7 things for the attestation statement?
1. PLI -Professional liability claims
2. LICENSURE -Licensure revocation, suspension, voluntary relinquishment,
probation
3. COMPLAINTS -Complaints or adverse actions local, state, or national
boards
4. PRIVILEGE TERMED - Denial, suspension, limitation, termination, or
nonrenewal of privileges at any hospital, health plan, group or health care entity
5. SANCTIONS -Federal actions or sanctions / DEA, Medicare & Medicaid
6.FELONY - Conviction of criminal offense
7. ABILITY TO PERFORM -Current physical mental or chemical dependency
problems
AAAHC Board Certification - Check frequency?
Check ongoing basis - at least at expiration, appointment and reappointment -
Primary or secondary source verification
AAAAHC complaints are Covered under the QUALITY IMPROVEMENT
MANAGMENT standards, risk management process includes Ongoing review
of patient complaints & grievances and includes _________ _________ as
required by law and regulations
, Response Times
AAAHC Application must include information about complaints or adverse
action reports filed against the applicant with local state or national professional
or licensure board. True/False
True
Per AAAHC, CVO is allowed but the organization must perform assessment of
the
capability and quality of the CVO's work.
Per AAAHC what can meet the requirement for assessment of the CVO's
capability and quality of work?
Accreditation or verification of the CVO by national organization can fulfill
requirement
CVO should carry out PSV unless such resources are unavailable or cannot be
verified according to AAAHC. True or False?
True
AAAHC - An applicant requesting initial medical or dental staff privileges
including AHP shall, on formal application provide documentation of
_________ in carrying out the procedures requested.
Competency
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