Exam (elaborations)
CPCS exam with correct answers
CPCS exam with correct answers
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CPCS 1500
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CPCS exam with correct answers
What |two |accreditors |state: |a |hospital |may |not |rely |solely |on |board |certification |when |
considering |practitioner |for |medical |staff |membership? |- |ANSWERS✔✔ |HFAP, |CMS
According |to |JC |& |HFAP |name |four |approved |sources |PSV |for |Medical |Education |- |
ANSWERS✔✔ |Medical |School, |AMA, |ECFMG, |AOA
According |to |NCQA |practitioners |must |be |notified |of |credentialing |decision |within |how |
many |days? |- |ANSWERS✔✔ |60 |Days
The |DHHS |mails |a |copy |of |the |NPDB |report |to |the |named |provider. |If |the |provider |wishes |to |
dispute |the |reports |accuracy, |the |provider |has |how |many |days |to |do |so? |- |ANSWERS✔✔ |60 |
Days
According |to |URAQ, |within |how |many |days |must |the |practitioner |be |notified |of |credentialing
|decisions? |- |ANSWERS✔✔ |10 |Days
How |many |days |does |a |practitioner |have |to |dispute |an |NPDB |report |accuracy |- |
ANSWERS✔✔ |60 |Days
Which |accrediting |body |requires |five |year |verification |of |malpractice |history |- |ANSWERS✔✔
|NCQA
What |is |commonly |used |source |for |verifying |malpractice |history |- |ANSWERS✔✔ |NPDB
According |to |the |JC |a |fair |hearing |and |appeals |process |as |described |in |the |medical |staff |
bylaws |is |available |to |whom? |- |ANSWERS✔✔ |Medical |staff |members |and |non-members |
holding |clinical |privileges
,T/F |Only |the |highest |of |training |must |be |verified |according |to |NCQA |- |ANSWERS✔✔ |True
According |to |the |Joint |Commission |a |peer |recommendation |should |address |what |six |
competencies? |- |ANSWERS✔✔ |Medical |knowledge\nTechnical |& |clinical |skill\nclinical |
judgment\ninterpersonal |skills\ncommunication |skills\nprofessionalism
Telemedicine |- |according |to |JC |what |two |options |are |available |for |credentialing |a |the |original |
site? |- |ANSWERS✔✔ |Full |credentialing, |use |of |the |distant |sites |credentialing
According |to |JC |what |is |included |in |the |process |of |planning |and |implementing |privileges? |- |
ANSWERS✔✔ |Develop |& |approve |procedure |list\nProcess |the |application\nEvaluate |
applicant |specific |information\nSubmit |recommendations |to |governing |body |for |applicant |
specific |delineated |privileges\nNotify |the |applicant, |relevant |personnel\nMonitor |the |use |of |
privileges
Are |payments |made |by |a |physician |in |a |malpractice |claim |reportable |to |the |NPDB? |- |
ANSWERS✔✔ |No
Who |requires |Peer |References |- |ANSWERS✔✔ |JC, |HFAP, |AAAHC
Who |reappoints |- |ANSWERS✔✔ |JC, |HFAP, |NCQA, |URAC
Who |requires |an |attestation? |- |ANSWERS✔✔ |NCQA, |URAC, |AAAHC
Who |requires |education |verification? |- |ANSWERS✔✔ |JC, |HFAP, |URAC, |AAAHC
Who |requires |statement |regarding |felony |convictions? |- |ANSWERS✔✔ |HFAP, |NCQA, |
AAAHC
,Attestation |must |state |that |the |information |submitted |is |complete |& |correct |- |ANSWERS✔✔ |
NCQA, |AAAHC
Attestation |must |state |that |the |information |submitted |is |complete |& |accurate |- |
ANSWERS✔✔ |URAC
Attestation |must |include |inquiry |regarding |illegal |drug |use? |- |ANSWERS✔✔ |NCAQ
Attestation |must |include |inquiry |regarding |inability |to |perform |essential |functions? |- |
ANSWERS✔✔ |NCQA
Attestation |must |include |inquiry |regarding |history |or |loss |or |limitations |of |licensure |or |
privileges |or |disciplinary |actions? |- |ANSWERS✔✔ |NCQA
Attestation |must |include |inquiry |regarding |current |malpractice |coverage? |- |ANSWERS✔✔ |
NCQA
Attestation |must |include |inquiry |regarding |felony |convictions? |- |ANSWERS✔✔ |NCQA
Applicant |must |attest |to |limitations |on |ability |to |perform |functions |of |the |position |with |or |
without |accomodation, |if |any |- |ANSWERS✔✔ |NCQA
Applicant |must |attest |to |lack |of |present |illegal |drug |use |- |ANSWERS✔✔ |AAAHC
Applicant |must |attest |to |history |or |loss |of |license |and |felony |convictions, |if |any |- |
ANSWERS✔✔ |AAAHC
Applicant |must |attest |to |history |of |loss |or |limitations |of |privileges |or |disciplinary |actions, |if |
any |- |ANSWERS✔✔ |AAAHC
, Applicant |must |attest |to |current |malpractice |insurance |coverage? |- |ANSWERS✔✔ |AAAHC
Who |requires |a |malpractice |history |for |applicants? |- |ANSWERS✔✔ |JC, |HFAP, |NCQA, |
URAC, |AAAHC
Who |must |have |a |process |in |place |to |address |complaints? |- |ANSWERS✔✔ |JC, |HFAP, |NCQA, |
URAC
Who |requires |Board |Certification? |- |ANSWERS✔✔ |None
Who |requires |criminal |background |checks? |- |ANSWERS✔✔ |HFAP
Who |requires |applicant |ID |- |ANSWERS✔✔ |JC
Who |requires |an |NPDB |- |ANSWERS✔✔ |JC, |HFAP, |NCQA, |AAAHC
Who |requires |current |competence? |- |ANSWERS✔✔ |JC, |HFAP, |CMS
How |often |does |the |OIG |report |to |the |NPDB? |- |ANSWERS✔✔ |Monthly
Are |limitations |of |the |clinical |privileges |of |a |psychiatrist |for |more |than |30 |days |reportable |to |
the |NPDB? |- |ANSWERS✔✔ |Yes
According |to |the |JC, |who |may |amend |the |medical |staff |bylaws? |- |ANSWERS✔✔ |Governing |
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