Cpmsm 2 - Study guides, Class notes & Summaries

Why is it important to check that the practitioner is not currently exclude, suspended, debarred, or ineligible to participate in Federal health care programs? The facility will not get paid for treating patients unless the service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basis? Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practit...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to the Joint Commission, who may amend the medical staff bylaws? Governing Body Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant NCQA requires the MCO to obtain a minimum of ???? years of work history? 5 years According to NCQA what policy must an organization have in place to ...

CPMSM QUESTIONS AND ANSWERS FULLY SOLVED HFAP stands for? Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? Governing Body or Board Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which NCQA-required committee makes recommendations regarding credentialin...

CPMSM Study Guide - Credentialing and Privileging Questions and Answers fully solved 1. assists organizations in monitoring and improving quality of care 2. Deemed status 3. Marketing reasons - shows that expectations for providing safe, quality health care are met 4. may favorably influence liability insurance premiums 5. for a hospital, may be required in order to obtain managed care contracts 6. employers and unions may require for providing healthcare coverage to employees Why get acc...

HFAP stands for? Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? Governing Body or Board Which NCQA-required committee makes recommendations regarding credentialing decisions? Credentialing Committee What primary source verification is required by NCQA prior to temporary privileges/provisional credentialing? Licensure and ...

CPMSM 2

Healthcare Facilities Accreditation Program (HFAP) correct answer: Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and behavioral health facilities. While previously primarily osteopathic focuses, HFAP is not authorized by the Centers for Medicare and Medicaid Services (CMS) to survey all hospitals for compliance with the Medicare Conditions ...

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? The facility will not get paid for treating patients unless service is provided by an authorized provider Which of the following credentials must be tracked on an ongoing basis? Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitione...

NAMSS CPCS CPMSM 2021Healthcare Facilities Accreditation Program (HFAP) - correct answer Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and behavioral health facilities. While previously primarily osteopathic focuses, HFAP is not authorized by the Centers for Medicare and Medicaid Services (CMS) to survey all hospitals for compliance with the...