Cpcs certification - Study guides, Class notes & Summaries

CPCS Exam Questions and Answers Already Passed AAHC stands for? Accreditation Association for Ambulatory Care DNV stands for? Det Norske Veritas another type of accreditation HFAP stands for? Healthcare Facilities Accreditation Program another type of accreditation NCQA stands for? National Commission on Quality Assurance URAC stands for? Utilization Review Accreditation Commission What is the difference between Accreditation and Certification? Accreditation = Confirmation and recognition of t...

Certified Provider Credentialing Specialist (CPCS) Study Guide Certified Provider Credentialing Specialist - The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC - All license...

CPCS Exam- Studying for Success Toolkit - Comparing Similarities & Differences NCQA - National Committee for Quality Assurance Which of the 7 accreditation bodies require appointment time frames no greater than 3 years AND base their cycle to the MONTH and NOT the day. - NCQA & URAC (National Committee of Quality Assurance AND Utilization Review Accreditation Commission ) Which of the 7 accreditation bodies makes the RECOMMENDATION appointment timeframe be at LEAST 24 months, in the ...

Quiz HIM chapter 2-RHIT, RHIA - correct answer Which credentials does AHIMA sponsor? -CMSC, CPCS -CPC, CPC-H -RHIT, RHIA -RMA, CMT False - correct answer The American Health Information Management Association (AHIMA) and the Centers for Disease Control and Prevention (CDC) offer certification in coding. True False True - correct answer A cancer registrar is a health care professional who has primary responsibility for ensuring the timely, accurate, and complete collection and mainten...

CPCS -Practice Exam-2 Questions and Answers 100% Correct CPCS -Practice Exam-2 Questions and Answers 100% Correct CPCS -Practice Exam-2 Questions and Answers 100% Correct CPCS -Practice Exam-2 Questions and Answers 100% Correct URAC standards require primary source verification of which two elements when initially credentialing a provider? - ANSWER-a. State licensure & Board certification or highest level of education. b. Medical malpractice claims & Professional liability coverage c. Healt...

CPCS Exam 2023 Latest Update MCO acronym for - Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - National Association of Medical Staff Services CPCS acronym for - Certified Provider Credentialing Specialist CVO acronym for - Credential Verifications Organization HEDIS acronym for - Healthcare Effectiveness Data Information Set CAHPS acronym for - Consumer Assessment of Healthcare Providers & Systems Structure of a CVO - Director - Contract Sales - Credentialing ...

Certified Provider Credentialing Specialist - ANSWER The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC - ANSWER All licensed Independent practitioners must be credentialed and privi...

CPCS 2023-Practice Exam Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANS-a. A facility could lose its accreditation if it does not do so b. It is required by Medicare Conditions or Participation c. The facility won't get paid for treating patients unless service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basi...

CPCS Exam 2023 A+ What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - ANS-HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - ANS-Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - ANS-60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes t...

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. 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 how may years of work history? Five years According to the...