Cpcs exam 2023 stuvia - Study guides, Class notes & Summaries

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

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

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANSWER 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 basis? - ANSWER a. Post gradua...

TJC (The Joint Commission) Definition of Credentialing - ANSWER The process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital. NCQA (National Committee for Quality Assurance) definition of credentialing - ANSWER process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. Should you use the same credentialin...

AAHC stands for? - ANSWER Accreditation Association for Ambulatory Care DNV stands for? - ANSWER Det Norske Veritas another type of accreditation HFAP stands for? - ANSWER Healthcare Facilities Accreditation Program another type of accreditation CPCS Exam 2023 Correct Questions & Answers(SCORED A+)

What does NCQA stand for? - ANSWER National Committee for Quality Assurance What does URAC stand for? - ANSWER Utilization Review Accreditation Commission What does HFAP stand for? - ANSWER Health Facilities Accreditation Program What does AAAHC stand for? - ANSWER Accreditation Association for Ambulatory Health Care What type of facilities does the Joint ComCPCS exam questions & Answers(GRADEDA+)

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

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