Hcqia and npdb - Study guides, Class notes & Summaries
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CPMSM QUESTIONS AND ANSWERS FULLY SOLVED
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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 
 
 
 
 
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Which NCQA-required committee makes recommendations regarding credentialin...
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CPCS/CPMSM Sample Questions and Answers 2024
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CPCS/CPMSM Sample Questions and Answers 2024 
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 
 
 
 
 
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Failure to meet the established qualifications and criteria for appointment should be reported to whom? 
The a...
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HCQIA and NPDB Question and answers rated A+ 2023/2024
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HCQIA and NPDB Question and answers rated A+ 2023/2024 
HCQIA - correct answer Health Care Quality Improvement Act of 1986 
 
The federal HCQIA was passed by Congress in 1986 to? - correct answer Extend immunity to good faith peer review of physicians and dentists and to create the National Practitioner Data Bank (NPDB). 
 
HCQIA only protects: - correct answer The review of physicians and dentists; review of allied health professionals is not protected by the HCQIA. 
 
HCQIA of 1986 statute was...
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HCQIA and NPDB answers 100% correct
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HCQIA and NPDB
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HCQIA and NPDB questions well answered 100% correct
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HCQIA and NPDB
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HCQIA and NPDB question and answers graded A+ 2023
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HCQIA and NPDB
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CPCS/CPMSM Sample Questions
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CPCS/CPMSM Sample Questions 
 
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 organiza...
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CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass
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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...
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CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass
- Exam (elaborations) • 15 pages • 2023
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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...
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CPCS /1CPCS Training Exam Questions and Answers 2024
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What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Medical School, AMA, ECFMG, AOA 
According to NCQA practitioners must be notified of credentialing decision within how many days? - 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 prov...
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