Cpcs stuvia Study guides, Class notes & Summaries

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...

CPCS Exam Questions and Answers 100% Correct CPCS Exam Questions and Answers 100% Correct CPCS Exam Questions and Answers 100% Correct 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 rev...

CPCS Study Guide Practice Test Questions and Answers 100% Correct CPCS Study Guide Practice Test Questions and Answers 100% Correct CPCS Study Guide Practice Test Questions and Answers 100% Correct Why it is important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANSWER-The facility won't get paid for treating patients unless service is provided by authorized provider. Which of the f...

TJC Phone PSV - ANSWER What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP - ANSWER any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, LIP - ANSWER any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, TJC - DNV - HFAP - ANSWER Accreditation bodies for hospitals ...

NCQA - ANSWER 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. - ANSWER 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 absence of a State law. - ANSWER CMS, HFAP, DNV, and AAAHC TJC - ANS...

CPCS Set 01 Questions and Answers 100% Correct CPCS Set 01 Questions and Answers 100% Correct CPCS Set 01 Questions and Answers 100% Correct What elements should a peer recommendation include according to TJC? - ANSWER-Patient Care, medical clinical knowledge, practice based learning, interpersonal and communication skills, system-based practice Peer recommendations according to NCQA - ANSWER-There is no specific requirement for peer recommendations. The organization must designate a...

CPCS Study Guide Questions and Answers (Graded A) CPCS Study Guide Questions and Answers (Graded A) CPCS Study Guide Questions and Answers (Graded A) debarred, or ineligible to participate in Federal health care programs? - ANSWER-The facility won't get paid for treating patients unless service is provided by authorized provider Which of the following credentials must be tracked on an ongoing basis? a. Medical school b. Post graduate education c. Closed medical malpractice claims d. Lice...

CPCS - Credentialing and Privileging Questions and Answers 100% Correct CPCS - Credentialing and Privileging Questions and Answers 100% Correct CPCS - Credentialing and Privileging Questions and Answers 100% Correct CPCS - Credentialing and Privileging Questions and Answers 100% Correct TJC Phone PSV - ANSWER-What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP - ANSWER-any individual permitte...

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...

CPCS -Practice Exam-2 Questions and Answers 100% CorrectCPCS -Practice Exam-2 Questions and Answers 100% CorrectCPCS -Practice Exam-2 Questions and Answers 100% CorrectCPCS -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. Health st...