Hcqia and npdb - Study guides, Class notes & Summaries

CPCS CPMSM Sample Questions Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - correct answer Yes According to the Joint Commission, who may amend the medical staff bylaws? - correct answer Governing Body Failure to meet the established qualifications and criteria for appointment should be reported to whom? - correct answer The applicant NCQA requires the MCO to obtain a minimum of ???? years of work history? - correct answer ...

Can a patient successfully sue a doctor if there is no physician-patient relationship? – ANSWER No If there is no prior physician-patient relationship, are you legally obliged to respond to a call from a patient for treatment? – ANSWER No Does being on call give rise to a physician-patient relationship? – ANSWER No How can one terminate a physician-patient relationship, without abandonment if there is ongoing treatment? – ANSWER 30 days written notice; must provide fo...

What is the verification time limit for licensure per NCQA CVO standards? - Answer- 120 days According to the joint commission, initial appointments to the medical staff are not to exceed what time period? - Answer- Three years In the hospital environment, what body has the ultimate authority for granting privileges? - Answer- Board or governing body According to the HCQIA at what times must the hospital query the NPDB for a physician, dentist or other healthcare practitioner? - Answer-...

What does HCQIA stand for? correct answer: Health Care Quality Improvement Act When was HCQIA enacted by congress? correct answer: 1986 What is the purpose of HCQIA? correct answer: HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. What system was developed as a result of HCQIA? correct answer: The National Practitioner Databank (NPDB) What does HCQIA protect? correct answer: The review of phy...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)What does HCQIA stand for? - correct answer Health Care Quality Improvement Act When was HCQIA enacted by congress? - correct answer 1986 What is the purpose of HCQIA? - correct answer HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. What system was developed as a result of HCQIA? - correct answer The National ...

Name three organizations that influence either education, licensure practice or discipline of physicians - ANSWER-1. American Medical Association (AMA) 2. Joint Commission on Accreditation Health care organization (JCAHO) 3. Federation of State Medical Boards (FSMB) From the three listed above are they state, federal or privately managed? - ANSWER-1. Private 2.Private 3.Private What are the three federal branches of government? - ANSWER-Legislative, Executive and Judicial Which Bran...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank questions and answers verified 2024

CPCS/CPMSM Exam Questions and Answers Graded A+ Applicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identi...

CPMSM Knowledge Check Medicare requires providers to perform what process every 3-5 years? - correct answer Revalidation According to DNV standards, initial appointments to the medical staff are not to exceed what time period? - correct answer 36 months / 3 years T/F: The Joint Commission standards require that the applicant's participation in continuing education is evaluated and considered on initial appointment to the medical staff. - correct answer False. Participating in continu...

National Practitioner Data Bank (NPDB) Question and answers rated A+ 2023/2024Who can report to the HCQIA? - correct answer Medical malpractice payers Boards of medicla/dental examiners Hospitals Other health care entities Professional societies with formal peer review DEA HHS OIG What information is available from the HCQIA to all health care practitioners? - correct answer Medical malpractice payments Adverse actions against DEA certification Medicare/Medicaid