Npdb 3 - Study guides, Class notes & Summaries

CPMSM Ultimate Study Set 03 2019NPDB - correct answer National Practitioner Databank NPDB Contains: (what type of info) - correct answer - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be reported? - correct answer - Professional revie...

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...

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 ...

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...

NPDB National Practitioner Databank NPDB Contains: (what type of info) - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be reported? - Professional review actions based on competence, conduct, affecting privs >30 days - v...

NPDB - Correct Answer-National Practitioner Databank NPDB Contains: (what type of info) - Correct Answer-- adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be reported? - Correct Answer-- Professional review actions based on competence, con...

NPDB 3

CPMSM HFAP Appointment time frame - correct answer 2 years TJC Appointment time frame - correct answer No longer than every 2 years NCQA Appointment time frame - correct answer 3 years (to the month) URAC Appointment time frame - correct answer 3 years AAAHC Appointment time frame - correct answer 3 years Attestation Statement - correct answer TJC and Medicare do not specifically address, URAC allows electronic signature, all others require. Board Certification Verification - ...

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...

CPCS Practice Exam 1 Questions and Answers 100% CorrectCPCS Practice Exam 1 Questions and Answers 100% CorrectCPCS Practice Exam 1 Questions and Answers 100% CorrectCPCS Practice Exam 1 Questions and Answers 100% CorrectCPCS Practice Exam 1 Questions and Answers 100% CorrectWhat is the 7 step process TJC uses to process applications? - ANSWER-1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies f...