Cpcs certification - 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 - ...

CPCS 2023/2024 Practice Exam Already Graded A Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? 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 ongo...

Quiz HIM chapter 2 Question and answers rated A+ 2023/2024-RHIT, RHIA - correct answer Which credentials does AHIMA sponsor? -CMSC, CPCS -CPC, CPC-H -RHIT, RHIA -RMA, CMT False - correct answer The American Health Information Management Association (AHIMA) and the Centers for Disease Control and Prevention (CDC) offer certification in coding. True False True - correct answer A cancer registrar is a health care professional who has primary responsibility for ensuring the timely, accu...

CPCS 2018 Practice Exam 2 Questions & Answers URAC standards require primary source verification of which two elements when initially credentialing a provider? - ANSWERSa. State licensure & Board certification or highest level of education. b. Medical malpractice claims & Professional liability coverage c. Health status & Ability to perform privileges requested True/False: AOA-HFAP standards allow a hospital to accept the credentialing and privileging decision of another organization...

Certified Provider Credentialing Specialist - Answer-The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to the TJC - Answer-All licensed Independent practitioners must be credentialed and privi...

CPCS Exam Questions with Correct Answers Rated A+ 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 n...

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...

CPCS Medical Staff Credentialing & Standards Questions and Answers Graded A Certified Provider Credentialing Specialist Typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations. Initial Appointment / Clinical privileges/ practioners covered according to TJC All licensed Independent practitioners must be credentialed and privileged ...

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...

CPCS - Credentialing and Privileging Questions and Answers Rated A+ TJC Phone PSV What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, TJC - DNV - HFAP Accreditatio...