Cpcs exam 2023 a - Study guides, Class notes & Summaries

CPCS Exam 2023 Latest Update MCO acronym for - Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - National Association of Medical Staff Services CPCS acronym for - Certified Provider Credentialing Specialist CVO acronym for - Credential Verifications Organization HEDIS acronym for - Healthcare Effectiveness Data Information Set CAHPS acronym for - Consumer Assessment of Healthcare Providers & Systems Structure of a CVO - Director - Contract Sales - Credentialing ...

CPCS 2023-Practice Exam Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANS-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 basi...

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...

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 named provider. If the provider wishes to dispute t...

CPCS Practice Exam 1 (2023) What is the 7 step process TJC uses to process applications? - ANS-1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Ver...

CPCS Exam 2023 AAHC stands for? - ANS-Accreditation Association for Ambulatory Care DNV stands for? - ANS-Det Norske Veritas another type of accreditation HFAP stands for? - ANS-Healthcare Facilities Accreditation Program another type of accreditation NCQA stands for? - ANS-National Commission on Quality Assurance URAC stands for? - ANS-Utilization Review Accreditation Commission What is the difference between Accreditation and Certification? - ANS-Accreditation = Confirmation and reco...

CPCS exam A 2023 Highly rated 1. What two accreditors state: a hospital may not rely solely on board certifi- cation when considering practitioner for medical staff membership?: HFAP, CMS 2. According to JC & HFAP name four approved sources PSV for Medical Education: Medical School, AMA, ECFMG, AOA 3. According to NCQA practitioners must be notified of credentialing deci- sion within how many days?: 60 Days 4. The DHHS mails a copy of the NPDB report to the named provider. If the provider wi...

CPCS Practice Exam 1 (2023) What is the 7 step process TJC uses to process applications? - ANS-1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Ver...

CPCS Exam With 100% Correct Answers 2023 What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - Correct Answer-HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Correct Answer-Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - Correct Answer-60 Days The DHHS mails a copy of the NPDB repor...

CPCS Exam 2023 Questions With 100% Correct Answers. MCO acronym for - Correct Answer-Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - Correct Answer-National Association of Medical Staff Services CPCS acronym for - Correct Answer-Certified Provider Credentialing Specialist CVO acronym for - Correct Answer-Credential Verifications Organization HEDIS acronym for - Correct Answer-Healthcare Effectiveness Data Information Set CAHPS acronym for - Correct Answer-Consu...