Cpcs training exam - 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 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 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...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to The Joint Commission, who may amend medical staff bylaws? - Medical Staff 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 years of work history? - Five years According to NCQA what policy must an organization have in place to obtain approval to enter in...

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...

CPCS Exam 2023 Questions and Answers Rated A+ TJC (The Joint Commission) Definition of Credentialing 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 process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. Should you u...

TN Jurisprudence Exam Board - what board is this? - ANS Board for professional counselors, marital and family therapists, clinical pastoral therapists Actively engaged - define - ANS 10 or more face to face client contact hours per week: * Teaching, supervision, and/or research in counseling for a minimum of 10 clock hours per week OR * Engaged in professional counseling for 10 or more client contact hours per week OR * combination of teaching, supervision, research and prac...

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 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...