Cpmsm ncqa test - Study guides, Class notes & Summaries
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CPMSM NCQA Test questions and answers 2025 latest update
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CPMSM NCQA Test questions and answers 2025 latest update
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CPMSM Practice Test Q&A 2024.
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CPMSM Practice Test Q&A 2024. 
every 6 Months 
According to NCQA how frequently must a delegate submit a report to the organization 
 
 
 
For health plans 180 days, for CVO 120 days 
verification time limit for malpractice claims history 
 
 
 
Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist, in Speech and Language Therapist 
During an NCQA accreditation audit which practitioner type would be included in an audit file
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CPMSM PRACTICE TEST EXAM REVIEW QUESTIONS AND ANSWERS, RAT | latest 2024/25 exams updates |ED A+
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CPMSM PRACTICE TEST EXAM REVIEW QUESTIONS AND 
ANSWERS, RATED 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? - -The facility won't get paid for treating 
patients unless service is provided by authorized provider 
Which credentials must be tracked on an ongoing basis? - -Licensure 
According to NCQA standards, an organization that discovers sanction info, complaints, or adve...
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CPMSM Test Questions & Verified Answers Latest
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CPMSM Test Questions & Verified Answers 
Latest 
According to URAC who should oversee the clinical aspects of the credentialing program within the 
organization? - Answer -Senior Clinical Staff Person 
Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, 
specialty board, state licensing board 
NCQA requires MCO's to recredential practitioners at least every - Answer -3 years 
HFAP is commonly known as - Answer -AOA, an osteopathic organization 
T/...
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CPMSM Practice Test Questions and Answers 2024
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CPMSM Practice Test Questions and Answers 2024 
Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? 
The facility won't get paid for treating patients unless service is provided by authorized provider 
 
 
 
Which credentials must be tracked on an ongoing basis? 
Licensure 
 
 
 
According to NCQA standards, an organization that discovers sanction info, complaints, or adverse events rega...
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CPMSM Test Questions | Questions with 100% Correct Answers | Latest Update 2024 | Verified
- Exam (elaborations) • 5 pages • 2023
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CPMSM Test Questions | Questions with 
100% Correct Answers | Latest Update 
2024 | Verified 
According to URAC who should oversee the clinical aspects of the credentialing program within the 
organization? - Senior Clinical Staff Person 
Name 3 sources of verification of education of a dentist according to NCQA - Dental school, 
specialty board, state licensing board 
NCQA requires MCO's to recredential practitioners at least every - 3 years 
HFAP is commonly known as - AOA, an osteopathic org...
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CPMSM Study Review Test Questions and Answers 2024.
- Exam (elaborations) • 17 pages • 2024
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CPMSM Study Review Test Questions and Answers 2024. 
According to NCQA standards and organization that discovers sanction information complaints or adverse events regarding a practitioner must take what action 
Determine if there is evidence of poor quality that could affect the health and safety of its members 
 
 
 
What is the name of the entity that was established through the healthcare quality improvement act of 1986 to restrict the ability of incompetent physicians Dennis and other health...
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CPMSM Practice Test (Latest) Updated Qs & As Graded A+
- Exam (elaborations) • 4 pages • 2024
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CPMSM Practice Test (Latest) Updated Qs & As Graded A+
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CPMSM Test Questions & Verified Answers Latest
- Exam (elaborations) • 4 pages • 2024
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CPMSM Test Questions & Verified Answers 
Latest 
According to URAC who should oversee the clinical aspects of the credentialing program within the 
organization? - Answer -Senior Clinical Staff Person 
Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, 
specialty board, state licensing board 
NCQA requires MCO's to recredential practitioners at least every - Answer -3 years 
HFAP is commonly known as - Answer -AOA, an osteopathic organization 
T/...
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CPMSM Introduction Test Questions and Answers 2024.
- Exam (elaborations) • 10 pages • 2024
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CPMSM Introduction Test Questions and Answers 2024. 
HFAP stands for? 
Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) 
 
 
 
The following bodies approves clinical privileges? 
Governing Body or Board 
 
 
 
Which NCQA-required committee makes recommendations regarding credentialing decisions? 
Credentialing Committee 
 
 
 
What primary source verification is required by NCQA prior to temporary ...
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