Cpmsm study - Study guides, Class notes & Summaries

CPMSM Study Guide - Credentialing and Privileging Questions and Answers fully solved 1. assists organizations in monitoring and improving quality of care 2. Deemed status 3. Marketing reasons - shows that expectations for providing safe, quality health care are met 4. may favorably influence liability insurance premiums 5. for a hospital, may be required in order to obtain managed care contracts 6. employers and unions may require for providing healthcare coverage to employees Why get acc...

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 will not 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? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must ...

CPMSM STUDY GUIDE MATERIAL EXAM ...

CPMSM Cards, CPMSM Study (MCO), CPMSMBoyd vS Albert Einstein - correct answer Doctrine of Ostensible Agency - HMO found liable in patient's death. Chest perforation during breast biopsy, chest pain/MI six weeks later. Elam vS CollegePark - correct answer Doctrine of Corporate Negligence - Med Records had information on many lawsuits agains podiatrist Patrick vs Burget - correct answer Anticompetitive Peer Review - Led to development of HCQIA Gonzales vs Nork & Mercy Hospital - correct ...

CPMSM Study Questions 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 will not 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? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events r...

CPMSM Study Guide Questions and Answers 2024.

CPMSM Study Guide Non-profit under religious/community control. - correct answer Voluntary/Charitable Hospital Non-profit under city, state, county. - correct answer Govt (non-federal) hospital Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. - correct answer Govt (federal) hospital Owned by corporation, partnership. - correct answer Proprietary for-profit hospital Provides services typical of a doctor's office our outpati...

CPMSM Cards, CPMSM Study (MCO), CPMSM questions and answers verified 2024

CPMSM NEWEST ACTUAL EXAM STUDY GUIDE AND PRACTICE QUESTIONS AND DETAILED CORRECT ANSWERS 2024 | A+GRADE VERFIED