CERTIFIED PROVIDER CREDENTIALING SPECIALIST (CPCS) PRACTICE EXAM LATEST UPDATE WITH COMPLETE 200 QUESTIONS AND CORRECT VERIFIED SOLUTIONS JUST RELEASED

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CERTIFIED PROVIDER CREDENTIALING SPECIALIST
(CPCS) PRACTICE EXAM LATEST UPDATE 2026-2027
WITH COMPLETE 200 QUESTIONS AND CORRECT
VERIFIED SOLUTIONS JUST RELEASED


Question: According to JC what is included in the process of planning and implementing

privileges? - CORRECT ANSWER✔✔Develop & approve procedure list\nProcess the

application\nEvaluate applicant specific information\nSubmit recommendations to governing

body for applicant specific delineated privileges\nNotify the applicant, relevant

personnel\nMonitor the use of privileges




Question: Are payments made by a physician in a malpractice claim reportable to the NPDB? -

CORRECT ANSWER✔✔No




Question: Who requires Peer References - CORRECT ANSWER✔✔JC, HFAP, AAAHC




Question: Who reappoints - CORRECT ANSWER✔✔JC, HFAP, NCQA, URAC




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Question: Who requires an attestation? - CORRECT ANSWER✔✔NCQA, URAC, AAAHC




Question: Who requires education verification? - CORRECT ANSWER✔✔JC, HFAP, URAC,

AAAHC




Question: Who requires statement regarding felony convictions? - CORRECT ANSWER✔✔HFAP,

NCQA, AAAHC




Question: Attestation must state that the information submitted is complete & correct -

CORRECT ANSWER✔✔NCQA, AAAHC




Question: Attestation must state that the information submitted is complete & accurate -

CORRECT ANSWER✔✔URAC




Q: What two accreditors state: a hospital may not rely solely on board certification when

considering practitioner for medical staff membership? - CORRECT ANSWER✔✔HFAP, CMS




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Question: According to JC & HFAP name four approved sources PSV for Medical Education -

CORRECT ANSWER✔✔Medical School, AMA, ECFMG, AOA




Question: According to NCQA practitioners must be notified of credentialing decision within

how many days? - CORRECT ANSWER✔✔60 Days




Question: The DHHS mails a copy of the NPDB report to the named provider. If the provider

wishes to dispute the reports accuracy, the provider has how many days to do so? - CORRECT

ANSWER✔✔60 Days




Question: According to URAQ, within how many days must the practitioner be notified of

credentialing decisions? - CORRECT ANSWER✔✔10 Days




Question: How many days does a practitioner have to dispute an NPDB report accuracy -

CORRECT ANSWER✔✔60 Days




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Question: Which accrediting body requires five year verification of malpractice history -

CORRECT ANSWER✔✔NCQA




Question: What is commonly used source for verifying malpractice history - CORRECT

ANSWER✔✔NPDB




Question: According to the JC a fair hearing and appeals process as described in the medical

staff bylaws is available to whom? - CORRECT ANSWER✔✔Medical staff members and non-

members holding clinical privileges




Question: T/F Only the highest of training must be verified according to NCQA - CORRECT

ANSWER✔✔True




Question: According to the Joint Commission a peer recommendation should address what six

competencies? - CORRECT ANSWER✔✔Medical knowledge\nTechnical & clinical skill\nclinical

judgment\ninterpersonal skills\ncommunication skills\nprofessionalism




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