CERTIFIED PROVIDER CREDENTIALING
SPECIALIST ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Peer recommendations according to NCQA
Answer: There is no specific requirement for peer
recommendations. The organization must designate a Credentialing
Committee that uses a peer-review process to make
recommendations regarding credentialing decisions.
◉ Peer recommendations according to HFAP.
Answer: Must obtain at least one peer with the same professional
credential as the applicant that includes a statement regarding the
physician's physical and mental health in relation to privileges
requested.
◉ Peer recommendations according to URAC.
Answer: There is no specific requirement for peer recommendations
other than that a peer group makes the final credentialing
determinations.
◉ Peer recommendations according to AAAHC.
Answer: Required for initial and reappointment.
, ◉ Practitioners Credentialed and Privileged through the Medical
Staff - TJC
Answer: All individuals who are permitted by law and the hospital to
provide patient care independently in the hospital are required to be
credentialed and privileged under the Medical Staff standards.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - NCQA
Answer: Standards address credentialing, not privileging.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - HFAP
Answer: Standards regarding medical staff composition are a direct
quote of CMS. The governing body must ensure that any privileges
granted to non-physician practitioners are in accordance with State
law, regulations and scope of practice.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - URAC
Answer: All practitioners listed in the directory and are providing
covered healthcare services to consumers are credentialed.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - AAAHC
SPECIALIST ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Peer recommendations according to NCQA
Answer: There is no specific requirement for peer
recommendations. The organization must designate a Credentialing
Committee that uses a peer-review process to make
recommendations regarding credentialing decisions.
◉ Peer recommendations according to HFAP.
Answer: Must obtain at least one peer with the same professional
credential as the applicant that includes a statement regarding the
physician's physical and mental health in relation to privileges
requested.
◉ Peer recommendations according to URAC.
Answer: There is no specific requirement for peer recommendations
other than that a peer group makes the final credentialing
determinations.
◉ Peer recommendations according to AAAHC.
Answer: Required for initial and reappointment.
, ◉ Practitioners Credentialed and Privileged through the Medical
Staff - TJC
Answer: All individuals who are permitted by law and the hospital to
provide patient care independently in the hospital are required to be
credentialed and privileged under the Medical Staff standards.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - NCQA
Answer: Standards address credentialing, not privileging.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - HFAP
Answer: Standards regarding medical staff composition are a direct
quote of CMS. The governing body must ensure that any privileges
granted to non-physician practitioners are in accordance with State
law, regulations and scope of practice.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - URAC
Answer: All practitioners listed in the directory and are providing
covered healthcare services to consumers are credentialed.
◉ Practitioners Credentialed and Privileged through the Medical
Staff - AAAHC
