CERTIFIED PROVIDER CREDENTIALING
SPECIALIST FINAL SCRIPT 2026 COMPLETE
HEALTHCARE QUESTIONS AND ANSWERS
PACKAGE
◉ Work History - AAAHC
Answer: On initial appointment, experience is reviewed for
continuity and relevance with documentation of any interruptions.
◉ 30 days
Answer: Adverse actions affecting clinical privileges for a period
longer than how many days must be reported to the NPDB?
◉ 15 days
Answer: Adverse actions affecting clinical privileges report should
be submitted to the state and NPDB within how many days of the
action?
◉ 30 days
Answer: Within how many days of a licensure disciplinary action,
based on reasons related to professional conduct, must the licensing
board report to the NPDB?
, ◉ Special release developed by the MEC
Answer: An organization has sent a request for information
regarding a physician on staff who has exhibited behavioral issues at
a facility. What release form should the facility obtain prior to
releasing this information to the requesting organization?
◉ The organization must initially credential the practitioner before
reinstatement.
Answer: According to NCQA, if a practitioner terminates or is
terminated from the contract or there is a break in service over 30
days, can the practitioner be reinstated without credentialing.
◉ DEA Schedule I
Answer: High abuse potential, no medical use.
◉ DEA Schedule II
Answer: High abuse potential with dependency liability
◉ DEA Schedule III
Answer: Less abuse potential, moderate dependence
◉ DEA Schedule IV
SPECIALIST FINAL SCRIPT 2026 COMPLETE
HEALTHCARE QUESTIONS AND ANSWERS
PACKAGE
◉ Work History - AAAHC
Answer: On initial appointment, experience is reviewed for
continuity and relevance with documentation of any interruptions.
◉ 30 days
Answer: Adverse actions affecting clinical privileges for a period
longer than how many days must be reported to the NPDB?
◉ 15 days
Answer: Adverse actions affecting clinical privileges report should
be submitted to the state and NPDB within how many days of the
action?
◉ 30 days
Answer: Within how many days of a licensure disciplinary action,
based on reasons related to professional conduct, must the licensing
board report to the NPDB?
, ◉ Special release developed by the MEC
Answer: An organization has sent a request for information
regarding a physician on staff who has exhibited behavioral issues at
a facility. What release form should the facility obtain prior to
releasing this information to the requesting organization?
◉ The organization must initially credential the practitioner before
reinstatement.
Answer: According to NCQA, if a practitioner terminates or is
terminated from the contract or there is a break in service over 30
days, can the practitioner be reinstated without credentialing.
◉ DEA Schedule I
Answer: High abuse potential, no medical use.
◉ DEA Schedule II
Answer: High abuse potential with dependency liability
◉ DEA Schedule III
Answer: Less abuse potential, moderate dependence
◉ DEA Schedule IV
