SKI PATROL FINAL COMPREHENSIVE
STUDY GUIDE 2026 VERIFIED QUESTIONS
AND FULL RATIONALES
◉ Appointment Timeframe - NCQA Answer: Recredential at least every
3 years.
Cycle to the month.
◉ Appointment Timeframe - HFAP Answer: At least every 24 months
◉ Appointment Timeframe - DNV Answer: Not to exceed 3 years
◉ Appointment Timeframe - URAC Answer: At least every 3 years
Cycle to the month
◉ Appointment Timeframe - AAAHC Answer: Not to exceed 3 years
◉ Appointment Timeframe - CMS Answer: Practitioner - at least every
24 months
Surgery - every two years
,◉ Attestation Statement Timeframe - NCQA Answer: 365 days from
final approval
305 - CVO
◉ Attestation Statement Timeframe - URAC Answer: 180 days prior to
credentials committee review
◉ Doesn't require attestation statement Answer: TJC, DNV, CoPs
◉ Board Certification Time Limit - NCQA Answer: 180 days
120 days CVO
◉ Board Certification Time Limit - URAC Answer: 6 months
◉ Board Certification Verification Required at Recredentialing by
Answer: NCQA - verification
HFAP - review
AAAHC
◉ What is typically monitored for expiration? Answer: Board
certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
,◉ Board Certification Verification Required at Initial and Expiration by
Answer: URAC
◉ PSV for Board Certification Answer: ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of
board status
Confirmation from board
◉ NCQA Approved Source: requirement for verifying source completes
PSV Answer: Organization verifies source performs PSV
At least annually organization obtains written confirmation that source
performs PSV
◉ QAPI Answer: Medicare CoPs require periodical appraisals of
members through Quality Assessment Performance Improvement
(QAPI) process
must include complaints regarding medical staff-related issues
◉ Complaints evaluation - NCQA Answer: Evaluate history of
complaints for all practitioners at least every 6 months
◉ CME not addressed by Answer: NCQA, URAC, AAAHC, CoPs
, ◉ Evaluation of CVO - TJC Answer: 9 principles
Data & Info available
processes utilized
limitations of info
identification of primary source vs. secondary source
quality control measures related to data integrity, security, transmission,
etc.
◉ Criminal Background Check - HFAP Answer: Application requests
criminal history information for 7 - 10 years
Facility conducts background investigation as required
◉ Criminal Background Check required by Answer: TJC, HFAP
◉ FSMB Answer: Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board actions, or if
physician is clean.
Disciplinary alert service: notification for report of MD, DO, or PA
◉ NPDB information available: Answer: Medical malpractice payments
STUDY GUIDE 2026 VERIFIED QUESTIONS
AND FULL RATIONALES
◉ Appointment Timeframe - NCQA Answer: Recredential at least every
3 years.
Cycle to the month.
◉ Appointment Timeframe - HFAP Answer: At least every 24 months
◉ Appointment Timeframe - DNV Answer: Not to exceed 3 years
◉ Appointment Timeframe - URAC Answer: At least every 3 years
Cycle to the month
◉ Appointment Timeframe - AAAHC Answer: Not to exceed 3 years
◉ Appointment Timeframe - CMS Answer: Practitioner - at least every
24 months
Surgery - every two years
,◉ Attestation Statement Timeframe - NCQA Answer: 365 days from
final approval
305 - CVO
◉ Attestation Statement Timeframe - URAC Answer: 180 days prior to
credentials committee review
◉ Doesn't require attestation statement Answer: TJC, DNV, CoPs
◉ Board Certification Time Limit - NCQA Answer: 180 days
120 days CVO
◉ Board Certification Time Limit - URAC Answer: 6 months
◉ Board Certification Verification Required at Recredentialing by
Answer: NCQA - verification
HFAP - review
AAAHC
◉ What is typically monitored for expiration? Answer: Board
certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
,◉ Board Certification Verification Required at Initial and Expiration by
Answer: URAC
◉ PSV for Board Certification Answer: ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of
board status
Confirmation from board
◉ NCQA Approved Source: requirement for verifying source completes
PSV Answer: Organization verifies source performs PSV
At least annually organization obtains written confirmation that source
performs PSV
◉ QAPI Answer: Medicare CoPs require periodical appraisals of
members through Quality Assessment Performance Improvement
(QAPI) process
must include complaints regarding medical staff-related issues
◉ Complaints evaluation - NCQA Answer: Evaluate history of
complaints for all practitioners at least every 6 months
◉ CME not addressed by Answer: NCQA, URAC, AAAHC, CoPs
, ◉ Evaluation of CVO - TJC Answer: 9 principles
Data & Info available
processes utilized
limitations of info
identification of primary source vs. secondary source
quality control measures related to data integrity, security, transmission,
etc.
◉ Criminal Background Check - HFAP Answer: Application requests
criminal history information for 7 - 10 years
Facility conducts background investigation as required
◉ Criminal Background Check required by Answer: TJC, HFAP
◉ FSMB Answer: Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board actions, or if
physician is clean.
Disciplinary alert service: notification for report of MD, DO, or PA
◉ NPDB information available: Answer: Medical malpractice payments
