CPMSM 2026 UPDATED QUESTIONS AND ANSWERS
SURE A+
✔✔Adverse action reports must be sent to state licensing boards within how many
days? - ✔✔15
✔✔Hospitals are required to respond to patient grievances within how many days? -
✔✔7
✔✔NPDB allowed practitioners to add statements to the report in what year? - ✔✔2004
✔✔HIPBD (Healthcare Integrity Protection Databank) began accepting reports in what
year? - ✔✔1999
✔✔Practitioners may dispute NPDB report within how many days? - ✔✔60
✔✔Organization can conduct accreditation surveys of hospital? - ✔✔Deemed status
✔✔NPDB opened and began collecting reports in what year? - ✔✔1990
✔✔TJC was formed in what year? - ✔✔1951
, ✔✔Medicare COP was est. in what year? - ✔✔1965
✔✔HMO stands for? - ✔✔Health Maintenance Organization
✔✔Administrative Law definition? - ✔✔Regulations enacted by the state and federal
agencies to implement statues and regulatory requirements "friend of the court"
✔✔Negligent Tort has 4 elements, what are they? - ✔✔1. Duty to exercise due care
(standard of care) 2. Breach of duty 3. Injury 4. Proximate cause
✔✔MCO stands for? - ✔✔Managed Care Organization
✔✔This healthcare regulatory created NPDB? - ✔✔Healthcare quality improvement act
(HCQIA) est. 1986
✔✔This healthcare regulatory is a competition law (anti-competitive) - ✔✔Sherman Anti-
trust Act
✔✔Patient self-determination act definition? - ✔✔Patient allowed to participate in
treatment decisions
✔✔Which accredition requires that a recommendation be made to the medical
executive committee within 60 days of receipt of completed application? - ✔✔HFAP
✔✔Which accreditation requires the applicant to be notified of initial credentialing
decisions and recredentialing denials within 60 days from cred cmte decision? (Not
required to notify practitioners of re-credentialing approvals) - ✔✔NCQA
✔✔What must be reported to NPDB? - ✔✔•Medical malpractice payments
•Federal and state licensure and certification actions
•Adverse clinical privileges actions
•Adverse professional society membership actions
•Negative actions or findings by private accreditation organizations and peer review
organizations
•Health care-related criminal convictions and civil judgments
•Exclusions from participation in a Federal or state health care program (including
Medicare and Medicaid exclusions)
•Other adjudicated actions or decisions
✔✔Reports must be submitted to the NPDB within? - ✔✔30 days
✔✔This accreditation requires that there must be evidence of an evaluation of the
history of complaints for all practitioners at least every six months? - ✔✔NCQA
SURE A+
✔✔Adverse action reports must be sent to state licensing boards within how many
days? - ✔✔15
✔✔Hospitals are required to respond to patient grievances within how many days? -
✔✔7
✔✔NPDB allowed practitioners to add statements to the report in what year? - ✔✔2004
✔✔HIPBD (Healthcare Integrity Protection Databank) began accepting reports in what
year? - ✔✔1999
✔✔Practitioners may dispute NPDB report within how many days? - ✔✔60
✔✔Organization can conduct accreditation surveys of hospital? - ✔✔Deemed status
✔✔NPDB opened and began collecting reports in what year? - ✔✔1990
✔✔TJC was formed in what year? - ✔✔1951
, ✔✔Medicare COP was est. in what year? - ✔✔1965
✔✔HMO stands for? - ✔✔Health Maintenance Organization
✔✔Administrative Law definition? - ✔✔Regulations enacted by the state and federal
agencies to implement statues and regulatory requirements "friend of the court"
✔✔Negligent Tort has 4 elements, what are they? - ✔✔1. Duty to exercise due care
(standard of care) 2. Breach of duty 3. Injury 4. Proximate cause
✔✔MCO stands for? - ✔✔Managed Care Organization
✔✔This healthcare regulatory created NPDB? - ✔✔Healthcare quality improvement act
(HCQIA) est. 1986
✔✔This healthcare regulatory is a competition law (anti-competitive) - ✔✔Sherman Anti-
trust Act
✔✔Patient self-determination act definition? - ✔✔Patient allowed to participate in
treatment decisions
✔✔Which accredition requires that a recommendation be made to the medical
executive committee within 60 days of receipt of completed application? - ✔✔HFAP
✔✔Which accreditation requires the applicant to be notified of initial credentialing
decisions and recredentialing denials within 60 days from cred cmte decision? (Not
required to notify practitioners of re-credentialing approvals) - ✔✔NCQA
✔✔What must be reported to NPDB? - ✔✔•Medical malpractice payments
•Federal and state licensure and certification actions
•Adverse clinical privileges actions
•Adverse professional society membership actions
•Negative actions or findings by private accreditation organizations and peer review
organizations
•Health care-related criminal convictions and civil judgments
•Exclusions from participation in a Federal or state health care program (including
Medicare and Medicaid exclusions)
•Other adjudicated actions or decisions
✔✔Reports must be submitted to the NPDB within? - ✔✔30 days
✔✔This accreditation requires that there must be evidence of an evaluation of the
history of complaints for all practitioners at least every six months? - ✔✔NCQA
