CPCS Final Verified Study Guide Exam Latest 2026/2027
Updated Verified Questions and Solutions A+ Pass
Guaranteed
Leave the first rating
Play your way to mastery with fun games
Match Blocks Charms NEW
Students also studied
Flashcard sets Study guides
CPCS Study 2025 Certified Provider Credentialing Sp... Certified Provider Credentialing Sp... Sp
306 terms Teacher 40 terms 40 terms 22
tko_1990 Preview Qalbi_Taice Preview stephanie_mese Preview
Terms in this set (201)
Appointment Timeframe - TJC Not to exceed two years
Appointment Timeframe - NCQA Recredential at least every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP At least every 24 months
Appointment Timeframe - DNV Not to exceed 3 years
, Appointment Timeframe - URAC At least every 3 years
Cycle to the month
Appointment Timeframe - AAAHC Not to exceed 3 years
Appointment Timeframe - CMS Practitioner - at least every 24 months
Surgery - every two years
Attestation Statement Timeframe - NCQA 365 days from final approval
305 - CVO
Attestation Statement Timeframe - URAC 180 days prior to credentials committee review
Doesn't require attestation statement TJC, DNV, CoPs
Board Certification Time Limit - NCQA 180 days
120 days CVO
Board Certification Time Limit - URAC 6 months
Board Certification Verification Required at NCQA - verification
Recredentialing by HFAP - review
AAAHC
What is typically monitored for expiration? Board certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and URAC
Expiration by
PSV for Board Certification ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of board
status
Confirmation from board
NCQA Approved Source: requirement for verifying Organization verifies source performs PSV
source completes PSV At least annually organization obtains written confirmation that source
performs PSV
QAPI 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 Evaluate history of complaints for all practitioners at least every 6 months
Updated Verified Questions and Solutions A+ Pass
Guaranteed
Leave the first rating
Play your way to mastery with fun games
Match Blocks Charms NEW
Students also studied
Flashcard sets Study guides
CPCS Study 2025 Certified Provider Credentialing Sp... Certified Provider Credentialing Sp... Sp
306 terms Teacher 40 terms 40 terms 22
tko_1990 Preview Qalbi_Taice Preview stephanie_mese Preview
Terms in this set (201)
Appointment Timeframe - TJC Not to exceed two years
Appointment Timeframe - NCQA Recredential at least every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP At least every 24 months
Appointment Timeframe - DNV Not to exceed 3 years
, Appointment Timeframe - URAC At least every 3 years
Cycle to the month
Appointment Timeframe - AAAHC Not to exceed 3 years
Appointment Timeframe - CMS Practitioner - at least every 24 months
Surgery - every two years
Attestation Statement Timeframe - NCQA 365 days from final approval
305 - CVO
Attestation Statement Timeframe - URAC 180 days prior to credentials committee review
Doesn't require attestation statement TJC, DNV, CoPs
Board Certification Time Limit - NCQA 180 days
120 days CVO
Board Certification Time Limit - URAC 6 months
Board Certification Verification Required at NCQA - verification
Recredentialing by HFAP - review
AAAHC
What is typically monitored for expiration? Board certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and URAC
Expiration by
PSV for Board Certification ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of board
status
Confirmation from board
NCQA Approved Source: requirement for verifying Organization verifies source performs PSV
source completes PSV At least annually organization obtains written confirmation that source
performs PSV
QAPI 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 Evaluate history of complaints for all practitioners at least every 6 months
