CPMSM PAPER ANSWERS AND QUESTIONS SET A+
✔✔According to NCQA standards which of the following is an approved source for
verification of board certification - ✔✔State licensing agency if state agency conducts
primary verification of bored status
✔✔According to the joint commission hospital standards which of the following is a
required component of the reappointment process - ✔✔Documentation of the applicants
health status
✔✔According to you or a URAC,s health network standards, each applicant with in the
scope of the credentialing program submits an application that includes at least which of
the following - ✔✔State licensure information, including current license and history of
licensure in all jurisdictions
✔✔According to AAAHC, which must be monitored on an ongoing basis - ✔✔Current
licensure
✔✔According to the joint commission, a nurse practitioner functioning independently
and providing a medical level of care must - ✔✔Be granted delineated clinical privileges
✔✔According to the joint commission which of the following is an acceptable source for
verification for medical education of an international graduate - ✔✔Education
commission for foreign medical graduate or ECFMG
✔✔When evaluating compliance with the required time frame for recredentialing, NCQA
counts the recredentialing to the - ✔✔Month
✔✔In NCQA standards require the organization to verify board certification at
recredentialing - ✔✔In all cases
, ✔✔To whom does the AAAHC give the responsibility for approving and ensuring
compliance with policies and procedures related to credentialing, quality improvement,
and risk management - ✔✔The governing body
✔✔In order for a healthcare facility to participate in the Medicare and Medicaid
programs it must comply with the - ✔✔Medicare conditions of participation
✔✔According to the joint commission hospital standards, which of the following is an
element of a self governing medical staff - ✔✔The medical staff determines the
mechanisms for establishing and enforcing criteria for assigning oversight
responsibilities to practitioners with independent privileges
✔✔Roberts Rules of Order is an example of - ✔✔Parliamentary procedure
✔✔The medical staff application should provide a chronological history of - ✔✔The
applicants education, training, and work history
✔✔In order to participate in a managed-care plan, a provider must be excepted to the
plans - ✔✔Medical staff
✔✔In order for physician to practice medicine in any state in the United States, he or
she must possess - ✔✔Current state licensure
✔✔Which of the following is considered post graduate education - ✔✔Residency
training
✔✔Which of the following elements may not be used to evaluate credentials of
applicants - ✔✔Gender
✔✔The release of liability statement signed by the applicant for medical staff
appointment should include - ✔✔A statement providing immunity to it though to respond
in good faith to request for information
✔✔Primary source verification is - ✔✔Receiving information directly from the issuing
source
✔✔Unexplained delays between graduation and medical school, and incomplete
training, and unexplained lapses in professional practices are examples of - ✔✔Red
flags
✔✔When documenting a telephone conversation regarding primary source verification
what should be documented - ✔✔Name of person and organization contacted, date of
court, what was discussed and who conducted the interview
✔✔According to NCQA standards which of the following is an approved source for
verification of board certification - ✔✔State licensing agency if state agency conducts
primary verification of bored status
✔✔According to the joint commission hospital standards which of the following is a
required component of the reappointment process - ✔✔Documentation of the applicants
health status
✔✔According to you or a URAC,s health network standards, each applicant with in the
scope of the credentialing program submits an application that includes at least which of
the following - ✔✔State licensure information, including current license and history of
licensure in all jurisdictions
✔✔According to AAAHC, which must be monitored on an ongoing basis - ✔✔Current
licensure
✔✔According to the joint commission, a nurse practitioner functioning independently
and providing a medical level of care must - ✔✔Be granted delineated clinical privileges
✔✔According to the joint commission which of the following is an acceptable source for
verification for medical education of an international graduate - ✔✔Education
commission for foreign medical graduate or ECFMG
✔✔When evaluating compliance with the required time frame for recredentialing, NCQA
counts the recredentialing to the - ✔✔Month
✔✔In NCQA standards require the organization to verify board certification at
recredentialing - ✔✔In all cases
, ✔✔To whom does the AAAHC give the responsibility for approving and ensuring
compliance with policies and procedures related to credentialing, quality improvement,
and risk management - ✔✔The governing body
✔✔In order for a healthcare facility to participate in the Medicare and Medicaid
programs it must comply with the - ✔✔Medicare conditions of participation
✔✔According to the joint commission hospital standards, which of the following is an
element of a self governing medical staff - ✔✔The medical staff determines the
mechanisms for establishing and enforcing criteria for assigning oversight
responsibilities to practitioners with independent privileges
✔✔Roberts Rules of Order is an example of - ✔✔Parliamentary procedure
✔✔The medical staff application should provide a chronological history of - ✔✔The
applicants education, training, and work history
✔✔In order to participate in a managed-care plan, a provider must be excepted to the
plans - ✔✔Medical staff
✔✔In order for physician to practice medicine in any state in the United States, he or
she must possess - ✔✔Current state licensure
✔✔Which of the following is considered post graduate education - ✔✔Residency
training
✔✔Which of the following elements may not be used to evaluate credentials of
applicants - ✔✔Gender
✔✔The release of liability statement signed by the applicant for medical staff
appointment should include - ✔✔A statement providing immunity to it though to respond
in good faith to request for information
✔✔Primary source verification is - ✔✔Receiving information directly from the issuing
source
✔✔Unexplained delays between graduation and medical school, and incomplete
training, and unexplained lapses in professional practices are examples of - ✔✔Red
flags
✔✔When documenting a telephone conversation regarding primary source verification
what should be documented - ✔✔Name of person and organization contacted, date of
court, what was discussed and who conducted the interview
