2027 CPCS Certification Study with all Correct & 100%
Verified Answers |Actual Complete Exam |Already
Graded A+
TJC (The Joint Commission) - relevant standards ✔Correct Answer-Leadership, Medical Staff
HFAP (Healthcare Facilities Accreditation Program) - relevant standards ✔Correct Answer-Ch
3, Medical Staff
DNV (Det Norske Veritas) - relevant standards ✔Correct Answer-NIAHO Standards for
Hospitals
AAAHC (Accreditation Association for Ambulatory Health Care) - relevant standards ✔Correct
Answer-Governance
Medicare CoPs (Conditions of Participation) - relevant standards ✔Correct Answer-42 CFR
Part 482
What does TJC accredit? ✔Correct Answer-Healthcare organizations and programs in the U.S.
What does NCQA accredit? ✔Correct Answer-Health Plans and MCOs
What does HFAP accredit? ✔Correct Answer-Acute care hospitals
What does DNV accredit? ✔Correct Answer-Hospitals
What does URAC accredit? ✔Correct Answer-Health Plans (specifically MCA advantage plans)
What does AAAHC accredit? ✔Correct Answer-Ambulatory care centers
Hospital accreditor(s)? ✔Correct Answer-TJC, DNV, HFAP
Main Health Plan/MCO accreditor(s)? ✔Correct Answer-NCQA, URAC
Ambulatory care facility accreditor(s)? ✔Correct Answer-AAAHC
MCA CoPs ✔Correct Answer-Federal regulations that healthcare organizations must meet to
participate in (bill) the Medicare program.
"The Big Three" (accrediting bodies) ✔Correct Answer-TJC, CMS, NCQA
, Which accreditation body mostly aligns with MCA CoPs? ✔Correct Answer-HFAP
Which accreditation body mostly aligns with NCQA requirements? ✔Correct Answer-URAC
Which accreditation body mostly aligns with TJC requirements? ✔Correct Answer-AAAHC
What is an 'Insurance Panel' ✔Correct Answer-A group of practitioners who work with an
insurance company to provide care for members enrolled with that insurance company. (In-
network practitioners with an insurance company.)
What is a 'Health Plan' ✔Correct Answer-Health Insurance organization
What type of entity generally has an organization structure with a Board of Trustees at the top?
✔Correct Answer-Hospitals
What type of entity generally has an organization structure with a Director of Managed
Healthcare at the top? ✔Correct Answer-Health Plans/MCOs
What type of entity generally has an organization structure with a Director at the top?
✔Correct Answer-CVOs
What title or group is generally at the top of a Hospital organizational structure? ✔Correct
Answer-Board of Trustees
What title or group is generally at the top of a Health Plan/MCO organizational structure?
✔Correct Answer-Director of Managed Healthcare
What title or group is generally at the top of a CVO organizational structure? ✔Correct
Answer-Director
In a hospital organizational structure, which group is generally at the top of the hierarchy?
(Medical Staff Executive Committee or Board of Trustees) ✔Correct Answer-Medical Staff
Executive Committee
What type of organization typically has a Board of Trustees? ✔Correct Answer-Hospitals
What type of organization typically has a Medical Staff Executive Committee (MSEC) ✔Correct
Answer-Hospitals
What type of organization typically has a Director of Managed Healthcare ✔Correct Answer-
HealthPlans/MCOs
What type of organization is governed by AAAHC, HFAP, TJC, NCQA, URAC & CMS? ✔Correct
Answer-Ambulatory Clinic
Verified Answers |Actual Complete Exam |Already
Graded A+
TJC (The Joint Commission) - relevant standards ✔Correct Answer-Leadership, Medical Staff
HFAP (Healthcare Facilities Accreditation Program) - relevant standards ✔Correct Answer-Ch
3, Medical Staff
DNV (Det Norske Veritas) - relevant standards ✔Correct Answer-NIAHO Standards for
Hospitals
AAAHC (Accreditation Association for Ambulatory Health Care) - relevant standards ✔Correct
Answer-Governance
Medicare CoPs (Conditions of Participation) - relevant standards ✔Correct Answer-42 CFR
Part 482
What does TJC accredit? ✔Correct Answer-Healthcare organizations and programs in the U.S.
What does NCQA accredit? ✔Correct Answer-Health Plans and MCOs
What does HFAP accredit? ✔Correct Answer-Acute care hospitals
What does DNV accredit? ✔Correct Answer-Hospitals
What does URAC accredit? ✔Correct Answer-Health Plans (specifically MCA advantage plans)
What does AAAHC accredit? ✔Correct Answer-Ambulatory care centers
Hospital accreditor(s)? ✔Correct Answer-TJC, DNV, HFAP
Main Health Plan/MCO accreditor(s)? ✔Correct Answer-NCQA, URAC
Ambulatory care facility accreditor(s)? ✔Correct Answer-AAAHC
MCA CoPs ✔Correct Answer-Federal regulations that healthcare organizations must meet to
participate in (bill) the Medicare program.
"The Big Three" (accrediting bodies) ✔Correct Answer-TJC, CMS, NCQA
, Which accreditation body mostly aligns with MCA CoPs? ✔Correct Answer-HFAP
Which accreditation body mostly aligns with NCQA requirements? ✔Correct Answer-URAC
Which accreditation body mostly aligns with TJC requirements? ✔Correct Answer-AAAHC
What is an 'Insurance Panel' ✔Correct Answer-A group of practitioners who work with an
insurance company to provide care for members enrolled with that insurance company. (In-
network practitioners with an insurance company.)
What is a 'Health Plan' ✔Correct Answer-Health Insurance organization
What type of entity generally has an organization structure with a Board of Trustees at the top?
✔Correct Answer-Hospitals
What type of entity generally has an organization structure with a Director of Managed
Healthcare at the top? ✔Correct Answer-Health Plans/MCOs
What type of entity generally has an organization structure with a Director at the top?
✔Correct Answer-CVOs
What title or group is generally at the top of a Hospital organizational structure? ✔Correct
Answer-Board of Trustees
What title or group is generally at the top of a Health Plan/MCO organizational structure?
✔Correct Answer-Director of Managed Healthcare
What title or group is generally at the top of a CVO organizational structure? ✔Correct
Answer-Director
In a hospital organizational structure, which group is generally at the top of the hierarchy?
(Medical Staff Executive Committee or Board of Trustees) ✔Correct Answer-Medical Staff
Executive Committee
What type of organization typically has a Board of Trustees? ✔Correct Answer-Hospitals
What type of organization typically has a Medical Staff Executive Committee (MSEC) ✔Correct
Answer-Hospitals
What type of organization typically has a Director of Managed Healthcare ✔Correct Answer-
HealthPlans/MCOs
What type of organization is governed by AAAHC, HFAP, TJC, NCQA, URAC & CMS? ✔Correct
Answer-Ambulatory Clinic
