Cpcs Exam Questions With Verified Answers Latest Update 2026

CPCS EXAM QUESTIONS WITH VERIFIED ANSWERS LATEST UPDATE 2026 Wherever surgical procedures are scheduled - Answers According to CMS guidelines, a roster listing each practitioners specific surgical privileges should be available in which locations? HCQIA - Answers Which of the following is an essential source when developing a policy regarding the functions of a peer review committee? Release of information - Answers According to URAC, the Credentialing application must include which of the following? Medical staff members and non-members holding clinical privileges - Answers According to TJC, a fair hearing and appeals process as described in the medical staff by,was is available to which of the followings? DEA License for all states where care is provided - Answers According to NCQA, which of the following verifications must be documented for Credentialing. Medical executive committee - Answers According to TJC, which of the following is required to review and make recommendations regarding Credentialing applications? Actions on a license - Answers According to NCQA, in which situation should a practitioner be notified about a discrepancy and be required to submit additional information? Annually - Answers According to NCQA, How often must an organization conduct an audit of the Credentialing process delegated to another organization? At least every 3 years, unless state law provides otherwise - Answers Within what time frame must practitioners in an AAAHC accredited organization be re Credentialed? Gastroenterologist - Answers Which of the following practitioners would require privileges to perform an Endoscopy? ABMS - Answers According to TJC, which of the following resources can be used to verify Board Certification? License - Answers According to TJC, which of the following documents is required to be verified at the time if expiration? License & Highest level of education - Answers According to URAC, which of the following credentials must be verified using PSV? Federation of chiropractic licensing boards - Answers A chiropractor has applied for membership in a preferred provider organization. The chiropractor has a previous sanction against his license. Which source should the Credentialing professional query to obtain additional information regarding the sanction? Senior clinical staff person - Answers According to URAC, who should oversee the clerical aspects of the Credentialing program within the organizations? One - Answers How many peer references does HFAP require at initial appointments? Medical staff - Answers According to CMS, members are appointed to the medical staff after receiving recommendations from which of the following? Negligence - Answers Which of the following would be considered a standard of care violation? 5 years claims history - Answers According to NCQA, which of the following must be verified in order to grant provisional credentialing? Internet verification from a website not controlled by the primary source that attests to the accuracy & timeliness of the information - Answers Which of the following is recognized by NCQA as an incomplete verifications? State licensing board - Answers According to NCQA, which of the following sources can be used for verifications of state licensure? Standard release for the organization - Answers What type of release should the medical services professional obtain for the release of negative information to another facility? Clinical privileges - Answers Each hospital must request for information for the NPDB when a physician applies for which of the following? Evidence of physical ability to perform the requested privileges - Answers According to TJC, which of the following must be evaluated when determining a practitioners current competence? 10 - Answers According to URAC, within how many days must the practitioner be notified of Credentialing decisions? Anesthesiologists - Answers According to NCQA, which of the following providers must be credentialed when working in an independent relationship within the inpatient setting? NTIS - Answers Which of the following organizations could a Credentialing professional query to obtain a current copy of a practitioner DEA? Credentialing policies - Answers According to NCQA, which of these must an organization have in place in order to enter in a delighted Credentialing agreement? Committee chairperson - Answers When preparing for a committee meeting, the medical services professional MOST LIKELY would meet with whom to coordinate the agenda and meeting packet? All privileged practitioners - Answers According to TJC, ongoing practice evaluation (OPPE) should be conducted for which of the following individuals? NPDB - Answers According to the NCQA, which of the following sources may be used to verify ongoing monitoring of license sanctions? Governing body - Answers According to TJC, which of the entities may amend the medical staff bylaws? License sanctions - Answers According to NCQA, which of the following requires ongoing monitoring between cycles? Specialty board - Answers Which of the following BEST determines which procedures should be performed by which specialty?