CPMSM Practice Test questions with verified solutions 2023/2024

CPMSM Practice TestWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility won't get paid for treating patients unless service is provided by authorized provider Which credentials must be tracked on an ongoing basis? - correct answer Licensure According to NCQA standards, an organization that discovers sanction info, complaints, or adverse events regarding a practitioner must take what action? - correct answer Determine if there is evidence of poor quality that could affect the health & safety of its members What is the name of the entity that was established through the Health Care Quality Improvement Act of 1986 to restrict the ability of incompetent physicians, dentists, and other other health care practitioners to move from state to state without disclosure or discovery of previous medical malpractice payment and adverse action history? - correct answer National Practitioner Data Bank When developing clinical privileging criteria, which is important to evaluate? - correct answer Established standards of practice such as, specialty board recommendations