CPCS / CPMSM Exam Study Guide | 500 Questions with 100% Correct Answers | Latest Update 2024 | Verified

Applicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identified above. Signature stamps are not acceptable unless the practitioner is physically impaired and the disability is documented in the practitioners file. - NCQA Health Plan/CVO Which type of agenda is used on a meeting agenda to group together non-controversial business and reports that can be approved under one motion instead of individually approving each item? - Consent Agenda According to NCQA under what circumstance would a Locum Tenens practitioner be exempt from credentialing? - Covering Practitioner According to URAC, when developing a quality auditing process, prudent practice would be to audit what percentage of completed credentialing files? - According to URAC, a complete credentials file should be reviewed by which professionals? - According to NCQA, what must be included in the organization's right to appeal policies? - written notification when a professional review action has been brought against a practitioner reasons for the action summary of the appeal rights and process ability to request a hearing and the specific time period for submitting the request allowing for at least 30 calendar days after the notification for practitioners to request a hearing allowing representation by an attorney or another person appointment of a hearing officer or a panel of individuals to review the appeal and written notification of the appeal decision that contains specific reasons for the decision. Which Accrediting body requires an attestation to the practitioners identity? - The Joint Commission According to HFAP, how often must a reappraisal of membership and privileges occur? - Every 24 months Which Accrediting Agency requires all practitioners with clinical privileges to participate in continuing education? - DNV