CPMSM NEWEST ACTUAL EXAM
STUDY GUIDE AND PRACTICE
QUESTIONS AND DETAILED CORRECT
ANSWERS 2024 | A+GRADE VERFIED
What are the two requirements for verification at
reappointment for DNV? Correct Answer Licensure
Current Competence
What is verification of a practitioner's credentials based
upon evidence obtains by means other than direct contact
with the issuing source of the credential? (e.g. copies of
licenses/certifications or database queries) Correct
Answer Secondary Source
What year was HIPAA established? Correct Answer 1996
Which two entities can report to HIPDB? Correct Answer
Federal/state government agencies
Health Plans
Which agency was established to combat fraud and abuse
in health insurance and health care delivery and to
promote quality care by HIPAA? Correct Answer HIPDB
What year did reporting to HIPDB begin? Correct Answer
1999
,What is a national non-profit organization representing the
70+ medical and osteopathic boards? Correct Answer
FSMB
Federation of State Medical Boards
What is the name of the source for demographic,
educational, and practice information for all US physicians
with MDs? Correct Answer AMA Physician Masterfile
What year was the AMA Master File started? Correct
Answer 1906
What is CIN-BAD? Correct Answer Chiropractic
Information Network - Board Action Databank
What year was CIN-BAD started? Correct Answer 1993
What is the CSA registration database? Correct Answer
Controlled Substances Act
DEA
Who maintains a database of individuals and entities
excluded from federal programs including Medicare and
Medicaid? Correct Answer OIG
Office of the Inspector General
Who maintains the list of people and organizations
excluded from doing business with the Federal
Government? Correct Answer SAM
System for Award Management
,What is the former name of SAM? Correct Answer EPLS
Excluded parties list system
What four systems are included in SAM? Correct Answer
CCR (Central Contractor Registry)
Fedreg (Federal Agency Registration)
ORCA - Online Representations and Certifications
Applicaction
EPLS - Excluded Parties List System
In the managed care setting, how many levels of training
must be verified? Correct Answer Only the highest level
(residency) or board certification
What are the methods of verifying medical school if
required? Correct Answer Contact with the school
Designated equivalent sources (AMA/AOA)
ECFMG for foreign grads
Which accreditation requires verification of only the
highest level of education/training? Correct Answer NCQA
What type of verification of education can be provided
directly by the provider to be accepted as PSV? Correct
Answer Transcript in Institution's sealed envelope with an
unbroken institution seal. Organization must document
that it opened envelope and viewed the document.
, How often must NCQA receive written confirmation from
approved source that they perform PSV? Correct Answer
At least annually
What is the education verification time limit for URAC?
Correct Answer 6 months
What are two TJC designated equivalent sources for
verifying training along with training program? Correct
Answer AMA
AOA
Do Medicare CoPs specifically state that work history must
be verified? Correct Answer No
But experience is required to be considered in making
decision
According to TJC, when do you need to contact other
facilities directly with regard to work history? Correct
Answer IF applicants answers on the application differ
from information on NPDB
Is verification of work history specifically required by DNV?
Correct Answer No
Is verification of work history specifically required by
HFAP? Correct Answer Yes
What is the time limit for work history verification for
NCQA? Correct Answer 365 days
305 for CVO
STUDY GUIDE AND PRACTICE
QUESTIONS AND DETAILED CORRECT
ANSWERS 2024 | A+GRADE VERFIED
What are the two requirements for verification at
reappointment for DNV? Correct Answer Licensure
Current Competence
What is verification of a practitioner's credentials based
upon evidence obtains by means other than direct contact
with the issuing source of the credential? (e.g. copies of
licenses/certifications or database queries) Correct
Answer Secondary Source
What year was HIPAA established? Correct Answer 1996
Which two entities can report to HIPDB? Correct Answer
Federal/state government agencies
Health Plans
Which agency was established to combat fraud and abuse
in health insurance and health care delivery and to
promote quality care by HIPAA? Correct Answer HIPDB
What year did reporting to HIPDB begin? Correct Answer
1999
,What is a national non-profit organization representing the
70+ medical and osteopathic boards? Correct Answer
FSMB
Federation of State Medical Boards
What is the name of the source for demographic,
educational, and practice information for all US physicians
with MDs? Correct Answer AMA Physician Masterfile
What year was the AMA Master File started? Correct
Answer 1906
What is CIN-BAD? Correct Answer Chiropractic
Information Network - Board Action Databank
What year was CIN-BAD started? Correct Answer 1993
What is the CSA registration database? Correct Answer
Controlled Substances Act
DEA
Who maintains a database of individuals and entities
excluded from federal programs including Medicare and
Medicaid? Correct Answer OIG
Office of the Inspector General
Who maintains the list of people and organizations
excluded from doing business with the Federal
Government? Correct Answer SAM
System for Award Management
,What is the former name of SAM? Correct Answer EPLS
Excluded parties list system
What four systems are included in SAM? Correct Answer
CCR (Central Contractor Registry)
Fedreg (Federal Agency Registration)
ORCA - Online Representations and Certifications
Applicaction
EPLS - Excluded Parties List System
In the managed care setting, how many levels of training
must be verified? Correct Answer Only the highest level
(residency) or board certification
What are the methods of verifying medical school if
required? Correct Answer Contact with the school
Designated equivalent sources (AMA/AOA)
ECFMG for foreign grads
Which accreditation requires verification of only the
highest level of education/training? Correct Answer NCQA
What type of verification of education can be provided
directly by the provider to be accepted as PSV? Correct
Answer Transcript in Institution's sealed envelope with an
unbroken institution seal. Organization must document
that it opened envelope and viewed the document.
, How often must NCQA receive written confirmation from
approved source that they perform PSV? Correct Answer
At least annually
What is the education verification time limit for URAC?
Correct Answer 6 months
What are two TJC designated equivalent sources for
verifying training along with training program? Correct
Answer AMA
AOA
Do Medicare CoPs specifically state that work history must
be verified? Correct Answer No
But experience is required to be considered in making
decision
According to TJC, when do you need to contact other
facilities directly with regard to work history? Correct
Answer IF applicants answers on the application differ
from information on NPDB
Is verification of work history specifically required by DNV?
Correct Answer No
Is verification of work history specifically required by
HFAP? Correct Answer Yes
What is the time limit for work history verification for
NCQA? Correct Answer 365 days
305 for CVO
