CPCS -Practice Exam Questions with Correct
Answers
Why 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-a. A facility could lose its
accreditation if it does not do so
b. It is required by Medicare Conditions or Participation
c. The facility won't get paid for treating patients unless service is
provided by an authorized provider.
Which of the following credentials must be tracked on an ongoing basis?
Correct Answer-a. Post graduate education completed
b. Closed medical malpractice claims
c. Licensure.
According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must
take what action? Correct Answer-a. Determine if there is evidence of
poor quality that could affect the health and safety of its members.
b. Immediately take action to remove the provider from its panel
c. Notify the practitioner that he/she is under investigation and initiate
the hearing process
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 practitioners to move from state to state without disclosure
,or discovery of previous medical malpractice payment and adverse
action history? Correct Answer-a. Emergency Medical Treatment and
Active Labor Act
b. The National Practitioner Data Bank.
c. The Patient Safety and Quality Improvement Act
When developing clinical privileging criteria, which of the following is
important to evaluate? Correct Answer-a. How many providers are in
that specialty
b. Established standards of practice, such as specialty board
recommendations.
c. Whether or not the quality department can support the FPPE process
What is the main reason for periodically assessing appropriateness of
clinical privileges of each specialty? Correct Answer-a. It is required by
accreditation standards
b. It is required by the Medicare Conditions of Participation
c. To protect patient safety by ensuring current competency, relevance to
the facility, and accepted standards of care.
Which of the following specialists is most likely to perform a PTCA?
Correct Answer-a. OB/GYN
b. Urologist
c. Interventional Cardiologist.
(PTCA = Percutaneous transluminal coronary angioplasty aka stent
placement)
, The Joint Commission hospital standards require that clinical privileges
are hospital specific and... Correct Answer-a. Based on the individual's
demonstrated current competence and the procedures the hospital can
support.
b. Based on board certification
c. Based on the privileges the individual is currently approved to
perform at other hospitals
Which of the following would be routinely performed by a cardiologist?
Correct Answer-a. Hysterectomy
b. Transesophageal Echocardiography.
c. Urethral dilation
Which NCQA-required committee makes recommendations regarding
credentialing decisions? Correct Answer-a. Medical Executive
Committee
b. Quality Care Committee
c. Credentialing Committee.
HFAP standards require which three medical staff committees to be
delineated in the medical staff structure? Correct Answer-a. Medical
Executive Committee.
b. Utilization of Osteopathic Methods & Concepts Committee. (required
for hospitals with ten or more DOs who admit patients and provide
direct patient care)
Answers
Why 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-a. A facility could lose its
accreditation if it does not do so
b. It is required by Medicare Conditions or Participation
c. The facility won't get paid for treating patients unless service is
provided by an authorized provider.
Which of the following credentials must be tracked on an ongoing basis?
Correct Answer-a. Post graduate education completed
b. Closed medical malpractice claims
c. Licensure.
According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must
take what action? Correct Answer-a. Determine if there is evidence of
poor quality that could affect the health and safety of its members.
b. Immediately take action to remove the provider from its panel
c. Notify the practitioner that he/she is under investigation and initiate
the hearing process
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 practitioners to move from state to state without disclosure
,or discovery of previous medical malpractice payment and adverse
action history? Correct Answer-a. Emergency Medical Treatment and
Active Labor Act
b. The National Practitioner Data Bank.
c. The Patient Safety and Quality Improvement Act
When developing clinical privileging criteria, which of the following is
important to evaluate? Correct Answer-a. How many providers are in
that specialty
b. Established standards of practice, such as specialty board
recommendations.
c. Whether or not the quality department can support the FPPE process
What is the main reason for periodically assessing appropriateness of
clinical privileges of each specialty? Correct Answer-a. It is required by
accreditation standards
b. It is required by the Medicare Conditions of Participation
c. To protect patient safety by ensuring current competency, relevance to
the facility, and accepted standards of care.
Which of the following specialists is most likely to perform a PTCA?
Correct Answer-a. OB/GYN
b. Urologist
c. Interventional Cardiologist.
(PTCA = Percutaneous transluminal coronary angioplasty aka stent
placement)
, The Joint Commission hospital standards require that clinical privileges
are hospital specific and... Correct Answer-a. Based on the individual's
demonstrated current competence and the procedures the hospital can
support.
b. Based on board certification
c. Based on the privileges the individual is currently approved to
perform at other hospitals
Which of the following would be routinely performed by a cardiologist?
Correct Answer-a. Hysterectomy
b. Transesophageal Echocardiography.
c. Urethral dilation
Which NCQA-required committee makes recommendations regarding
credentialing decisions? Correct Answer-a. Medical Executive
Committee
b. Quality Care Committee
c. Credentialing Committee.
HFAP standards require which three medical staff committees to be
delineated in the medical staff structure? Correct Answer-a. Medical
Executive Committee.
b. Utilization of Osteopathic Methods & Concepts Committee. (required
for hospitals with ten or more DOs who admit patients and provide
direct patient care)
