CPCS -Medicare Conditions of Participation
(CoPs) UPDATED ACTUAL Exam
Questions and CORRECT Answers
482.12 Conditions of Participation: Governing Body - CORRECT ANSWER - There must
be an effective governing body that is legally responsible for the conduct of the hospital.
If a hospital does not have an organized governing body, the persons legally responsible for the
conduct of the hospital must carry out the functions specified that pertain to the governing body.
What is the role of the governing body? - CORRECT ANSWER - The governing body
must consult directly with the individual responsible for the organization and conduct of the
hospital's medical staff, or his or her designee.
For a multi-hospital system using a single governing body, the governing body must consult
directly with the individual responsible for the organized medical staff of each hospital within its
system.
How often must the governing body consult with the individual responsible for the organized
medical staff? - CORRECT ANSWER - At minimum, the direct consultation must occur
periodically through the fiscal or calendar year.
What is discussed between the governing body and the individual responsible for the organized
medical staff? - CORRECT ANSWER - Matters related to the quality of medical care
provided to patients of the hospital.
482.12 (a): Standard: Medical Staff (overall) - CORRECT ANSWER - The governing
body must ensure the medical staff requirements are met.
482.12 (a) (1): The governing body must determine, in accordance with State law: - CORRECT
ANSWER - Which categories of practitioners are eligible candidates for appointment to
the medical staff.
, The medical staff must be composed of: - CORRECT ANSWER - *At Minimum:
Doctors of medicine or
Doctors of osteopathy
*May also include:
Doctor of dental surgery or dental medicine
Doctor of podiatric medicine
Doctor of optometry
Chiropractor
*The governing body has the flexibility to determine whether other types of practitioners
included in the definition of a physician are eligible for appointment to the medical staff.
In all cases, the practitioners included in the definition of a physician must: - CORRECT
ANSWER - *Be legally authorized to practice within the State where the hospital is
located.
*Provide services within their authorized scope of practice.
What is the role of the governing body related to non-physician practitioners? - CORRECT
ANSWER - The governing body has the authority, in accordance with State law, to appoint
some types of non-physician practitioners, such as NPs, PAs, CRNAs, and CNMs to the medical
staff.
Must a practitioner hold medical staff membership in order to practice? - CORRECT
ANSWER - No. Both physicians and non-physician practitioners may be granted
privileges to practice within their State scope of practice without being appointed a member of
the medical staff.
482.12 (a) (2): The governing body must appoint members of the medical staff after considering:
- CORRECT ANSWER - The recommendations of the existing members of the medical
staff.
(CoPs) UPDATED ACTUAL Exam
Questions and CORRECT Answers
482.12 Conditions of Participation: Governing Body - CORRECT ANSWER - There must
be an effective governing body that is legally responsible for the conduct of the hospital.
If a hospital does not have an organized governing body, the persons legally responsible for the
conduct of the hospital must carry out the functions specified that pertain to the governing body.
What is the role of the governing body? - CORRECT ANSWER - The governing body
must consult directly with the individual responsible for the organization and conduct of the
hospital's medical staff, or his or her designee.
For a multi-hospital system using a single governing body, the governing body must consult
directly with the individual responsible for the organized medical staff of each hospital within its
system.
How often must the governing body consult with the individual responsible for the organized
medical staff? - CORRECT ANSWER - At minimum, the direct consultation must occur
periodically through the fiscal or calendar year.
What is discussed between the governing body and the individual responsible for the organized
medical staff? - CORRECT ANSWER - Matters related to the quality of medical care
provided to patients of the hospital.
482.12 (a): Standard: Medical Staff (overall) - CORRECT ANSWER - The governing
body must ensure the medical staff requirements are met.
482.12 (a) (1): The governing body must determine, in accordance with State law: - CORRECT
ANSWER - Which categories of practitioners are eligible candidates for appointment to
the medical staff.
, The medical staff must be composed of: - CORRECT ANSWER - *At Minimum:
Doctors of medicine or
Doctors of osteopathy
*May also include:
Doctor of dental surgery or dental medicine
Doctor of podiatric medicine
Doctor of optometry
Chiropractor
*The governing body has the flexibility to determine whether other types of practitioners
included in the definition of a physician are eligible for appointment to the medical staff.
In all cases, the practitioners included in the definition of a physician must: - CORRECT
ANSWER - *Be legally authorized to practice within the State where the hospital is
located.
*Provide services within their authorized scope of practice.
What is the role of the governing body related to non-physician practitioners? - CORRECT
ANSWER - The governing body has the authority, in accordance with State law, to appoint
some types of non-physician practitioners, such as NPs, PAs, CRNAs, and CNMs to the medical
staff.
Must a practitioner hold medical staff membership in order to practice? - CORRECT
ANSWER - No. Both physicians and non-physician practitioners may be granted
privileges to practice within their State scope of practice without being appointed a member of
the medical staff.
482.12 (a) (2): The governing body must appoint members of the medical staff after considering:
- CORRECT ANSWER - The recommendations of the existing members of the medical
staff.
