CPCS Exam Questions for Standards
2024
1. per NCQA, work history verification by MCO or CVO time limit is within
how many days of the credentialing decision?: 365 MCO / 305 CVO
2. Per TJC, a statement from the provider that
should be confirmed by a director of training program, the chief of services,
or the chief of staff at another hospital where the applicant holds
privileges?: no health problems exist -that could affect the exercise of clinical
privileges. (TJC)
3. Per NCQA, the applicant submits a signed attestation regarding the
reasons for any inability to do what?: perform the essential functions of the
position, with or without accommodation, and the lack of present illegal drug use.
(NCQA)
4. Per HFAP, health status is considered for each applicant and reapplicant
for the purpose of determining their ability to.....?: perform requested
privileges (HFAP)
5. Per HFAP, what can come from peers familiar with a reapplicant's
practice; peer review activities; or reviews by the credentials committee,
department chair, or medical executive committee?: Information regarding a
reapplicant's ability to perform requested privileges (HFAP)
6. Per DNV, the Surveyor Guidance section regarding Surgical Services in-
structs surveyors to do validate what when it comes to determining that a
process includes required verification of a practitioner's training,
experience, and performance?: Validate the hospital's method for reviewing
practitioner's sur- gical privileges. (DNV)
7. Per DNV, what does a surveyor confirm that the organization provides
that is available in the surgical suite and in surgery scheduling?: A roster of
each practitioner's privileges, including a list of current surgeons suspended
from performing surgery or who have restricted privileges. (DNV)
8. Per URAC, what does an application include that could impede the
prac- titioner's ability to provide care, or pose a threat to the health or
safety of patients?: A disclosure of any physical, mental, or substance abuse
problems. (URAC)
9. Per AAAHC, the initial and reappointment application includes
information concerning the applicant's current physical, mental health, or
chemical de- pendency problems that would interfere with their ability to
provide what?: - high-quality patient care services. (AAAHC)
10. Per Medicare CoPs, Interpretative Guidelines for §482.51(a) (4) regarding
surgical Services instructs surveyors to ensure that the the hospital's
method for reviewing surgical privileges of practitioners requires a written
assess- ment of the practitioner's what? (4 things): training, experience,
, CPCS Exam Questions for Standards
2024
health status, and performance. (CoPs)
, CPCS Exam Questions for Standards
2024
11. Which accrediting body refers to non-physician practitioners as
"licensed practitioners"?: TJC
12. Which two accrediting bodies refer to "non-physician practitioners" as
such, and require that these providers to be credentialed?: NCQA and
HFAP
13. HFAP standards on credentialing non-physician practitioners includes
that the governing body must ensure that any privileges granted are in
accordance to what? State law, regulations, and?: State law, regulations and
scope of prac- tice. (HFAP)
14. For staff other than PAs or APRNs, which accrediting body requires that
the qualifications and competence of a non-employed individual are
assessed by the hospital and are determined to commensurate with the
qualifications and competence required if the individual were to be
employed?: TJC
15. Per TJC, the organization reviews the qualifications, performance, and
competence of each non-employed individual brought into the organization
by a licensed practitioner to provider care, treatment, or services at the
same frequency as whom?: As individuals employed by the organization (TJC)
16. Per TJC, all PAs and APRNs who are providing a medical level of care
are what through the medical staff process? (3 things): Credentialed,
privileged, and re-privileged through the medical staff process. (TJC)
17. Per TJC, PAs and APRNs who are not providing a medical level of care
can be credentialed, privileged, and re-privileged through either the medical
staff process or what, that has been approved by the governing body?: An
equivalent process. This process evaluates applicant's credentials, current
compe- tence, includes peer recommendations, and involves communication and
input from individuals and committees such as MEC. (TJC)
18. Per NCQA, non-physician practitioners who have an independent
relation- ship with the organization, and provide care under the
organization's
, must be credentialed.: medical benefits (NCQA)
19. Per HFAP, Medical Staff Rules delineate the "qualification" process
for non-physician .: first assistants (HFAP)
20. Per HFAP, NPs and PAs are required to have a collaborative or
supervisory agreement per state regulations, with a physician who what?:
Holds the same privileges as requested (HFAP)
21. Per DNV, there shall be and approved by the
medical staff and governing body for non-physician clinical activities.:
policies and procedures (DNV)
22. Per DNV, policies and procedures approved by whom must include:
2024
1. per NCQA, work history verification by MCO or CVO time limit is within
how many days of the credentialing decision?: 365 MCO / 305 CVO
2. Per TJC, a statement from the provider that
should be confirmed by a director of training program, the chief of services,
or the chief of staff at another hospital where the applicant holds
privileges?: no health problems exist -that could affect the exercise of clinical
privileges. (TJC)
3. Per NCQA, the applicant submits a signed attestation regarding the
reasons for any inability to do what?: perform the essential functions of the
position, with or without accommodation, and the lack of present illegal drug use.
(NCQA)
4. Per HFAP, health status is considered for each applicant and reapplicant
for the purpose of determining their ability to.....?: perform requested
privileges (HFAP)
5. Per HFAP, what can come from peers familiar with a reapplicant's
practice; peer review activities; or reviews by the credentials committee,
department chair, or medical executive committee?: Information regarding a
reapplicant's ability to perform requested privileges (HFAP)
6. Per DNV, the Surveyor Guidance section regarding Surgical Services in-
structs surveyors to do validate what when it comes to determining that a
process includes required verification of a practitioner's training,
experience, and performance?: Validate the hospital's method for reviewing
practitioner's sur- gical privileges. (DNV)
7. Per DNV, what does a surveyor confirm that the organization provides
that is available in the surgical suite and in surgery scheduling?: A roster of
each practitioner's privileges, including a list of current surgeons suspended
from performing surgery or who have restricted privileges. (DNV)
8. Per URAC, what does an application include that could impede the
prac- titioner's ability to provide care, or pose a threat to the health or
safety of patients?: A disclosure of any physical, mental, or substance abuse
problems. (URAC)
9. Per AAAHC, the initial and reappointment application includes
information concerning the applicant's current physical, mental health, or
chemical de- pendency problems that would interfere with their ability to
provide what?: - high-quality patient care services. (AAAHC)
10. Per Medicare CoPs, Interpretative Guidelines for §482.51(a) (4) regarding
surgical Services instructs surveyors to ensure that the the hospital's
method for reviewing surgical privileges of practitioners requires a written
assess- ment of the practitioner's what? (4 things): training, experience,
, CPCS Exam Questions for Standards
2024
health status, and performance. (CoPs)
, CPCS Exam Questions for Standards
2024
11. Which accrediting body refers to non-physician practitioners as
"licensed practitioners"?: TJC
12. Which two accrediting bodies refer to "non-physician practitioners" as
such, and require that these providers to be credentialed?: NCQA and
HFAP
13. HFAP standards on credentialing non-physician practitioners includes
that the governing body must ensure that any privileges granted are in
accordance to what? State law, regulations, and?: State law, regulations and
scope of prac- tice. (HFAP)
14. For staff other than PAs or APRNs, which accrediting body requires that
the qualifications and competence of a non-employed individual are
assessed by the hospital and are determined to commensurate with the
qualifications and competence required if the individual were to be
employed?: TJC
15. Per TJC, the organization reviews the qualifications, performance, and
competence of each non-employed individual brought into the organization
by a licensed practitioner to provider care, treatment, or services at the
same frequency as whom?: As individuals employed by the organization (TJC)
16. Per TJC, all PAs and APRNs who are providing a medical level of care
are what through the medical staff process? (3 things): Credentialed,
privileged, and re-privileged through the medical staff process. (TJC)
17. Per TJC, PAs and APRNs who are not providing a medical level of care
can be credentialed, privileged, and re-privileged through either the medical
staff process or what, that has been approved by the governing body?: An
equivalent process. This process evaluates applicant's credentials, current
compe- tence, includes peer recommendations, and involves communication and
input from individuals and committees such as MEC. (TJC)
18. Per NCQA, non-physician practitioners who have an independent
relation- ship with the organization, and provide care under the
organization's
, must be credentialed.: medical benefits (NCQA)
19. Per HFAP, Medical Staff Rules delineate the "qualification" process
for non-physician .: first assistants (HFAP)
20. Per HFAP, NPs and PAs are required to have a collaborative or
supervisory agreement per state regulations, with a physician who what?:
Holds the same privileges as requested (HFAP)
21. Per DNV, there shall be and approved by the
medical staff and governing body for non-physician clinical activities.:
policies and procedures (DNV)
22. Per DNV, policies and procedures approved by whom must include:
