CPMSM REVISION EXAMS 2025/2026 QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔What is TJC standards for allied health? - ✔✔LIP - permitted by law to provide care
without supervision
Other than APRN's and PA's, HR standards require hospital to assess & determine
qualifications
✔✔What does HFAP require for a physician's ability to perform? - ✔✔References at
initial & reappointment
Must include statement regarding physical/mental health status
✔✔List three DNV standards for allied health. - ✔✔Comply with state law; all patients
must be under care of medical staff member or practitioner directly under supervision of
medical staff member; all orders must be under practitioner meeting medical staff
criteria
✔✔What is DNV's criteria for telemedicine credentialing? - ✔✔Must comply with
Medicare CoP's
✔✔When does HFAP allow for temporary privileges? There are 5. - ✔✔Complete app
pending MEC & Board; Care of specific patients; Locums; Times of emergency/disaster;
Granted for specific periods of time
✔✔How long does DNV allow for temporary privileges? - ✔✔120 days
✔✔CMS reporting requirements for NPDB. - ✔✔When privileges are limited, revoked, or
constrained, the hospital must in accordance with state regulations report to appropriate
agencies such as NPDB
✔✔Per TJC, when should the NPDB be queried? - ✔✔Initial, reappointment, & new
privileges
✔✔Per HFAP, when should the NPDB be queried? - ✔✔Initial & Reappointment
✔✔Per DNV, when should the NPDB be queried? - ✔✔Initial, reappointment, & granting
temporary privileges
✔✔What are the peer reference requirements per HFAP? - ✔✔At least one peer with
same credential as applicant; practitioner in same practice area; not required at
reappointment but review of clinical competence is
,✔✔What are the peer reference requirements for DNV? - ✔✔Bylaws outline
qualifications; 2 required at initial appointment
✔✔What are the peer reference requirements for AAAHC? - ✔✔Peer evaluation of
current competence obtained at initial and reappointment
✔✔List three acceptable sources of education verification per HFAP. - ✔✔AMA, AOA,
ECFMG
✔✔Per NCQA, what is the verification time limit for board certification? - ✔✔180 days
health plan; 120 days CVO
✔✔What does carcin mean? - ✔✔Cancer
✔✔What is DNV's requirement for DEA? - ✔✔Current DEA if required
Can be obtained through CSA registration validation or copy of certificate
✔✔What is NCQA's requirement for DEA? - ✔✔Copy of DEA
Must document visual inspection
Confirm with one of the following: DEA agency, AMA, AOA, state pharmaceutical
✔✔What does the suffix ent, er, ist mean? - ✔✔Person/agent
✔✔What does ectomy mean? - ✔✔Excision/removal
✔✔What is the required committee structure of CMS/TJC? - ✔✔MEC (organized
medical staff can act as MEC for small facilities)
Board of Directors
✔✔How often are practitioners history of complaints evaluated on the managed care
side? - ✔✔Every six months
✔✔List the three approved secondary verifications for DNV. - ✔✔AMA, AOA, ECFMG
✔✔What is the required committee structure for HFAP/DNV? - ✔✔Credentials
Committee
MEC
Board of Directors
✔✔What does CAMH stand for? - ✔✔Comprehensive Accreditation Manual for
Hospitals
, ✔✔Per NCQA, an attestation must be signed within how many days of appointment? -
✔✔Health plan 365 days
CVO 305 days
✔✔List the six PSV approved sources of board certification for NCQA. - ✔✔ABMS or its
member boards
Official ABMS display agent
AMA/AOA
Other board recognized by organization with written confirmation of conducting PSV
State licensing agency if conduct PSV
Registry that performs PSV
✔✔Per Robert's Rules: what does limit debate mean? - ✔✔Modify debate
✔✔What does ACO stand for? - ✔✔Accountable Care Organization
✔✔What is CMS' requirement for handling complaints? - ✔✔Must establish a prompt
resolution for handling grievances & must inform patient who to contact to file a
grievance.
✔✔What is TJC's requirement for handling complaints? - ✔✔Must have a process for
evaluating credibility.
Telemedicine are reported to distant site.
✔✔Which agencies require a two year or 24 month appointment timeframe? - ✔✔CMS,
TJC, HFAP
✔✔What does ACCME stand for? - ✔✔Accreditation Council for Continuing Education
✔✔What does ACA stand for and what year was it established? - ✔✔Affordable Care
Act of 2010
✔✔What is HFAP's background check requirements? - ✔✔Must check past 7-10 years
✔✔How does CMS measure current competence? (Hint: CCJET) - ✔✔character,
competence, judgment, experience, training
✔✔How does TJC measure current competence? - ✔✔Initial - from PSV, ability to
perform must be evaluated & documented
OPPE - used to maintain, revise, or revoke
FPPE - initial privileges
ANSWERS GUARANTEE A+
✔✔What is TJC standards for allied health? - ✔✔LIP - permitted by law to provide care
without supervision
Other than APRN's and PA's, HR standards require hospital to assess & determine
qualifications
✔✔What does HFAP require for a physician's ability to perform? - ✔✔References at
initial & reappointment
Must include statement regarding physical/mental health status
✔✔List three DNV standards for allied health. - ✔✔Comply with state law; all patients
must be under care of medical staff member or practitioner directly under supervision of
medical staff member; all orders must be under practitioner meeting medical staff
criteria
✔✔What is DNV's criteria for telemedicine credentialing? - ✔✔Must comply with
Medicare CoP's
✔✔When does HFAP allow for temporary privileges? There are 5. - ✔✔Complete app
pending MEC & Board; Care of specific patients; Locums; Times of emergency/disaster;
Granted for specific periods of time
✔✔How long does DNV allow for temporary privileges? - ✔✔120 days
✔✔CMS reporting requirements for NPDB. - ✔✔When privileges are limited, revoked, or
constrained, the hospital must in accordance with state regulations report to appropriate
agencies such as NPDB
✔✔Per TJC, when should the NPDB be queried? - ✔✔Initial, reappointment, & new
privileges
✔✔Per HFAP, when should the NPDB be queried? - ✔✔Initial & Reappointment
✔✔Per DNV, when should the NPDB be queried? - ✔✔Initial, reappointment, & granting
temporary privileges
✔✔What are the peer reference requirements per HFAP? - ✔✔At least one peer with
same credential as applicant; practitioner in same practice area; not required at
reappointment but review of clinical competence is
,✔✔What are the peer reference requirements for DNV? - ✔✔Bylaws outline
qualifications; 2 required at initial appointment
✔✔What are the peer reference requirements for AAAHC? - ✔✔Peer evaluation of
current competence obtained at initial and reappointment
✔✔List three acceptable sources of education verification per HFAP. - ✔✔AMA, AOA,
ECFMG
✔✔Per NCQA, what is the verification time limit for board certification? - ✔✔180 days
health plan; 120 days CVO
✔✔What does carcin mean? - ✔✔Cancer
✔✔What is DNV's requirement for DEA? - ✔✔Current DEA if required
Can be obtained through CSA registration validation or copy of certificate
✔✔What is NCQA's requirement for DEA? - ✔✔Copy of DEA
Must document visual inspection
Confirm with one of the following: DEA agency, AMA, AOA, state pharmaceutical
✔✔What does the suffix ent, er, ist mean? - ✔✔Person/agent
✔✔What does ectomy mean? - ✔✔Excision/removal
✔✔What is the required committee structure of CMS/TJC? - ✔✔MEC (organized
medical staff can act as MEC for small facilities)
Board of Directors
✔✔How often are practitioners history of complaints evaluated on the managed care
side? - ✔✔Every six months
✔✔List the three approved secondary verifications for DNV. - ✔✔AMA, AOA, ECFMG
✔✔What is the required committee structure for HFAP/DNV? - ✔✔Credentials
Committee
MEC
Board of Directors
✔✔What does CAMH stand for? - ✔✔Comprehensive Accreditation Manual for
Hospitals
, ✔✔Per NCQA, an attestation must be signed within how many days of appointment? -
✔✔Health plan 365 days
CVO 305 days
✔✔List the six PSV approved sources of board certification for NCQA. - ✔✔ABMS or its
member boards
Official ABMS display agent
AMA/AOA
Other board recognized by organization with written confirmation of conducting PSV
State licensing agency if conduct PSV
Registry that performs PSV
✔✔Per Robert's Rules: what does limit debate mean? - ✔✔Modify debate
✔✔What does ACO stand for? - ✔✔Accountable Care Organization
✔✔What is CMS' requirement for handling complaints? - ✔✔Must establish a prompt
resolution for handling grievances & must inform patient who to contact to file a
grievance.
✔✔What is TJC's requirement for handling complaints? - ✔✔Must have a process for
evaluating credibility.
Telemedicine are reported to distant site.
✔✔Which agencies require a two year or 24 month appointment timeframe? - ✔✔CMS,
TJC, HFAP
✔✔What does ACCME stand for? - ✔✔Accreditation Council for Continuing Education
✔✔What does ACA stand for and what year was it established? - ✔✔Affordable Care
Act of 2010
✔✔What is HFAP's background check requirements? - ✔✔Must check past 7-10 years
✔✔How does CMS measure current competence? (Hint: CCJET) - ✔✔character,
competence, judgment, experience, training
✔✔How does TJC measure current competence? - ✔✔Initial - from PSV, ability to
perform must be evaluated & documented
OPPE - used to maintain, revise, or revoke
FPPE - initial privileges
