CPCS 2025-2026 STUDY SET EXAM QUESTIONS
WITH CORRECT ANSWERS
Education |is |verified |with |primary |or |secondary |source |on |initial |appointment
A. |NCQA
B. |DNV
C. |AAAHC
D. |URAC |- |CORRECT |ANSWER✔✔-AAAHC
For |this |standard |if |a |physician |is |board |certified, |verification |of |board |certification |meets |this |
element |because |specialty |boards |verify |education |and |training. |Residency |is |considered |the |
highest |level |of |training, |not |fellowship.
A.ACHC
B.NCQA
C.URAC
D.TJC |- |CORRECT |ANSWER✔✔-NCQA
PSV |is |required |and |includes |AMA
A.ACHC
B.NCQA
C.AAAHC
D.TJC |- |CORRECT |ANSWER✔✔-ACHC
,History |of |education |and |professional |training |must |be |included |on |the |credentialing |
application.
A.DNV
B.ACHC
C.URAC
D.AAAHC |- |CORRECT |ANSWER✔✔-URAC
The |application |must |include |a |statement |regarding |felony |convictions.
A.NCQA
B.DNV
C.ACHC
D.URAC |- |CORRECT |ANSWER✔✔-NCQA
Which |4 |standards |do |not |address |felony |convictions:
A.ACHC, |URAC, |AAAHC, |TJC
B.TJC, |DNV, |URAC, |CMS
C.NCQA, |DNV, |ACHC, |URAC |- |CORRECT |ANSWER✔✔-TJC, |DNV, |URAC, |CMS
The |application |requests |information |regarding |any |criminal |history |and |a |criminal |background
|investigation |is |conducted |based |on |information |provided |in |the |application |or |as |required |by |
Federal |and |State |regulations.
A.NCQA
B.DNV
,C.ACHC
D.URAC |- |CORRECT |ANSWER✔✔-ACHC
The |applicant |must |provide |information |regarding |criminal |convictions |other |than |minor |traffic
|violations.
A.DNV
B.AAAHC
C.TJC
D.NCQA |- |CORRECT |ANSWER✔✔-AAAHC
MS |bylaws |describe |the |qualifications |to |be |met |by |a |candidate |in |order |for |the |medical |staff |
to |recommend |that |the |governing |body |appoint |the |candidate.
A.NCQA
B.DNV
C.ACHC
D.URAC |- |CORRECT |ANSWER✔✔-DNV
Must |confirm |that |the |practitioner |holds |a |valid, |current |license, |in |effect |at |the |time |of |the |
Credentialing |Committee's |decision. |Only |required |to |verify |license(s) |in |the |state(s) |where |the
|practitioner |provides |care |for |organization |members.
A.ACHC
B.URAC
C.NCQA
D.DNV |- |CORRECT |ANSWER✔✔-NCQA
, Licensure |is |verified |with |PSV |at |the |time |of |appointment, |initial |granting |of |privileges, |
reappointment, |renewal, |revision |of |privileges |and |on |expiration.
A.NCQA
B.DNV
C.ACHC
D.TJC |- |CORRECT |ANSWER✔✔-TJC
Which |four |(4) |accrediting |bodies |do |not |specifically |address
felony |convictions?
A. |TJC, |NCQA, |AAAHC, |CMS
B. |TJC, |DNV, |HFAP, |CMS
C. |TJC, |DNV, |CMS, |URAC |- |CORRECT |ANSWER✔✔-TJC, |DNV, |CMS, |URAC
According |to |ACHC/HFAP, |information |regarding |criminal |background |history, |is |conducted |
based |on |information |provided |on |the |application |and |is |required |by |who?
A. |Medical |Staff
B. |Federal |and |State |law
C. |Governing |body |- |CORRECT |ANSWER✔✔-Federal |and |State |law
What |two |bodies |have |time |limits |for |licensures?
A. |NCQA, |URAC
B. |HFAP, |NCQA
C. |URAC, |TJC |- |CORRECT |ANSWER✔✔-NCQA, |URAC
WITH CORRECT ANSWERS
Education |is |verified |with |primary |or |secondary |source |on |initial |appointment
A. |NCQA
B. |DNV
C. |AAAHC
D. |URAC |- |CORRECT |ANSWER✔✔-AAAHC
For |this |standard |if |a |physician |is |board |certified, |verification |of |board |certification |meets |this |
element |because |specialty |boards |verify |education |and |training. |Residency |is |considered |the |
highest |level |of |training, |not |fellowship.
A.ACHC
B.NCQA
C.URAC
D.TJC |- |CORRECT |ANSWER✔✔-NCQA
PSV |is |required |and |includes |AMA
A.ACHC
B.NCQA
C.AAAHC
D.TJC |- |CORRECT |ANSWER✔✔-ACHC
,History |of |education |and |professional |training |must |be |included |on |the |credentialing |
application.
A.DNV
B.ACHC
C.URAC
D.AAAHC |- |CORRECT |ANSWER✔✔-URAC
The |application |must |include |a |statement |regarding |felony |convictions.
A.NCQA
B.DNV
C.ACHC
D.URAC |- |CORRECT |ANSWER✔✔-NCQA
Which |4 |standards |do |not |address |felony |convictions:
A.ACHC, |URAC, |AAAHC, |TJC
B.TJC, |DNV, |URAC, |CMS
C.NCQA, |DNV, |ACHC, |URAC |- |CORRECT |ANSWER✔✔-TJC, |DNV, |URAC, |CMS
The |application |requests |information |regarding |any |criminal |history |and |a |criminal |background
|investigation |is |conducted |based |on |information |provided |in |the |application |or |as |required |by |
Federal |and |State |regulations.
A.NCQA
B.DNV
,C.ACHC
D.URAC |- |CORRECT |ANSWER✔✔-ACHC
The |applicant |must |provide |information |regarding |criminal |convictions |other |than |minor |traffic
|violations.
A.DNV
B.AAAHC
C.TJC
D.NCQA |- |CORRECT |ANSWER✔✔-AAAHC
MS |bylaws |describe |the |qualifications |to |be |met |by |a |candidate |in |order |for |the |medical |staff |
to |recommend |that |the |governing |body |appoint |the |candidate.
A.NCQA
B.DNV
C.ACHC
D.URAC |- |CORRECT |ANSWER✔✔-DNV
Must |confirm |that |the |practitioner |holds |a |valid, |current |license, |in |effect |at |the |time |of |the |
Credentialing |Committee's |decision. |Only |required |to |verify |license(s) |in |the |state(s) |where |the
|practitioner |provides |care |for |organization |members.
A.ACHC
B.URAC
C.NCQA
D.DNV |- |CORRECT |ANSWER✔✔-NCQA
, Licensure |is |verified |with |PSV |at |the |time |of |appointment, |initial |granting |of |privileges, |
reappointment, |renewal, |revision |of |privileges |and |on |expiration.
A.NCQA
B.DNV
C.ACHC
D.TJC |- |CORRECT |ANSWER✔✔-TJC
Which |four |(4) |accrediting |bodies |do |not |specifically |address
felony |convictions?
A. |TJC, |NCQA, |AAAHC, |CMS
B. |TJC, |DNV, |HFAP, |CMS
C. |TJC, |DNV, |CMS, |URAC |- |CORRECT |ANSWER✔✔-TJC, |DNV, |CMS, |URAC
According |to |ACHC/HFAP, |information |regarding |criminal |background |history, |is |conducted |
based |on |information |provided |on |the |application |and |is |required |by |who?
A. |Medical |Staff
B. |Federal |and |State |law
C. |Governing |body |- |CORRECT |ANSWER✔✔-Federal |and |State |law
What |two |bodies |have |time |limits |for |licensures?
A. |NCQA, |URAC
B. |HFAP, |NCQA
C. |URAC, |TJC |- |CORRECT |ANSWER✔✔-NCQA, |URAC
