CPCS Study Guide Practice Test with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
1. Why it is important to check that the 7. Which of the
practitioner is not currently excluded, following
suspended, debarred, or ineligible to specialists is most
participate in Federal health care likely to perform
programs? a PTCA?
2. Which of the following credentials
must be tracked on an ongoing
basis?
3. According to NCQA standards, an
organization that discovers sanction
information, complaints, or adverse
events regarding a practitioner must
take what action?
4. What is the name of the entity that was
estab- lished through the Health Care
Quality Improve- ment Act of 1986 to
restrict the ability of incom- petent
physicians, dentists, and other health care
practitioners to move from state to state
without disclosure or discovery of
previous medical mal- practice payment
and adverse action history?
5. When developing clinical privileging
criteria, which of the following is
important to evaluate?
6. What is the main reason for periodically
assess- ing appropriateness of clinical
privileges for each specialty?
1/
16
, CPCS Study Guide Practice Test with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
The facility won't get paid for treat- ing patients unless service is pro-
vided by authorized provider.
Licensure Established standards of
practice, such as specialty
board recom- mendations.
Determine if there is evidence of poor quality that could attect the
health and safety of its members. It is required by the Medicare
Con- ditions of Participation.
The National Practitioner Data Bank
Interventional Cardiologist
8.
2/
16
, CPCS Study Guide Practice Test with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
The Joint Commission hospital standards Based on the individual's demon-
require that clinical privileges are strated current competence
hospital specific and and the procedures the
hospital can support.
Transesophageal Echocardiogra-
9. Which of the following would be routinely
phy
per- formed by a cardiologist?
Credentialing Committee
10. Which NCQA-required committee makes
recom- mendations regarding
credentialing decisions?
Utilization Review Committee
11. HFAP standards require three medical staff
com- mittees to be delineated in the
medical staff structure. Two of them are
the Medical Execu- tive Committee and
the Utilization of Osteopath- ic Methods &
Concepts Committee (required for
hospitals with ten or more DOs who
admit pa- tients and provide direct patient
care). What is the other required medical Semi-Annually
staff committee?
12. How often does NCQA require that
delegation reports be evaluated by the
health plan?
13. Peer references should be obtained from: Practitioners in the same
profes-
sional discipline as the applicant
14. NCQA recognizes which of the following 15. If a medical
as the final approval of an applicant who staff member
does not meet criteria for a clean file? has privileges
3/
16
Verified Answers |Actual Complete Exam| Already Graded A+
1. Why it is important to check that the 7. Which of the
practitioner is not currently excluded, following
suspended, debarred, or ineligible to specialists is most
participate in Federal health care likely to perform
programs? a PTCA?
2. Which of the following credentials
must be tracked on an ongoing
basis?
3. According to NCQA standards, an
organization that discovers sanction
information, complaints, or adverse
events regarding a practitioner must
take what action?
4. What is the name of the entity that was
estab- lished through the Health Care
Quality Improve- ment Act of 1986 to
restrict the ability of incom- petent
physicians, dentists, and other health care
practitioners to move from state to state
without disclosure or discovery of
previous medical mal- practice payment
and adverse action history?
5. When developing clinical privileging
criteria, which of the following is
important to evaluate?
6. What is the main reason for periodically
assess- ing appropriateness of clinical
privileges for each specialty?
1/
16
, CPCS Study Guide Practice Test with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
The facility won't get paid for treat- ing patients unless service is pro-
vided by authorized provider.
Licensure Established standards of
practice, such as specialty
board recom- mendations.
Determine if there is evidence of poor quality that could attect the
health and safety of its members. It is required by the Medicare
Con- ditions of Participation.
The National Practitioner Data Bank
Interventional Cardiologist
8.
2/
16
, CPCS Study Guide Practice Test with all Correct & 100%
Verified Answers |Actual Complete Exam| Already Graded A+
The Joint Commission hospital standards Based on the individual's demon-
require that clinical privileges are strated current competence
hospital specific and and the procedures the
hospital can support.
Transesophageal Echocardiogra-
9. Which of the following would be routinely
phy
per- formed by a cardiologist?
Credentialing Committee
10. Which NCQA-required committee makes
recom- mendations regarding
credentialing decisions?
Utilization Review Committee
11. HFAP standards require three medical staff
com- mittees to be delineated in the
medical staff structure. Two of them are
the Medical Execu- tive Committee and
the Utilization of Osteopath- ic Methods &
Concepts Committee (required for
hospitals with ten or more DOs who
admit pa- tients and provide direct patient
care). What is the other required medical Semi-Annually
staff committee?
12. How often does NCQA require that
delegation reports be evaluated by the
health plan?
13. Peer references should be obtained from: Practitioners in the same
profes-
sional discipline as the applicant
14. NCQA recognizes which of the following 15. If a medical
as the final approval of an applicant who staff member
does not meet criteria for a clean file? has privileges
3/
16
