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CPCS exam Questions and Answers
Graded A+ latest
What two accreditors state: a hospital may not rely solely
on board certification when considering practitioner for
medical staff membership? Ans: HFAP, CMS
According to JC & HFAP name four approved sources PSV
for Medical Education Ans: Medical School, AMA, ECFMG,
AOA
According to NCQA practitioners must be notified of
credentialing decision within how many days? Ans: 60
Days
The DHHS mails a copy of the NPDB report to the named
provider. If the provider wishes to dispute the reports
accuracy, the provider has how many days to do so? Ans:
60 Days
According to URAQ, within how many days must the
practitioner be notified of credentialing decisions? Ans:
10 Days
How many days does a practitioner have to dispute an
NPDB report accuracy Ans: 60 Days
Which accrediting body requires five year verification of
malpractice history Ans: NCQA
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What is commonly used source for verifying malpractice
history Ans: NPDB
According to the JC a fair hearing and appeals process as
described in the medical staff bylaws is available to
whom? Ans: Medical staff members and non-members
holding clinical privileges
T/F Only the highest of training must be verified
according to NCQA Ans: True
According to the Joint Commission a peer
recommendation should address what six competencies?
Ans: Medical knowledge\nTechnical & clinical
skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are
available for credentialing a the original site? Ans: Full
credentialing, use of the distant sites credentialing
According to JC what is included in the process of
planning and implementing privileges? Ans: Develop &
approve procedure list\nProcess the
application\nEvaluate applicant specific
information\nSubmit recommendations to governing
body for applicant specific delineated privileges\nNotify
the applicant, relevant personnel\nMonitor the use of
privileges
Are payments made by a physician in a malpractice claim
reportable to the NPDB? Ans: No
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Who requires Peer References Ans: JC, HFAP, AAAHC
Who reappoints Ans: JC, HFAP, NCQA, URAC
Who requires an attestation? Ans: NCQA, URAC, AAAHC
Who requires education verification? Ans: JC, HFAP,
URAC, AAAHC
Who requires statement regarding felony convictions?
Ans: HFAP, NCQA, AAAHC
Attestation must state that the information submitted is
complete & correct Ans: NCQA, AAAHC
Attestation must state that the information submitted is
complete & accurate Ans: URAC
Attestation must include inquiry regarding illegal drug
use? Ans: NCAQ
Attestation must include inquiry regarding inability to
perform essential functions? Ans: NCQA
Attestation must include inquiry regarding history or loss
or limitations of licensure or privileges or disciplinary
actions? Ans: NCQA
Attestation must include inquiry regarding current
malpractice coverage? Ans: NCQA
Attestation must include inquiry regarding felony
convictions? Ans: NCQA
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Applicant must attest to limitations on ability to perform
functions of the position with or without accomodation,
if any Ans: NCQA
Applicant must attest to lack of present illegal drug use
Ans: AAAHC
Applicant must attest to history or loss of license and
felony convictions, if any Ans: AAAHC
Applicant must attest to history of loss or limitations of
privileges or disciplinary actions, if any Ans: AAAHC
Applicant must attest to current malpractice insurance
coverage? Ans: AAAHC
Who requires a malpractice history for applicants? Ans:
JC, HFAP, NCQA, URAC, AAAHC
Who must have a process in place to address complaints?
Ans: JC, HFAP, NCQA, URAC
Who requires Board Certification? Ans: None
Who requires criminal background checks? Ans: HFAP
Who requires applicant ID Ans: JC
Who requires an NPDB Ans: JC, HFAP, NCQA, AAAHC
Who requires current competence? Ans: JC, HFAP, CMS
© 2025 All rights reserved
CPCS exam Questions and Answers
Graded A+ latest
What two accreditors state: a hospital may not rely solely
on board certification when considering practitioner for
medical staff membership? Ans: HFAP, CMS
According to JC & HFAP name four approved sources PSV
for Medical Education Ans: Medical School, AMA, ECFMG,
AOA
According to NCQA practitioners must be notified of
credentialing decision within how many days? Ans: 60
Days
The DHHS mails a copy of the NPDB report to the named
provider. If the provider wishes to dispute the reports
accuracy, the provider has how many days to do so? Ans:
60 Days
According to URAQ, within how many days must the
practitioner be notified of credentialing decisions? Ans:
10 Days
How many days does a practitioner have to dispute an
NPDB report accuracy Ans: 60 Days
Which accrediting body requires five year verification of
malpractice history Ans: NCQA
© 2025 All rights reserved
, 2 | Page
What is commonly used source for verifying malpractice
history Ans: NPDB
According to the JC a fair hearing and appeals process as
described in the medical staff bylaws is available to
whom? Ans: Medical staff members and non-members
holding clinical privileges
T/F Only the highest of training must be verified
according to NCQA Ans: True
According to the Joint Commission a peer
recommendation should address what six competencies?
Ans: Medical knowledge\nTechnical & clinical
skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are
available for credentialing a the original site? Ans: Full
credentialing, use of the distant sites credentialing
According to JC what is included in the process of
planning and implementing privileges? Ans: Develop &
approve procedure list\nProcess the
application\nEvaluate applicant specific
information\nSubmit recommendations to governing
body for applicant specific delineated privileges\nNotify
the applicant, relevant personnel\nMonitor the use of
privileges
Are payments made by a physician in a malpractice claim
reportable to the NPDB? Ans: No
© 2025 All rights reserved
, 3 | Page
Who requires Peer References Ans: JC, HFAP, AAAHC
Who reappoints Ans: JC, HFAP, NCQA, URAC
Who requires an attestation? Ans: NCQA, URAC, AAAHC
Who requires education verification? Ans: JC, HFAP,
URAC, AAAHC
Who requires statement regarding felony convictions?
Ans: HFAP, NCQA, AAAHC
Attestation must state that the information submitted is
complete & correct Ans: NCQA, AAAHC
Attestation must state that the information submitted is
complete & accurate Ans: URAC
Attestation must include inquiry regarding illegal drug
use? Ans: NCAQ
Attestation must include inquiry regarding inability to
perform essential functions? Ans: NCQA
Attestation must include inquiry regarding history or loss
or limitations of licensure or privileges or disciplinary
actions? Ans: NCQA
Attestation must include inquiry regarding current
malpractice coverage? Ans: NCQA
Attestation must include inquiry regarding felony
convictions? Ans: NCQA
© 2025 All rights reserved
, 4 | Page
Applicant must attest to limitations on ability to perform
functions of the position with or without accomodation,
if any Ans: NCQA
Applicant must attest to lack of present illegal drug use
Ans: AAAHC
Applicant must attest to history or loss of license and
felony convictions, if any Ans: AAAHC
Applicant must attest to history of loss or limitations of
privileges or disciplinary actions, if any Ans: AAAHC
Applicant must attest to current malpractice insurance
coverage? Ans: AAAHC
Who requires a malpractice history for applicants? Ans:
JC, HFAP, NCQA, URAC, AAAHC
Who must have a process in place to address complaints?
Ans: JC, HFAP, NCQA, URAC
Who requires Board Certification? Ans: None
Who requires criminal background checks? Ans: HFAP
Who requires applicant ID Ans: JC
Who requires an NPDB Ans: JC, HFAP, NCQA, AAAHC
Who requires current competence? Ans: JC, HFAP, CMS
© 2025 All rights reserved
