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Exam (elaborations)

Certified Provider Credentialing Specialist (CPCS) study guide

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Certified Provider Credentialing Specialist (CPCS) study guide

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Institution
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Uploaded on
January 10, 2026
Number of pages
11
Written in
2025/2026
Type
Exam (elaborations)
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  • certified provider credentialing specialist cpcs

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Certified Provider Credentialing Specia
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list (CPCS) study guide
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Certifiedj7Providerj7Credentialingj7Specialistj7-j7correctj7answer✔ ✔
Thej7Certifiedj7Providerj7Credentialingj7Specialistj7(CPCS)j7isj7typicallyj7e
mployedj7orj7contractedj7byj7aj7healthcarej7organizationj7including,j7butj7notj7
limitedj7to,j7hospitalsj7(healthj7systems),j7healthj7plans,j7ambulatoryj7carej7set
tings,j7groupj7practices,j7andj7credentialingj7verificationj7organizations.



Initialj7Appointmentj7/j7Clinicalj7privileges/j7practionersj7coveredj7accordin
gj7toj7thej7TJCj7-j7correctj7answer✔ ✔
Allj7licensedj7Independentj7practitionersj7mustj7bej7credentialedj7andj7privi
legedj7throughj7thej7organizedj7Medicalj7staffj7structure



Initialj7Appointmentj7/j7Clinicalj7privileges/j7practionersj7coveredj7accordin
gj7toj7thej7NCQAj7-j7correctj7answer✔ ✔
HP'sj7andj7MBHO'sj7mustj7havej7documentedj7Credentialingj7policiesj7andj
7proceduresj7thatj7applyj7toj7allj7practitionersj7whoj7providej7carej7toj7thej7orga
nizationsj7members

, Initialj7Appointmentj7/j7Clinicalj7privileges/j7practionersj7coveredj7accordin
gj7toj7CMSj7-j7correctj7answer✔ ✔
Thej7Governingj7bodyj7determines,j7inj7accordancej7withj7Stayej7Law,j7whi
chj7categoriesj7ofj7practitionersj7arej7eligiblej7forj7appointmentj7toj7thej7medic
alj7staff.j7Atj7aj7minimumj7thej7medicalj7staffj7mustj7bej7composedj7ofj7MDj7'sj7
andj7DO's.



Verificationj7ofj7Medicalj7educationj7accordingj7toj7thej7TJCj7-
j7 correctj7answer✔ ✔
Requiresj7verificationj7fromj7thej7medicalj7schoolj7orj7acceptedj7PSV



TJCj7Acceptedj7PSVj7forj7medicalj7educationj7-j7correctj7answer✔ ✔
Thej7AMA,j7thej7AOA,j7andj7thej7ECFMG



Verificationj7ofj7Medicalj7educationj7accordingj7toj7thej7NCQAj7-
j7 correctj7answer✔ ✔
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ng.
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