CPCS Practice Exam 1 (2023)

CPCS Practice Exam 1 (2023) What is the 7 step process TJC uses to process applications? - ANS-1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Verification Program, accessable through the ABMS Web site, an acceptable soruce for verifying board certifications for an MD? - ANS-No, This site is intended for consumer reference only and is not considered PSV. TJC requires licensure to be verified with the primary source at what 4 times? - ANS-1. Initial granting of privileges 2. Reappointment of privileges 3. Revision of Privileges 4. At the time of license expiration According to The Joint Commissin, the hospital must query the NPDB when clinical privileges at what 3 times? - ANS-1. Initial Appointment 2. Reappointment 3. When a new privilege is requested Can a hospital accept an NPDB self query performed by a physician to satisfy The Joint Commissions requirement for an NPDB query? - ANS-No, The hospital or its designated agent must perform the query. According to NCQA standards, must an organization verify santions or limitations on licensure in each state where the practioner holds or has ever held licensure? - ANSNo, Only in the state where the practitioner provides care for its members. When verifying licensure sanctions for physicians, NCQA allows verification to be done with NPDB, HIPDB, the appropriate state agency(ies) and what other organization? - ANS-The Federation of State Medical Boards - FSMB According to NCQA Standards, verification from the ECFMG is acceptable for education and training completed through the AMA's Fifth Pathway program? - ANS-False, This must be confirmed through PSV from the AMA. According to AAAHC standards, information from another healthcare organization, such as a hospital or group practice, that has carried ot primary source verification, can be accepted for credentialing? - ANS-True, provided the other healthcare organization supplies original documents or photocopes of the verification reportrs it has relied upon directly, without reansmission or involvment by the application or other third party. A statement tht it has performed verification is not sufficient. According to TJC standards, peer recommendations must include wtirren information regarding what 6 elements? - Continues...