CPCS STUDY EXAM QUESTIONS AND
CORRECT ANSWERS
AAAHC - ANSWER Education is verified with primary or secondary source
on initial appointment
A. NCQA
B. DNV
C. AAAHC
D. URAC
NCQA - ANSWER 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
ACHC - ANSWER PSV is required and includes AMA
A.ACHC
B.NCQA
C.AAAHC
,D.TJC
URAC - ANSWER Education or professional training history must be on the
credentialing application.
A.DNV
B.ACHC
C.URAC
D.AAAHC
NCQA - ANSWER A statement regarding felony convictions must be on the
application.
A.NCQA
B.DNV
C.ACHC
D.URAC
TJC, DNV, URAC, CMS - ANSWER Which 4 do NOT have anything to state
about felony convictions:
A.ACHC, URAC, AAAHC, TJC
B.TJC, DNV, URAC, CMS
C.NCQA, DNV, ACHC, URAC
ACHC- ANSWER The application inquires about any criminal history and a
criminal background check is conducted if warranted by information provided
in the application or by Federal and State requirements.
A.NCQA
B.DNV
C.ACHC
D.URAC
,AAAHC - ANSWER The applicant will need to provide data regarding
convictions for crimes other than minor traffic infractions.
A.DNV
B.AAAHC
C.TJC
D.NCQA
DNV- ANSWER MS bylaws specify the qualifications to be met by an
applicant for the medical staff to recommend that the governing body appoint
the applicant.
A.NCQA
B.DNV
C.ACHC
D.URAC
NCQA - ANSWER Must verify that the practitioner is properly licensed, i.e.,
valid current license, in effect at the time of the Credentialing Committee's
decision. Licensure verification is only required in the state(s) in which the
practitioner practices and provides care to organization members.
A.ACHC
B.URAC
C.NCQA
D.DNV
, TJC - ANSWER Verification of licensure is attested to through PSV when an
applicant is appointed to the medical staff; initially granted privileges;
reapointed; renewed; revision of privileges has occurred; or expires.
A.NCQA
B.DNV
C.ACHC
D.TJC
TJC, DNV, CMS, URAC - ANSWER 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
Federal and State law - ANSWER 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
NCQA, URAC - ANSWER Which two bodies have time limits for licensures?
A. NCQA, URAC
CORRECT ANSWERS
AAAHC - ANSWER Education is verified with primary or secondary source
on initial appointment
A. NCQA
B. DNV
C. AAAHC
D. URAC
NCQA - ANSWER 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
ACHC - ANSWER PSV is required and includes AMA
A.ACHC
B.NCQA
C.AAAHC
,D.TJC
URAC - ANSWER Education or professional training history must be on the
credentialing application.
A.DNV
B.ACHC
C.URAC
D.AAAHC
NCQA - ANSWER A statement regarding felony convictions must be on the
application.
A.NCQA
B.DNV
C.ACHC
D.URAC
TJC, DNV, URAC, CMS - ANSWER Which 4 do NOT have anything to state
about felony convictions:
A.ACHC, URAC, AAAHC, TJC
B.TJC, DNV, URAC, CMS
C.NCQA, DNV, ACHC, URAC
ACHC- ANSWER The application inquires about any criminal history and a
criminal background check is conducted if warranted by information provided
in the application or by Federal and State requirements.
A.NCQA
B.DNV
C.ACHC
D.URAC
,AAAHC - ANSWER The applicant will need to provide data regarding
convictions for crimes other than minor traffic infractions.
A.DNV
B.AAAHC
C.TJC
D.NCQA
DNV- ANSWER MS bylaws specify the qualifications to be met by an
applicant for the medical staff to recommend that the governing body appoint
the applicant.
A.NCQA
B.DNV
C.ACHC
D.URAC
NCQA - ANSWER Must verify that the practitioner is properly licensed, i.e.,
valid current license, in effect at the time of the Credentialing Committee's
decision. Licensure verification is only required in the state(s) in which the
practitioner practices and provides care to organization members.
A.ACHC
B.URAC
C.NCQA
D.DNV
, TJC - ANSWER Verification of licensure is attested to through PSV when an
applicant is appointed to the medical staff; initially granted privileges;
reapointed; renewed; revision of privileges has occurred; or expires.
A.NCQA
B.DNV
C.ACHC
D.TJC
TJC, DNV, CMS, URAC - ANSWER 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
Federal and State law - ANSWER 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
NCQA, URAC - ANSWER Which two bodies have time limits for licensures?
A. NCQA, URAC
