CPCS 2025- Practice Exam Study Guide Exam
Latest 2026/2027 Updated Verified Questions
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Terms in this set (114)
What does TJC define privileges as? Duties and prerogatives o each category *not
clinical privileges to provide patient care,
treatment, and services related to each category
What are the two avenue to make Likelihood to harm + scope
the SAFER matrix chart/
What is FPPE? Focused Professional Practice Evaluation
Who must have at least one person URAC
participating in cred committee
that's only role is the management
of organization?
, What is considered a gap for 6 months
NCQA?
How long is the expedited file 60 Days *should be doing full process at same
approved for with the NCQA? (max time
time frame)
How long does NCQA have to tell a 60 days
provider decision of a file?
What primary source verification is licensure and 5 years malpractice history or
required by NCQA prior to NPDB
provisional credentialing?
What are the 3 med staff MEC, Utilization of Osteopathic Methods -
committees to be delineated in Concepts Committee, Utilization Review
med staff structure for HFAP Commitee
(ACHC)?
Monthly license expirables (DNV) Quality management oversight
reveals a physicians license has
lapsed. Where is it reported?
What must be documented for DEA and all states where care is proivded
credentialing per NCQA
URAC - Which credential must be State licensure and highest education
verified via PSV?
Latest 2026/2027 Updated Verified Questions
and Solutions A+ Pass Guaranteed
Save
Terms in this set (114)
What does TJC define privileges as? Duties and prerogatives o each category *not
clinical privileges to provide patient care,
treatment, and services related to each category
What are the two avenue to make Likelihood to harm + scope
the SAFER matrix chart/
What is FPPE? Focused Professional Practice Evaluation
Who must have at least one person URAC
participating in cred committee
that's only role is the management
of organization?
, What is considered a gap for 6 months
NCQA?
How long is the expedited file 60 Days *should be doing full process at same
approved for with the NCQA? (max time
time frame)
How long does NCQA have to tell a 60 days
provider decision of a file?
What primary source verification is licensure and 5 years malpractice history or
required by NCQA prior to NPDB
provisional credentialing?
What are the 3 med staff MEC, Utilization of Osteopathic Methods -
committees to be delineated in Concepts Committee, Utilization Review
med staff structure for HFAP Commitee
(ACHC)?
Monthly license expirables (DNV) Quality management oversight
reveals a physicians license has
lapsed. Where is it reported?
What must be documented for DEA and all states where care is proivded
credentialing per NCQA
URAC - Which credential must be State licensure and highest education
verified via PSV?
