NCQA standards require the organization to verify board certification at recredentialing:
a. If a practitioner has received Medicare/Medicaid sanctions
b. If a practitioner is requesting a change in status
c. In all cases
ANSWER
c. In all cases
According to ACHC standards, when confirming malpractice coverage the organization must:
a. Query the NPDB
b. Obtain the claim history with each carrier over the last five years
c. Have evidence of professional liability insurance, which includes certificates showing
amounts of coverage
ANSWER
c. Have evidence of professional liability insurance, which includes certificates showing
amounts of coverage
The Healthcare Quality Improvement Act:
a. Provides immunity for health care entities that do not report information to the NPDB
b. Keeps hospitals and physicians who perform peer review from being sued.
c. Provides qualified immunity from antitrust liability arising out of peer review activities
that are conducted in good faith
1
, ANSWER
c. Provides qualified immunity from antitrust liability arising out of peer review activities
that are conducted in good faith
Which term describes a physician employed or contracted by the hospital as a top-level
management employee to act as a liaison between the medical staff and hospital admin-
istration?
a. Medical director
b. Chief financial officer
c. Medical staff president
ANSWER
a. Medical director
When developing bylaws language for a committee, consideration should be given to which
of the following?
a. The mission statement of the hospital
b. Medical staff restructuring
c. Composition, duties, and frequency of meetings
ANSWER
c. Composition, duties, and frequency of meetings
What is the name of the act, known as the Federal "anti-dumping" law, which was enacted
to stop hospitals transferring, discharging, or refusing to treat indigent patients coming to
the emergency department because of cost factors?
a. EMTALA
b. Transfer of indigent patients act
2
a. If a practitioner has received Medicare/Medicaid sanctions
b. If a practitioner is requesting a change in status
c. In all cases
ANSWER
c. In all cases
According to ACHC standards, when confirming malpractice coverage the organization must:
a. Query the NPDB
b. Obtain the claim history with each carrier over the last five years
c. Have evidence of professional liability insurance, which includes certificates showing
amounts of coverage
ANSWER
c. Have evidence of professional liability insurance, which includes certificates showing
amounts of coverage
The Healthcare Quality Improvement Act:
a. Provides immunity for health care entities that do not report information to the NPDB
b. Keeps hospitals and physicians who perform peer review from being sued.
c. Provides qualified immunity from antitrust liability arising out of peer review activities
that are conducted in good faith
1
, ANSWER
c. Provides qualified immunity from antitrust liability arising out of peer review activities
that are conducted in good faith
Which term describes a physician employed or contracted by the hospital as a top-level
management employee to act as a liaison between the medical staff and hospital admin-
istration?
a. Medical director
b. Chief financial officer
c. Medical staff president
ANSWER
a. Medical director
When developing bylaws language for a committee, consideration should be given to which
of the following?
a. The mission statement of the hospital
b. Medical staff restructuring
c. Composition, duties, and frequency of meetings
ANSWER
c. Composition, duties, and frequency of meetings
What is the name of the act, known as the Federal "anti-dumping" law, which was enacted
to stop hospitals transferring, discharging, or refusing to treat indigent patients coming to
the emergency department because of cost factors?
a. EMTALA
b. Transfer of indigent patients act
2
