CPCS FINAL EXAM LATEST 2026/2027 UPDATED VERIFIED
QUESTIONS AND SOLUTIONS A+ PASS GUARANTEED
|COMPLETE STUDY GUIDE WITH 100% ACCURATE
QUESTIONS &ANSWERS. EXCELLENCE GUARANTEED.
EMTALA Answer: Emergency Medical Treatment and Active Labor Act
HCQIA Answer: Health Care Quality Improvement Act of 1986
HFAP Answer: Healthcare Facilities Accreditation Program
NCQA Answer: National Committee for Quality Assurance
URAC Answer: Used to stand for Utilization Review Accreditation Commission; now it just
known as URAC.
AAAHC Answer: Accreditation Association for Ambulatory Health Care
USMLE Answer: United States Medical Licensing Examination
UPIN Answer: Unique Physician Identification Number
OIG Answer: Office of Inspector General
NTIS Answer: National Technical Information Services
NPDB Answer: National Practitioner Data Bank
NPI Answer: National Provider Identifier
MCO Answer: Managed Care Organization
HIPAA Answer: Health Insurance Portability and Accountability Act of 1996
HEDIS Answer: Healthcare Employers Data Information Set
FSMB Answer: Federation of State Medical Boards
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, FCVS Answer: Federation Credentials Verification Service
FACIS Answer: Fraud and Abuse Control Information System
CVO Answer: Credentials Verification Organization
CMS Answer: Centers for Medicare and Medicaid Services
ADA Answer: Americans with Disabilities Act
Appointment time frame - TJC Answer: Not to Exceed 24 months
Appointment time frame - CMS Answer: Medical staff must approve at regular intervals; in
absence of state law, CMS recommends at least every 24 months. Surgical privileges should be
reviewed at least every 2 years.
Appointment time frame - AAAHC Answer: As defined by state law and organizational policy;
not to exceed 3 years.
Appointment time frame - URAC Answer: At least every 3 years, counted to the month.
Complaints - TJC Answer: There must be a process for evaluation of the credibility of a
complaint, allegation, or concern against a privileges provider. For telemedicine, the complaint is
reported to the distant site by the originating site.
Applicant Identity - TJC Answer: There must be a mechanism to determine the identify of the
applicant.
* view current hospital ID card
* view current state/federal issued photo ID
Applicant Identity - HFAP, DNV, URAC, AAAHC, CMS Answer: Not specifically addressed
Appointment time frame - DNV Answer: As defined by state law; not to exceed 3 years
Appointment time frame - HFAP Answer: At least every 24 months based on CMS standards
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
QUESTIONS AND SOLUTIONS A+ PASS GUARANTEED
|COMPLETE STUDY GUIDE WITH 100% ACCURATE
QUESTIONS &ANSWERS. EXCELLENCE GUARANTEED.
EMTALA Answer: Emergency Medical Treatment and Active Labor Act
HCQIA Answer: Health Care Quality Improvement Act of 1986
HFAP Answer: Healthcare Facilities Accreditation Program
NCQA Answer: National Committee for Quality Assurance
URAC Answer: Used to stand for Utilization Review Accreditation Commission; now it just
known as URAC.
AAAHC Answer: Accreditation Association for Ambulatory Health Care
USMLE Answer: United States Medical Licensing Examination
UPIN Answer: Unique Physician Identification Number
OIG Answer: Office of Inspector General
NTIS Answer: National Technical Information Services
NPDB Answer: National Practitioner Data Bank
NPI Answer: National Provider Identifier
MCO Answer: Managed Care Organization
HIPAA Answer: Health Insurance Portability and Accountability Act of 1996
HEDIS Answer: Healthcare Employers Data Information Set
FSMB Answer: Federation of State Medical Boards
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
, FCVS Answer: Federation Credentials Verification Service
FACIS Answer: Fraud and Abuse Control Information System
CVO Answer: Credentials Verification Organization
CMS Answer: Centers for Medicare and Medicaid Services
ADA Answer: Americans with Disabilities Act
Appointment time frame - TJC Answer: Not to Exceed 24 months
Appointment time frame - CMS Answer: Medical staff must approve at regular intervals; in
absence of state law, CMS recommends at least every 24 months. Surgical privileges should be
reviewed at least every 2 years.
Appointment time frame - AAAHC Answer: As defined by state law and organizational policy;
not to exceed 3 years.
Appointment time frame - URAC Answer: At least every 3 years, counted to the month.
Complaints - TJC Answer: There must be a process for evaluation of the credibility of a
complaint, allegation, or concern against a privileges provider. For telemedicine, the complaint is
reported to the distant site by the originating site.
Applicant Identity - TJC Answer: There must be a mechanism to determine the identify of the
applicant.
* view current hospital ID card
* view current state/federal issued photo ID
Applicant Identity - HFAP, DNV, URAC, AAAHC, CMS Answer: Not specifically addressed
Appointment time frame - DNV Answer: As defined by state law; not to exceed 3 years
Appointment time frame - HFAP Answer: At least every 24 months based on CMS standards
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
