CPCS FINAL VERIFIED STUDY GUIDE EXAM LATEST
2026/2027 UPDATED VERIFIED QUESTIONS AND SOLUTIONS
A+ PASS GUARANTEED |COMPLETE STUDY GUIDE WITH
100% ACCURATE QUESTIONS &ANSWERS. EXCELLENCE
GUARANTEED.
Appointment Timeframe - TJC Answer: Not to exceed two years
Appointment Timeframe - NCQA Answer: Recredential at least every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP Answer: At least every 24 months
Appointment Timeframe - DNV Answer: Not to exceed 3 years
Appointment Timeframe - URAC Answer: At least every 3 years
Cycle to the month
Appointment Timeframe - AAAHC Answer: Not to exceed 3 years
Appointment Timeframe - CMS Answer: Practitioner - at least every 24 months
Surgery - every two years
Attestation Statement Timeframe - NCQA Answer: 365 days from final approval
305 - CVO
Attestation Statement Timeframe - URAC Answer: 180 days prior to credentials committee
review
Doesn't require attestation statement Answer: TJC, DNV, CoPs
Board Certification Time Limit - NCQA Answer: 180 days
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,120 days CVO
Board Certification Time Limit - URAC Answer: 6 months
Board Certification Verification Required at Recredentialing by Answer: NCQA - verification
HFAP - review
AAAHC
What is typically monitored for expiration? Answer: Board certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and Expiration by Answer: URAC
PSV for Board Certification Answer: ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of board status
Confirmation from board
NCQA Approved Source: requirement for verifying source completes PSV Answer:
Organization verifies source performs PSV
At least annually organization obtains written confirmation that source performs PSV
QAPI Answer: Medicare CoPs require periodical appraisals of members through Quality
Assessment Performance Improvement (QAPI) process
must include complaints regarding medical staff-related issues
Complaints evaluation - NCQA Answer: Evaluate history of complaints for all practitioners at
least every 6 months
CME not addressed by Answer: NCQA, URAC, AAAHC, CoPs
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Evaluation of CVO - TJC Answer: 9 principles
Data & Info available
processes utilized
limitations of info
identification of primary source vs. secondary source
quality control measures related to data integrity, security, transmission, etc.
Criminal Background Check - HFAP Answer: Application requests criminal history information
for 7 - 10 years
Facility conducts background investigation as required
Criminal Background Check required by Answer: TJC, HFAP
FSMB Answer: Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board actions, or if physician is clean.
Disciplinary alert service: notification for report of MD, DO, or PA
NPDB information available: Answer: Medical malpractice payments
Adverse licensure action
Dismissal or closure of proceedings
Adverse clinical privileging actions
Adverse professional society membership
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
2026/2027 UPDATED VERIFIED QUESTIONS AND SOLUTIONS
A+ PASS GUARANTEED |COMPLETE STUDY GUIDE WITH
100% ACCURATE QUESTIONS &ANSWERS. EXCELLENCE
GUARANTEED.
Appointment Timeframe - TJC Answer: Not to exceed two years
Appointment Timeframe - NCQA Answer: Recredential at least every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP Answer: At least every 24 months
Appointment Timeframe - DNV Answer: Not to exceed 3 years
Appointment Timeframe - URAC Answer: At least every 3 years
Cycle to the month
Appointment Timeframe - AAAHC Answer: Not to exceed 3 years
Appointment Timeframe - CMS Answer: Practitioner - at least every 24 months
Surgery - every two years
Attestation Statement Timeframe - NCQA Answer: 365 days from final approval
305 - CVO
Attestation Statement Timeframe - URAC Answer: 180 days prior to credentials committee
review
Doesn't require attestation statement Answer: TJC, DNV, CoPs
Board Certification Time Limit - NCQA Answer: 180 days
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,120 days CVO
Board Certification Time Limit - URAC Answer: 6 months
Board Certification Verification Required at Recredentialing by Answer: NCQA - verification
HFAP - review
AAAHC
What is typically monitored for expiration? Answer: Board certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and Expiration by Answer: URAC
PSV for Board Certification Answer: ABMS, AMA, AOA
State licensing agency if confirmation that agency conducts PSV of board status
Confirmation from board
NCQA Approved Source: requirement for verifying source completes PSV Answer:
Organization verifies source performs PSV
At least annually organization obtains written confirmation that source performs PSV
QAPI Answer: Medicare CoPs require periodical appraisals of members through Quality
Assessment Performance Improvement (QAPI) process
must include complaints regarding medical staff-related issues
Complaints evaluation - NCQA Answer: Evaluate history of complaints for all practitioners at
least every 6 months
CME not addressed by Answer: NCQA, URAC, AAAHC, CoPs
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Evaluation of CVO - TJC Answer: 9 principles
Data & Info available
processes utilized
limitations of info
identification of primary source vs. secondary source
quality control measures related to data integrity, security, transmission, etc.
Criminal Background Check - HFAP Answer: Application requests criminal history information
for 7 - 10 years
Facility conducts background investigation as required
Criminal Background Check required by Answer: TJC, HFAP
FSMB Answer: Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board actions, or if physician is clean.
Disciplinary alert service: notification for report of MD, DO, or PA
NPDB information available: Answer: Medical malpractice payments
Adverse licensure action
Dismissal or closure of proceedings
Adverse clinical privileging actions
Adverse professional society membership
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
