CPCS EXAM Questions and Answers
Verified Solutions Latest Update
Question:
According to JC & HFAP name four approved sources PSV for Medical Education
Answer:
Medical School, AMA, ECFMG, AOA
Question:
According to NCQA practitioners must be notified of credentialing decision within how
many days?
Answer:
60 Days
Question:
The DHHS mails a copy of the NPDB report to the named provider. If the provider
wishes to dispute the reports accuracy, the provider has how many days to do so?
Answer:
60 Days
Question:
According to URAQ, within how many days must the practitioner be notified of
credentialing decisions?
Answer:
10 Days
Question:
How many days does a practitioner have to dispute an NPDB report accuracy
Answer:
60 Days
,Question:
Which accrediting body requires five year verification of malpractice history
Answer:
NCQA
Question:
What is commonly used source for verifying malpractice history
Answer:
NPDB
Question:
According to the JC a fair hearing and appeals process as described in the medical staff
bylaws is available to whom?
Answer:
Medical staff members and non-members holding clinical privileges
Question:
T/F Only the highest of training must be verified according to NCQA
Answer:
True
Question:
According to the Joint Commission a peer recommendation should address what six
competencies?
Answer:
Medical knowledge\nTechnical & clinical skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Question:
Telemedicine-according to JC what two options are available for credentialing a the
original site?
Answer:
Full credentialing, use of the distant sites credentialing
,Question:
According to JC what is included in the process of planning and implementing
privileges?
Answer:
Develop & approve procedure list\nProcess the application\nEvaluate applicant specific
information\nSubmit recommendations to governing body for applicant specific
delineated privileges\nNotify the applicant, relevant personnel\nMonitor the use of
privileges
Question:
Are payments made by a physician in a malpractice claim reportable to the NPDB?
Answer:
No
Question:
Who requires Peer References
Answer:
JC, HFAP, AAAHC
Question:
Who reappoints
Answer:
JC, HFAP, NCQA, URAC
Question:
Who requires an attestation?
Answer:
NCQA, URAC, AAAHC
Question:
Who requires education verification?
Answer:
JC, HFAP, URAC, AAAHC
, Question:
Who requires statement regarding felony convictions?
Answer:
HFAP, NCQA, AAAHC
Question:
Attestation must state that the information submitted is complete &
Answer:
NCQA, AAAHC
Question:
Attestation must state that the information submitted is complete & accurate
Answer:
URAC
Question:
Attestation must include inquiry regarding illegal drug use?
Answer:
NCAQ
Question:
Attestation must include inquiry regarding inability to perform essential functions?
Answer:
NCQA
Question:
Attestation must include inquiry regarding history or loss or limitations of licensure or
privileges or disciplinary actions?
Answer:
NCQA
Verified Solutions Latest Update
Question:
According to JC & HFAP name four approved sources PSV for Medical Education
Answer:
Medical School, AMA, ECFMG, AOA
Question:
According to NCQA practitioners must be notified of credentialing decision within how
many days?
Answer:
60 Days
Question:
The DHHS mails a copy of the NPDB report to the named provider. If the provider
wishes to dispute the reports accuracy, the provider has how many days to do so?
Answer:
60 Days
Question:
According to URAQ, within how many days must the practitioner be notified of
credentialing decisions?
Answer:
10 Days
Question:
How many days does a practitioner have to dispute an NPDB report accuracy
Answer:
60 Days
,Question:
Which accrediting body requires five year verification of malpractice history
Answer:
NCQA
Question:
What is commonly used source for verifying malpractice history
Answer:
NPDB
Question:
According to the JC a fair hearing and appeals process as described in the medical staff
bylaws is available to whom?
Answer:
Medical staff members and non-members holding clinical privileges
Question:
T/F Only the highest of training must be verified according to NCQA
Answer:
True
Question:
According to the Joint Commission a peer recommendation should address what six
competencies?
Answer:
Medical knowledge\nTechnical & clinical skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Question:
Telemedicine-according to JC what two options are available for credentialing a the
original site?
Answer:
Full credentialing, use of the distant sites credentialing
,Question:
According to JC what is included in the process of planning and implementing
privileges?
Answer:
Develop & approve procedure list\nProcess the application\nEvaluate applicant specific
information\nSubmit recommendations to governing body for applicant specific
delineated privileges\nNotify the applicant, relevant personnel\nMonitor the use of
privileges
Question:
Are payments made by a physician in a malpractice claim reportable to the NPDB?
Answer:
No
Question:
Who requires Peer References
Answer:
JC, HFAP, AAAHC
Question:
Who reappoints
Answer:
JC, HFAP, NCQA, URAC
Question:
Who requires an attestation?
Answer:
NCQA, URAC, AAAHC
Question:
Who requires education verification?
Answer:
JC, HFAP, URAC, AAAHC
, Question:
Who requires statement regarding felony convictions?
Answer:
HFAP, NCQA, AAAHC
Question:
Attestation must state that the information submitted is complete &
Answer:
NCQA, AAAHC
Question:
Attestation must state that the information submitted is complete & accurate
Answer:
URAC
Question:
Attestation must include inquiry regarding illegal drug use?
Answer:
NCAQ
Question:
Attestation must include inquiry regarding inability to perform essential functions?
Answer:
NCQA
Question:
Attestation must include inquiry regarding history or loss or limitations of licensure or
privileges or disciplinary actions?
Answer:
NCQA
