Certified Provider Credentialing
Specialist (CPCS) study guide
Exam Latest 2026/2027 Updated
Verified Questions and Solutions
A+ Pass Guaranteed
Certified Provider Credentialing Specialist The Certified Provider Credentialing Specialist (CPCS) is typically
employed or contracted by a healthcare organization including, but not
limited to, hospitals (health systems), health plans, ambulatory care
settings, group practices, and credentialing verification organizations.
Initial Appointment / Clinical privileges/ All licensed Independent practitioners must be credentialed and
practioners covered according to the TJC privileged through the organized Medical staff structure
Initial Appointment / Clinical privileges/ HP's and MBHO's must have documented Credentialing policies and
practioners covered according to the NCQA procedures that apply to all practitioners who provide care to the
organizations members
Initial Appointment / Clinical privileges/ The Governing body determines, in accordance with Staye Law, which
practioners covered according to CMS categories of practitioners are eligible for appointment to the medical
staff. At a minimum the medical staff must be composed of MD 's and
DO's.
Verification of Medical education according to the Requires verification from the medical school or accepted PSV
TJC
TJC Accepted PSV for medical education The AMA, the AOA, and the ECFMG
Verification of Medical education according to Requires HP/CVO the highest of three levels of education and training.
the NCQA
The three levels of education and training as Graduation from medical or professional school, residency, board
defined by NCQA certification.
Verification of Medical education according to The medical staff must have a mechanism to examine evidence of
CMS professional education
Verification of postgraduate training according to Requires verification from the primary source or designated equivalent
TJC sources.
TJC accepted PSV for postgraduate training AMA and AOA
Verification of postgraduate training according to The highest of the three levels of education and training attained. If
NCQA board certified, than board certification suffices.
Verification of postgraduate training according to The medical staff must have a mechanism to examine evidence of
CMS training and documented experiences.
Specialist (CPCS) study guide
Exam Latest 2026/2027 Updated
Verified Questions and Solutions
A+ Pass Guaranteed
Certified Provider Credentialing Specialist The Certified Provider Credentialing Specialist (CPCS) is typically
employed or contracted by a healthcare organization including, but not
limited to, hospitals (health systems), health plans, ambulatory care
settings, group practices, and credentialing verification organizations.
Initial Appointment / Clinical privileges/ All licensed Independent practitioners must be credentialed and
practioners covered according to the TJC privileged through the organized Medical staff structure
Initial Appointment / Clinical privileges/ HP's and MBHO's must have documented Credentialing policies and
practioners covered according to the NCQA procedures that apply to all practitioners who provide care to the
organizations members
Initial Appointment / Clinical privileges/ The Governing body determines, in accordance with Staye Law, which
practioners covered according to CMS categories of practitioners are eligible for appointment to the medical
staff. At a minimum the medical staff must be composed of MD 's and
DO's.
Verification of Medical education according to the Requires verification from the medical school or accepted PSV
TJC
TJC Accepted PSV for medical education The AMA, the AOA, and the ECFMG
Verification of Medical education according to Requires HP/CVO the highest of three levels of education and training.
the NCQA
The three levels of education and training as Graduation from medical or professional school, residency, board
defined by NCQA certification.
Verification of Medical education according to The medical staff must have a mechanism to examine evidence of
CMS professional education
Verification of postgraduate training according to Requires verification from the primary source or designated equivalent
TJC sources.
TJC accepted PSV for postgraduate training AMA and AOA
Verification of postgraduate training according to The highest of the three levels of education and training attained. If
NCQA board certified, than board certification suffices.
Verification of postgraduate training according to The medical staff must have a mechanism to examine evidence of
CMS training and documented experiences.
