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,Are limitations of the clinical privileges of a psychiatrist for more than 30 days
reportable to the NPDB?
Yes
According to the Joint Commission, who may amend the medical staff bylaws?
Governing Body
Failure to meet the established qualifications and criteria for appointment should be
reported to whom?
The applicant
NCQA requires the MCO to obtain a minimum of ???? years of work history?
5 years
According to NCQA what policy must an organization have in place to obtain approval to
enter into a delegated agreement?
Credentialing policies
, How often does the OIG report to the NPDB?
Monthly
Hospitals must query the NPDB when:
Initial appt, granting of privileges, every two years
NCQA requires verifications must be less than how many days old?
180 days
What is the verification time limit on malpractice history according to the NCQA?
180 days
Time limited credential must be verified by the CVO within how many days prior to
submission to the client?
120 days
According to AAAHC, for initial appointments, in addition to licensure and education,
what verification is required?
Experience and hospital affiliation
What accreditation body states "the NPDB is an acceptable source for sanctions or
limitations on licensure, Medicaid/Medicare sanctions and malpractice history?
NCQA