CPCS Medical Staff Credentialing & Standards (All Solved Accurately)

Certified Provider Credentialing Specialist correct answers 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/ practioners covered according to TJC correct answers All licensed Independent practitioners must be credentialed and privileged through the organized Medical staff structure. Initial Appointment / Clinical privileges/ practioners covered according to the NCQA correct answers HP's and MBHO's must have documented Credentialing policies and procedures that apply to all practitioners who provide care to the organizations members Initial Appointment / Clinical privileges/ practioners covered according to CMS correct answers The Governing body determines, in accordance with Staye Law, which 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 TJC correct answers Requires verification from the medical school or accepted PSV TJC Accepted PSV for medical education correct answers The AMA, the AOA, and the ECFMG Verification of Medical education according to the NCQA correct answers Requires HP/CVO the highest of three levels of education and training. The three levels of education and training as defined by NCQA correct answers Graduation from medical or professional school, residency, board certification. Verification of Medical education according to CMS correct answers The medical staff must have a mechanism to examine evidence of professional education Verification of postgraduate training according to TJC correct answers Requires verification from the primary source or designated equivalent sources. TJC accepted PSV for postgraduate training correct answers AMA and AOA Verification of postgraduate training according to NCQA correct answers The highest of the three levels of education and training attained. If board certified, than board certification suffices. Verification of postgraduate training according to CMS correct answers The medical staff must have a mechanism to examine evidence of training and documented experiences.