CPMSM Practice Exam| 150 Questions| With Complete Solutions

Why it is important to check that the practitioner is not currently excluded suspended the board or in eligible to participate in federal healthcare programs correct answer: The facility won't get paid for treating patients unless service is provided by authorized provider Which of the following credentials must be tracked on an ongoing basis correct answer: Licensure According to NCQA standards and organization that discovers sanction information complaints or adverse events regarding a practitioner must take what action correct answer: Determine if there is evidence of poor quality that could affect the health and safety of its members What is the name of the entity that was established through the healthcare quality improvement act of 1986 to restrict the ability of incompetent physicians Dennis and other healthcare practitioners to move from state to state without disclosure or discovery a previous medical malpractice payment and adverse action history correct answer: The national practitioner data Bank When developing clinical privileging criteria which of the following is important to evaluate correct answer: Establish standards of practice such a specialty board recommendations What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty corre