CPCS Study Guide |70 Practice Test Questions And Answers

Why it is important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ️️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? - ️️Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must take what action? - ️️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 Health Care Quality Improvement Act of 1986 to restrict the ability of incompetent physicians, dentists, and other health care practitioners to move from state to state without disclosure or discovery of previous medical malpractice payment and adverse action history? - ️️The National Practitioner Data Bank When developing clinical privileging criteria, which of the following is important to evaluate? - ️️Established standards of practice, such as specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? - ️️It is required by the Medicare Conditions of Participation. Which of the following specialists is most likely to perform a PTCA? - ️️Interventional Cardiologist The Joint Commission hospital standards require that clinical privileges are hospital specific and - ️️Based on the individual's demonstrated current competence and the procedures the hospital can support.