CPCS -Practice Exam Questions and Answers 100% Accurate

CPCS -Practice Exam Questions and Answers 100% Accurate CPCS -Practice Exam Questions and Answers 100% Accurate CPCS -Practice Exam Questions and Answers 100% Accurate CPCS -Practice Exam Questions and Answers 100% Accurate Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - ANSWER-a. A facility could lose its accreditation if it does not do so b. It is required by Medicare Conditions or Participation c. The facility won't get paid for treating patients unless service is provided by an authorized provider. Which of the following credentials must be tracked on an ongoing basis? - ANSWER-a. Post graduate education completed b. Closed medical malpractice claims c. Licensure. According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must take what action? - ANSWER-a. Determine if there is evidence of poor quality that could affect the health and safety of its members. b. Immediately take action to remove the provider from its panel c. Notify the practitioner that he/she is under investigation and initiate the hearing process 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 practitioners to move from state to state without disclosure or discovery of previous medical malpractice payment and adverse action history? - ANSWER-a. Emergency Medical Treatment and Active Labor Act b. The National Practitioner Data Bank. c. The Patient Safety and Quality Improvement Act When developing clinical privileging criteria, which of the following is important to evaluate? - ANSWER-a. How many providers are in that specialty b. Established standards of practice, such as specialty board recommendations.