CPMSM Study Questions with verified solutions 2023/2024

CPMSM Study QuestionsWhy is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - correct answer The facility will not 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? - correct answer Licensure According to NCQA standards, an 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 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 an adverse action history? - correct answer National Practitioner Data Bank When developing clinical privileging criteria, which of the following is important to evaluate? - correct answer Established standards of practice such as, specialty board recommendations What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? - correct answer To protect patient safety by ensuring current competency, relevance to the facility, and accepted standards of care Which of the following specialists is most likely to perform a PTCA? - correct answer Interventional Cardiologist The Joint Commission hospital standards require that clinical privileges are hospital specific and: - correct answer Based on the individual's demonstrated current competence and the procedures the hospital can support