CPMSM questions with complete solutions

CPMSM HFAP Appointment time frame - correct answer 2 years TJC Appointment time frame - correct answer No longer than every 2 years NCQA Appointment time frame - correct answer 3 years (to the month) URAC Appointment time frame - correct answer 3 years AAAHC Appointment time frame - correct answer 3 years Attestation Statement - correct answer TJC and Medicare do not specifically address, URAC allows electronic signature, all others require. Board Certification Verification - correct answer Not specifically required (only highest level of education) has to be verified within 180 days per NCQA or 120 days if CVO is verifying. CME - correct answer HFAP may request every 2 years. TJC requires documentation. No others require. TJC views of Competence - correct answer Monitoring of provider competence must be ongoing. URAC and NCQA views of Competence - correct answer Monitoring of provider competence must be ongoing and organization must have policies for monitoring in place. HFAP view of Competence - correct answer Competence can be monitored by proof of procedures performed. This can be done by the provider providing their procedure logs. AAAHC view of Competence - correct answer Competence can be monitored by provided documentation of competency. Medicare view of Competence - correct answer Governing body must verify character, competence, judgement, education, and training. Felony Conviction - correct answer Only addressed by a question or statement of provider application by NCAQ, HFAP, and AAAHC NCQA and URAC on Education - correct answer Only highest level of education verified. TJC and Medicare - correct answer Does no address Medicare and Medicaid sanctions. NPDB - correct answer NCQA and URAC do not require it but it is an acceptable verification of sanctions. All other organizations require. Site Visit - correct answer NCQA is the only organization that requires a site visit under certain circumstances. Temporary Privileges - correct answer AAAHC and Medicare do not specifically address. Temporary Privileges granting requirements - correct answer This type of privilege can be granted by the CEO upon recommendation from the Chief of Staff or authorized designee as long as license, malpractice coverage, and NPDB have been verified. NCQA specifically says Provisional (Temporary) Privileges - correct answer Can be granted by Chief Medical Official as long as their is a policy in place, the application is clean, and the privileges can be granted for no more than 60 days. Work History - correct answer URAC and Medicare do not address, NCAQ: History must be verified and any gaps of 6 months or greater require explanation.