CPMSM questions n answers rated A+ 2023/2024

CPMSM HFAP stands for? - correct answer Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? - correct answer Governing Body or Board Which NCQA-required committee makes recommendations regarding credentialing decisions? - correct answer Credentialing Committee What primary source verification is required by NCQA prior to temporary privileges/provisional credentialing? - correct answer Licensure and 5 year history of malpractice history EMTALA stands for? - correct answer Emergency Treatment and Active Labor Act (anti-dumping) which was enacted to stop hospitals from transferring, discharging or refusing to treat indigent patients coming to the ED because of cost factors Divided into 4 standards/rules. privacy, security, identifiers, and transactions/code sets. - correct answer HIPAA Prohibits a physician who has a financial relationship with an entity from referring a medicare and Medicaid patients to that entity for the provision of a designated health service. - correct answer Stark Law HCQIA stands for? - correct answer Healthcare Quality Improvement Act of 1986 Name the federal law that was entailed for the purpose of encouraging good faith professional review activities? - correct answer HCQIA of 1986 PSQIA stands for? - correct answer Patient Safety and Quality Improvement Act of 2005 Patrick vs. Burget case is a violation of and let to develop what Healthcare Regulatory? - correct answer The Federal Anti-trust Laws (Anticompetitive Peer Review - Led to development of HCQIA) NCQA & URAC counts the recredentialing period to the month or day? - correct answer Month Medicare COP's stands for? - correct answer Medicare Conditions of Participation According to TJC the following is an element of a self-governing medical staff? - correct answer Medical Staff determines the mechanism for establishing and enforcing criteria for assigning oversight responsibilities to practitioners with independent privileges Roberts Rule of Order is an example of? - correct answer Parliamentary procedure What are the three major sources of authority in the traditional structure of the hospital organization? - correct answer CEO, Governing Body and Medical Staff Governing boards may be generally classed into which two types? - correct answer Philanthropic or Corporate Nonfeasance difination? - correct answer Failure to act when there is a duty to do so Negligent Tort has 4 elements, what are they? - correct answer 1. Duty to exercise due care: standard of care, 2. Breach of duty, 3. Injury (no injury - no liability), 4. Proximate Cause: injury must be caused by breach of duty Misfeasance difination? - correct answer Doing a proper act in an unlawful or injurious manner According to AAAHC how often does the governing board meet? - correct answer The governing body must meet at least annually Felony convictions/criminal convictions information must be provided according to these 3 accreditations? - correct answer NCQA, HFAP & AAAHC