CPCS Exam Questions and Answers Already Passed

CPCS Exam Questions and Answers Already Passed What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, the provider has how many days to do so? 60 Days According to URAQ, within how many days must the practitioner be notified of credentialing decisions? 10 Days How many days does a practitioner have to dispute an NPDB report accuracy 60 Days Which accrediting body requires five year verification of malpractice history NCQA What is commonly used source for verifying malpractice history NPDB According to the JC a fair hearing and appeals process as described in the medical staff bylaws is available to whom? Medical staff members and non-members holding clinical privileges T/F Only the highest of training must be verified according to NCQA True According to the Joint Commission a peer recommendation should address what six competencies? Medical knowledgenTechnical & clinical skillnclinical judgmentninterpersonal skillsncommunication skillsnprofessionalism Telemedicine - according to JC what two options are available for credentialing a the original site? Full credentialing, use of the distant sites credentialing According to JC what is included in the process of planning and implementing privileges? Develop & approve procedure listnProcess the applicationnEvaluate applicant specific informationnSubmit recommendations to governing body for applicant specific delineated privilegesnNotify the applicant, relevant personnelnMonitor the use of privileges Are payments made by a physician in a malpractice claim reportable to the NPDB? No Who requires Peer References JC, HFAP, AAAHC Who reappoints JC, HFAP, NCQA, URAC Who requires an attestation? NCQA, URAC, AAAHC Who requires education verification? JC, HFAP, URAC, AAAHC Who requires statement regarding felony convictions? HFAP, NCQA, AAAHC Attestation must state that the information submitted is complete & correct NCQA, AAAHC Attestation must state that the information submitted is complete & accurate URAC Attestation must include inquiry regarding illegal drug use? NCAQ Attestation must include inquiry regarding inability to perform essential functions? NCQA Attestation must include inquiry regarding history or loss or limitations of licensure or privileges or disciplinary actions? NCQA Attestation must include inquiry regarding current malpractice coverage? NCQA Attestation must include inquiry regarding felony convictions? NCQA Applicant must attest to limitations on ability to perform functions of the position with or without accomodation, if any NCQA Applicant must attest to lack of present illegal drug use AAAHC Applicant must attest to history or loss of license and felony convictions, if any AAAHC Applicant must attest to history of loss or limitations of privileges or disciplinary actions, if any AAAHC Applicant must attest to current malpractice insurance coverage? AAAHC Who requires a malpractice history for applicants? JC, HFAP, NCQA, URAC, AAAHC Who must have a process in place to address complaints? JC, HFAP, NCQA, URAC Who requires Board Certification? None Who requires criminal background checks? HFAP Who requires applicant ID JC Who requires