Exam (elaborations)
CCS CPT Coding Lesson 3 Assessment
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Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - Five years According to the NCQA what policy must an organization have in place to obtain approval to enter into a delegated agreement? - Credentialing policies How often does the OIG report to the NPDB? - Monthly When must hospitals query the NPDB? - Initial appointment, granting of privileges, every two years.
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