CPCS - Certified Provider Credentialing Specialist Exam Study Questions 2022 96 Questions with 100% Correct Answers – COMPLETE SOLUTION

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. NCQA requires verifications must be less than how many days old? - 180 days What is the verification time limit on malpractice history according to the NCQA? - 180 days Time limited credential must be verified by the CVO with how may days prior to submission to the client? - 120 days According the AAAHC, for initial appointments, in addition to licensure and education, what verification is required? - Experience and hospital affiliations.