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Practice Test Questions 70

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Practice Test Questions 70

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UPRACTICE TEST QUESTIONS 70
UPDATE QUESTIONS & CORRECT
ANSWERS 100% PASS GUARANTEED

Why it is important to check that the practitioner is not currently excluded, suspended, debarred, or
ineligible to participate in Federal health care programs?

a. A facility could lose its accreditation if it does not do so.

b. It is required by Medicare Conditions of Participation.

c. The facility won't get paid for treating patients unless service is provided by authorized provider. - c.
The facility won't get paid for treating patients unless service is provided by authorized provider.



Which of the following credentials must be tracked on an ongoing basis?

a. Post graduate education completed

b. Closed medical malpractice claims

c. Licensure - c. Licensure



According to NCQA standards, an organization that discovers sanction information, complaints, or
adverse events regarding a practitioner must take what action?

a. Determine if there is evidence of poor quality that could affect the health and safety of its members.

b. Immediately take action to remove the provider from its panel.

c. Notify the practitioner that he/she is under investigation and initiate the hearing process. - a.
Determine if there is evidence of poor quality that could affect the health and safety of its members.



What is the name of the entity that was established through the Health Care Quality Improvement Act of
1986 to restrict the ability of incompetent physicians, dentists, and other health care practitioners to
move from state to state without disclosure or discovery of previous medical malpractice payment and
adverse action history?

a. Emergency Medical Treatment and Active Labor Act

b. The National Practitioner Data Bank

, c. The Patient Safety and Quality Improvement Act - b. The National Practitioner Data Bank



When developing clinical privileging criteria, which of the following is important to evaluate?

a. How many providers are in that specialty.

b. Established standards of practice, such as specialty board recommendations.

c. Whether or not the quality department can support the FPPE process. - b. Established standards of
practice, such as specialty board recommendations.



What is the main reason for periodically assessing appropriateness of clinical privileges for each
specialty?

a. It's required by accreditation standards.

b. It is required by the Medicare Conditions of Participation.

c. To protect patient safety by ensuring current competency, relevance to the facility, and accepted
standards of care. - c. To protect patient safety by ensuring current competency, relevance to the facility,
and accepted standards of care.



Which of the following specialists is most likely to perform a PTCA?

a. OB/GYN

b. Urologist

c. Interventional Cardiologist - c. Interventional Cardiologist



The Joint Commission hospital standards require that clinical privileges are hospital specific and

a. Based on the individual's demonstrated current competence and the procedures the hospital can
support.

b. Based on board certification.

c. Based on the privileges the individual is currently approved to perform at other hospitals. - a. Based on
the individual's demonstrated current competence and the procedures the hospital can support.



Which of the following would be routinely performed by a cardiologist?

a. Hysterectomy

b. Transesophageal Echocardiography

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