CPMSM STUDY SET WITH COMPLETE SOLUTIONS 100%
VERIFIED NEW !!
-CPMSM Practice Test
-Credentialing Environment Overview (CPMSM)
CPMSM Practice Test
Medical Staff - ANSWER according to the Joint Commission who is responsible for
developing criteria for FPPE when issues affecting the provision of safety patient care
are identified.
5 years - ANSWER NCQA requires an organization to obtain a claims history for a
minimum of how many years
every 6 Months - ANSWER According to NCQA how frequently must a delegate submit
a report to the organization
180 days for health plans, 120 days for CVO - ANSWER verification time limit for history
of malpractice claims
Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist, in
Speech and Language Therapist - ANSWER During an NCQA accreditation audit which
practitioner type would be included in an audit file
every 6 months - ANSWER According to NCQA how often an organization has to have
proof of having conducted an evaluation of complaint history for all practitioners
Medical Staff Structure, Qualifications for medical staff appointment, Duties and
Privileges for each medical staff category, Requirements for completing and
documenting histories and physicals, Description of medical staff member eligibility to
vote, Medical Staff officers position, function, size, and composition of MEC. - ANSWER
According to the Joint Commission medical staff bylaws must delineate which of the
, following
license - ANSWER according to The Joint Commission which of the following required
verification through the primary source
Medical Staff Bylaws - ANSWER In what document does CMS require a description of
privileging criteria and the procedure for applying the criteria.
Lifetime Board Certification - ANSWER According to NCQA and it's recredentialing
which of the following must be verified within 180 days prior to the credentialing
decision
a as provided in the medical staff bylaws - ANSWER According to the Joint
Commission the credentaling decision is communicated to the practitioner within how
many days.
physician assistant - ANSWER According to the Joint Commission which of the
following can serve as a peer reference for a physician assistant
governing body - ANSWER Who is responsible for adopting and approving
amendments to the medical staff bylaws
governing body - ANSWER According to AAAHC which of the following establishments
is responsible for the credentialing and reappointment process for Physicians and
dentists
HEDIS - ANSWER what is the performance measuring tool for NCQA.
have the delineate clinical privileges - ANSWER according to the Joint Commission
practitioners permitted to independently provide patient care services must what.
at least every 24 months since initial appointment - ANSWER how often does CMS
recommend an evaluation of each medical staff member should be conducted
VERIFIED NEW !!
-CPMSM Practice Test
-Credentialing Environment Overview (CPMSM)
CPMSM Practice Test
Medical Staff - ANSWER according to the Joint Commission who is responsible for
developing criteria for FPPE when issues affecting the provision of safety patient care
are identified.
5 years - ANSWER NCQA requires an organization to obtain a claims history for a
minimum of how many years
every 6 Months - ANSWER According to NCQA how frequently must a delegate submit
a report to the organization
180 days for health plans, 120 days for CVO - ANSWER verification time limit for history
of malpractice claims
Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist, in
Speech and Language Therapist - ANSWER During an NCQA accreditation audit which
practitioner type would be included in an audit file
every 6 months - ANSWER According to NCQA how often an organization has to have
proof of having conducted an evaluation of complaint history for all practitioners
Medical Staff Structure, Qualifications for medical staff appointment, Duties and
Privileges for each medical staff category, Requirements for completing and
documenting histories and physicals, Description of medical staff member eligibility to
vote, Medical Staff officers position, function, size, and composition of MEC. - ANSWER
According to the Joint Commission medical staff bylaws must delineate which of the
, following
license - ANSWER according to The Joint Commission which of the following required
verification through the primary source
Medical Staff Bylaws - ANSWER In what document does CMS require a description of
privileging criteria and the procedure for applying the criteria.
Lifetime Board Certification - ANSWER According to NCQA and it's recredentialing
which of the following must be verified within 180 days prior to the credentialing
decision
a as provided in the medical staff bylaws - ANSWER According to the Joint
Commission the credentaling decision is communicated to the practitioner within how
many days.
physician assistant - ANSWER According to the Joint Commission which of the
following can serve as a peer reference for a physician assistant
governing body - ANSWER Who is responsible for adopting and approving
amendments to the medical staff bylaws
governing body - ANSWER According to AAAHC which of the following establishments
is responsible for the credentialing and reappointment process for Physicians and
dentists
HEDIS - ANSWER what is the performance measuring tool for NCQA.
have the delineate clinical privileges - ANSWER according to the Joint Commission
practitioners permitted to independently provide patient care services must what.
at least every 24 months since initial appointment - ANSWER how often does CMS
recommend an evaluation of each medical staff member should be conducted
