TJC - CPCS Prep 2025 Exam Questions Fully Solved Latest 2025

TJC - CPCS Prep 2025 Exam Questions Fully Solved Latest 2025 The Joint Commision defines credentialing as? - Answers The process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital. Hospitals Accreditors that have been granted deemed status are: - Answers -The Joint Commission (TJC) -American Osteopathic Association's Health Facility Accreditation Program (AOA-HFAP) -Det Norske Veritas Healthcare, Inc's (DNV GL) National Integrated Accreditation for Healthcare Organizations (NIAHO) -The Center for Improvement in Healthcare Quality (CIHQ) is the nation's newest accreditation provider, approved by CMS to deem ACUTE CARE HOSPITALS as meeting Medicare COPs. (Received deeming authority in July 2013.) CVO Credentialing is Driven by: - Answers (C.A.P.) Contract Policies and Procedures Accreditation Standards (NCQA, URAC, The Joint Commission, DNV GL, HFAP, CIQH) In Ambulatory Care, Medical Office/Surgical Center Credentialing is influenced by: - Answers Accreditation Standards (AAAHC, TJC, NCQA, URAC, HFAP) CMS regulations State and Federal Law Policies and Procedures Contractual Agreements Ambulatory Care Governance Documents (Policies and Procedures and Bylaws) How often do CMS, TJC and HFAP reappoint? - Answers Every 2 years Per CMS, TJC, HFAP, NCQA Education and Training verifications are acceptable through? - Answers AMA AOA ECFMG TJC requires licensure to be verified with the primary source at what four times? - Answers 1. Initial granting 2. Renewal of privileges 3. Revision of privileges 4. At the time of license expiration According to TJC, the hospital must query the National Practitioner Data Bank at what three times? - Answers 1. Clinical privileges are initially granted 2. Renewal of privileges -Renewal of privileges is pertinent to returning from a leave of absence 3. A new privilege(s) is requested According to TJC standards, peer recommendation must include written info on six elements. These are: - Answers Patient Care Current Medical Clinical Knowledge Practice-based Learning & Improvement Interpersonal & Communication Skills System-based Practice Professionalism Name the four appropriate sources for peer recommendations according to TJC standards. - Answers 1. Performance improvement committee, majority members are the applicant's peers 2. A reference letter(s), written documentation, or documented telephone conversation(s) about the applicant from a peer(s) who is knowledgeable about the applicant's professional performance and competence 3. A department or major clinical service chairperson who is a peer 4. The medical staff executive committee Name the six Joint Commission designated equivalent sources and the elements that can be verified by using them. - Answers 1. AMA Physician Masterfile for a physician's U.S. or Puerto Rican medical school graduation and residency completion 2. American Board of Medical Specialties (ABMS) for a physician's board certification