CPCS Study Guide Questions with
Correct Answers 100% Pass
Why is it important to check that the practitioner is not currently excluded, suspended,
debarred, or ineligible to participate in Federal health care programs? - ✔✔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. Medical school
b. Post graduate education
c. Closed medical malpractice claims
d. Licensure - ✔✔Licensure
According to NCQA standards, an organization that discovers sanction information,
complaints, or adverse events regarding a practitioner must take what action? -
✔✔Determine if there is evidence of poor quality that could affect the health and safety
of its members
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 1
,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 healthcare practitioners to move from state to state without disclosure or
discovery of previous medical malpractice payment and adverse action history? -
✔✔The National Practitioner Databank
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
d. The average cost to the patient - ✔✔Established standards of practice such as,
specialty board recommendations
What is the main reason for periodically assessing appropriateness of clinical privileges
for each specialty? - ✔✔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 at PTCA?
a. General Surgeon
b. ObGyn
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 2
, c. Urologist
d. Interventional Cardiologist - ✔✔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
d. Posted in a place that is accessible to all hospital employees - ✔✔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. Trans-esophageal Echocardiography
c. Urethral dilation
d. Renal dialysis - ✔✔Trans-esophageal Echocardiography
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 3
Correct Answers 100% Pass
Why is it important to check that the practitioner is not currently excluded, suspended,
debarred, or ineligible to participate in Federal health care programs? - ✔✔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. Medical school
b. Post graduate education
c. Closed medical malpractice claims
d. Licensure - ✔✔Licensure
According to NCQA standards, an organization that discovers sanction information,
complaints, or adverse events regarding a practitioner must take what action? -
✔✔Determine if there is evidence of poor quality that could affect the health and safety
of its members
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 1
,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 healthcare practitioners to move from state to state without disclosure or
discovery of previous medical malpractice payment and adverse action history? -
✔✔The National Practitioner Databank
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
d. The average cost to the patient - ✔✔Established standards of practice such as,
specialty board recommendations
What is the main reason for periodically assessing appropriateness of clinical privileges
for each specialty? - ✔✔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 at PTCA?
a. General Surgeon
b. ObGyn
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 2
, c. Urologist
d. Interventional Cardiologist - ✔✔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
d. Posted in a place that is accessible to all hospital employees - ✔✔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. Trans-esophageal Echocardiography
c. Urethral dilation
d. Renal dialysis - ✔✔Trans-esophageal Echocardiography
100% Pass Guarantee Katelyn Whitman, All Rights Reserved © 2025 3
