NAMSS Study Combined Sets: CPCS
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Why is it important to check that the practitioner is not currently excluded, suspended, debarred,
or ineligeble to participate in Federal health care programs? - CORRECT ANSWER - The
Faciltiy won't get paid for treating patients unlsee service is provided by authorized provider.
Which of the following credentials must be tracked on an ongoing basis - CORRECT
ANSWER - Licensure
Accoding to NCQA standards, an organization that discovers sanction information, complaints,
or adverse events regarding a practitioner must take what action? - CORRECT ANSWER -
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 abiltiy of incompetent physicians, dentists and other
health care practtitioners to move from state to state without disclosure or discovery of previous
medical malpractice payment and adverse action history? - CORRECT ANSWER - The
National Practitioner Data Bank
When developing clinical privileging criteria, which of the following is important to evaluate? -
CORRECT ANSWER - Established standards of practice such as, specialty board
recommendations.
What is the main reason for periodically assessing appropriateness of clinical privileges for each
specialty? - CORRECT ANSWER - To proctect patient safety by ensuring current
competency, revelance to the facility, and accepted standards of care.
Which of the following specialists is most likely to perform a PTCA? - CORRECT
ANSWER - Interventional Cardiologist
, What is the correct order the JC uses to process applications? - CORRECT ANSWER - 1.
Receive application
2. Verify completeness and that all requested materials are included
3. Process Application: Conduct Primary Source Verification and verify current competency for
privileges requested
4. Chief of Service/Department Chair review and recommendation (if departmentalized)
5. Executive Committee reviews and makes recommendations to the Board of Trustees
6. Board approves
7. Notify applicant of final decision
What is the correct order NCQA uses to process applications? - CORRECT ANSWER - 1.
Receive application
2. Verifly completeness and that all requested materials are included
3. Process application: Conduct Primary Source Verification
4. Medical Director reviews and approves or makes recommendation to Credentials Committee,
if required by procedure
5. Credentials Committee reviews for information only or to approve
6. Notify applicant of final decision
What is the correct order HFAP uses to process applications? - CORRECT ANSWER - 1.
Receive application and then verify completeness and that all requested materials are included.
2. Process application: Conduct Primary Source Verification and verify current competency for
privileges requested.
3. Chief of Service/Department Chair reviews and makes recommendation (if departmentalized)
4. Credentials Committee review and recommendation, if credentials committee exists.
5. Executive Committee reviews and makes recommendation to the Board of Trustees
6. Board Approves
7. Notify applicant of final decision
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Why is it important to check that the practitioner is not currently excluded, suspended, debarred,
or ineligeble to participate in Federal health care programs? - CORRECT ANSWER - The
Faciltiy won't get paid for treating patients unlsee service is provided by authorized provider.
Which of the following credentials must be tracked on an ongoing basis - CORRECT
ANSWER - Licensure
Accoding to NCQA standards, an organization that discovers sanction information, complaints,
or adverse events regarding a practitioner must take what action? - CORRECT ANSWER -
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 abiltiy of incompetent physicians, dentists and other
health care practtitioners to move from state to state without disclosure or discovery of previous
medical malpractice payment and adverse action history? - CORRECT ANSWER - The
National Practitioner Data Bank
When developing clinical privileging criteria, which of the following is important to evaluate? -
CORRECT ANSWER - Established standards of practice such as, specialty board
recommendations.
What is the main reason for periodically assessing appropriateness of clinical privileges for each
specialty? - CORRECT ANSWER - To proctect patient safety by ensuring current
competency, revelance to the facility, and accepted standards of care.
Which of the following specialists is most likely to perform a PTCA? - CORRECT
ANSWER - Interventional Cardiologist
, What is the correct order the JC uses to process applications? - CORRECT ANSWER - 1.
Receive application
2. Verify completeness and that all requested materials are included
3. Process Application: Conduct Primary Source Verification and verify current competency for
privileges requested
4. Chief of Service/Department Chair review and recommendation (if departmentalized)
5. Executive Committee reviews and makes recommendations to the Board of Trustees
6. Board approves
7. Notify applicant of final decision
What is the correct order NCQA uses to process applications? - CORRECT ANSWER - 1.
Receive application
2. Verifly completeness and that all requested materials are included
3. Process application: Conduct Primary Source Verification
4. Medical Director reviews and approves or makes recommendation to Credentials Committee,
if required by procedure
5. Credentials Committee reviews for information only or to approve
6. Notify applicant of final decision
What is the correct order HFAP uses to process applications? - CORRECT ANSWER - 1.
Receive application and then verify completeness and that all requested materials are included.
2. Process application: Conduct Primary Source Verification and verify current competency for
privileges requested.
3. Chief of Service/Department Chair reviews and makes recommendation (if departmentalized)
4. Credentials Committee review and recommendation, if credentials committee exists.
5. Executive Committee reviews and makes recommendation to the Board of Trustees
6. Board Approves
7. Notify applicant of final decision
