CPCS 2024 STUDY SET EXAM
QUESTIONS AND ACTUAL ANSWERS.
AAAHC - Answer Education is verified with primary or secondary source on initial appointment
A. NCQA
B. DNV
C. AAAHC
D. URAC
NCQA - Answer For this standard if a physician is board certified, verification of board
certification meets this element because specialty boards verify education and training.
Residency is considered the highest level of training, not fellowship.
A.ACHC
B.NCQA
C.URAC
D.TJC
ACHC - Answer PSV is required and includes AMA
A.ACHC
B.NCQA
C.AAAHC
D.TJC
URAC - Answer History of education and professional training must be included on the
credentialing application.
A.DNV
B.ACHC
C.URAC
,A.NCQA
B.DNV
C.ACHC
D.URAC
TJC, DNV, URAC, CMS - Answer Which 4 standards do not address felony convictions:
A.ACHC, URAC, AAAHC, TJC
B.TJC, DNV, URAC, CMS
C.NCQA, DNV, ACHC, URAC
ACHC - Answer The application requests information regarding any criminal history and a
criminal background investigation is conducted based on information provided in the
application or as required by Federal and State regulations.
A.NCQA
B.DNV
C.ACHC
D.URAC
AAAHC - Answer The applicant must provide information regarding criminal convictions other
than minor traffic violations.
A.DNV
B.AAAHC
C.TJC
D.NCQA
DNV - Answer MS bylaws describe the qualifications to be met by a candidate in order for the
medical staff to recommend that the governing body appoint the candidate.
A.NCQA
, NCQA - Answer Must confirm that the practitioner holds a valid, current license, in effect at
the time of the Credentialing Committee's decision. Only required to verify license(s) in the
state(s) where the practitioner provides care for organization members.
A.ACHC
B.URAC
C.NCQA
D.DNV
TJC - Answer Licensure is verified with PSV at the time of appointment, initial granting of
privileges, reappointment, renewal, revision of privileges and on expiration.
A.NCQA
B.DNV
C.ACHC
D.TJC
TJC, DNV, CMS, URAC - Answer Which four (4) accrediting bodies do not specifically address
felony convictions?
A. TJC, NCQA, AAAHC, CMS
B. TJC, DNV, HFAP, CMS
C. TJC, DNV, CMS, URAC
Federal and State law - Answer According to ACHC/HFAP, information regarding criminal
background history, is conducted based on information provided on the application and is
required by who?
A. Medical Staff
B. Federal and State law
C. Governing body
NCQA, URAC - Answer What two bodies have time limits for licensures?
A. NCQA, URAC
QUESTIONS AND ACTUAL ANSWERS.
AAAHC - Answer Education is verified with primary or secondary source on initial appointment
A. NCQA
B. DNV
C. AAAHC
D. URAC
NCQA - Answer For this standard if a physician is board certified, verification of board
certification meets this element because specialty boards verify education and training.
Residency is considered the highest level of training, not fellowship.
A.ACHC
B.NCQA
C.URAC
D.TJC
ACHC - Answer PSV is required and includes AMA
A.ACHC
B.NCQA
C.AAAHC
D.TJC
URAC - Answer History of education and professional training must be included on the
credentialing application.
A.DNV
B.ACHC
C.URAC
,A.NCQA
B.DNV
C.ACHC
D.URAC
TJC, DNV, URAC, CMS - Answer Which 4 standards do not address felony convictions:
A.ACHC, URAC, AAAHC, TJC
B.TJC, DNV, URAC, CMS
C.NCQA, DNV, ACHC, URAC
ACHC - Answer The application requests information regarding any criminal history and a
criminal background investigation is conducted based on information provided in the
application or as required by Federal and State regulations.
A.NCQA
B.DNV
C.ACHC
D.URAC
AAAHC - Answer The applicant must provide information regarding criminal convictions other
than minor traffic violations.
A.DNV
B.AAAHC
C.TJC
D.NCQA
DNV - Answer MS bylaws describe the qualifications to be met by a candidate in order for the
medical staff to recommend that the governing body appoint the candidate.
A.NCQA
, NCQA - Answer Must confirm that the practitioner holds a valid, current license, in effect at
the time of the Credentialing Committee's decision. Only required to verify license(s) in the
state(s) where the practitioner provides care for organization members.
A.ACHC
B.URAC
C.NCQA
D.DNV
TJC - Answer Licensure is verified with PSV at the time of appointment, initial granting of
privileges, reappointment, renewal, revision of privileges and on expiration.
A.NCQA
B.DNV
C.ACHC
D.TJC
TJC, DNV, CMS, URAC - Answer Which four (4) accrediting bodies do not specifically address
felony convictions?
A. TJC, NCQA, AAAHC, CMS
B. TJC, DNV, HFAP, CMS
C. TJC, DNV, CMS, URAC
Federal and State law - Answer According to ACHC/HFAP, information regarding criminal
background history, is conducted based on information provided on the application and is
required by who?
A. Medical Staff
B. Federal and State law
C. Governing body
NCQA, URAC - Answer What two bodies have time limits for licensures?
A. NCQA, URAC
