CPCS 2024 STUDY SET

CPCS 2024 STUDY SET
Study online at https://quizlet.com/_en6rai
1. AAAHC: Education is verified with primary or secondary source on initial appoint-
ment

A. NCQA
B. DNV
C. AAAHC
D. URAC
2. NCQA: 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
3. ACHC: PSV is required and includes AMA

A.ACHC
B.NCQA
C.AAAHC
D.TJC
4. URAC: History of education and professional training must be included on the
credentialing application.

A.DNV
B.ACHC
C.URAC
D.AAAHC
5. NCQA: The application must include a statement regarding felony convictions.

A.NCQA
B.DNV
C.ACHC
D.URAC
6. TJC, DNV, URAC, CMS: Which 4 standards do not address felony convictions:

A.ACHC, URAC, AAAHC, TJC
B.TJC, DNV, URAC, CMS
C.NCQA, DNV, ACHC, URAC


, CPCS 2024 STUDY SET
Study online at https://quizlet.com/_en6rai
7. ACHC: 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
8. AAAHC: The applicant must provide information regarding criminal convictions
other than minor traffic violations.

A.DNV
B.AAAHC
C.TJC
D.NCQA
9. DNV: 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
B.DNV
C.ACHC
D.URAC
10. NCQA: Must confirm that the practitioner holds a valid, current license, in ef-
fect 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 mem-
bers.
A.ACHC
B.URAC
C.NCQA
D.DNV
11. TJC: 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
12. TJC, DNV, CMS, URAC: Which four (4) accrediting bodies do not specifically
address
felony convictions?



, CPCS 2024 STUDY SET
Study online at https://quizlet.com/_en6rai
A. TJC, NCQA, AAAHC, CMS
B. TJC, DNV, HFAP, CMS
C. TJC, DNV, CMS, URAC
13. Federal and State law: According to ACHC/HFAP, information regarding crimi-
nal background history, is conducted based on information provided on the applica-
tion and is required by who?

A. Medical Staff
B. Federal and State law
C. Governing body
14. NCQA, URAC: What two bodies have time limits for licensures?

A. NCQA, URAC
B. HFAP, NCQA
C. URAC, TJC
15. DNV: There is only one accrediting body that states the medical staff bylaws
describe on how the licensure is verified. Which accrediting body is it?
A. DNV
B. TJC
C. HFAP
16. CMS, TJC, NCQA: Which accrediting body will accept a sealed transcript for
Education verification?

A. CMS
B. TJC
C. NCQA
D. CMS, TJC, NCQA
17. Individual character, competence, training, experience, and judgement: Per
CMS, what are the 5 criteria for education that the governing body must look for?

A. Individual character, competence, training, experience, and judgement
B. Competence, judgement, professionalism, organization, and
C. Communication
D. Professionalism, communication, training, judgement, and competence
18. TJC, DNV, URAC, MEDICARE COPs: Felony Convictions are not specifically
addressed for these 4 accrediting bodies:
19. AAAHC: The applicant must provide information regarding criminal convictions
other than minor traffic violations for this accrediting body:
A. ACHC