Certified Provider Credentialing
Questions & Expertly & Verified
_____________Quiz____________?
Certified Provider Credentialing Specialist -
Answer✓✓
The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by
a healthcare organization including, but not limited to, hospitals (health systems), health
plans, ambulatory care settings, group practices, and credentialing verification organizations.
_____________Quiz____________?
Initial Appointment / Clinical privileges/ practioners covered according to the TJC -
Answer✓✓
All licensed Independent practitioners must be credentialed and privileged through the
organized Medical staff structure
_____________Quiz____________?
Initial Appointment / Clinical privileges/ practioners covered according to the NCQA -
Answer✓✓
HP's and MBHO's must have documented Credentialing policies and procedures that apply
to all practitioners who provide care to the organizations members
_____________Quiz____________?
1
, Initial Appointment / Clinical privileges/ practioners covered according to CMS -
Answer✓✓
The Governing body determines, in accordance with Staye Law, which categories of
practitioners are eligible for appointment to the medical staff. At a minimum the medical
staff must be composed of MD 's and DO's.
_____________Quiz____________?
Verification of Medical education according to the TJC -
Answer✓✓
Requires verification from the medical school or accepted PSV
_____________Quiz____________?
TJC Accepted PSV for medical education -
Answer✓✓
The AMA, the AOA, and the ECFMG
_____________Quiz____________?
Verification of Medical education according to the NCQA -
Answer✓✓
Requires HP/CVO the highest of three levels of education and training.
_____________Quiz____________?
The three levels of education and training as defined by NCQA -
Answer✓✓
Graduation from medical or professional school, residency, board certification.
_____________Quiz____________?
Verification of Medical education according to CMS -
2
Questions & Expertly & Verified
_____________Quiz____________?
Certified Provider Credentialing Specialist -
Answer✓✓
The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by
a healthcare organization including, but not limited to, hospitals (health systems), health
plans, ambulatory care settings, group practices, and credentialing verification organizations.
_____________Quiz____________?
Initial Appointment / Clinical privileges/ practioners covered according to the TJC -
Answer✓✓
All licensed Independent practitioners must be credentialed and privileged through the
organized Medical staff structure
_____________Quiz____________?
Initial Appointment / Clinical privileges/ practioners covered according to the NCQA -
Answer✓✓
HP's and MBHO's must have documented Credentialing policies and procedures that apply
to all practitioners who provide care to the organizations members
_____________Quiz____________?
1
, Initial Appointment / Clinical privileges/ practioners covered according to CMS -
Answer✓✓
The Governing body determines, in accordance with Staye Law, which categories of
practitioners are eligible for appointment to the medical staff. At a minimum the medical
staff must be composed of MD 's and DO's.
_____________Quiz____________?
Verification of Medical education according to the TJC -
Answer✓✓
Requires verification from the medical school or accepted PSV
_____________Quiz____________?
TJC Accepted PSV for medical education -
Answer✓✓
The AMA, the AOA, and the ECFMG
_____________Quiz____________?
Verification of Medical education according to the NCQA -
Answer✓✓
Requires HP/CVO the highest of three levels of education and training.
_____________Quiz____________?
The three levels of education and training as defined by NCQA -
Answer✓✓
Graduation from medical or professional school, residency, board certification.
_____________Quiz____________?
Verification of Medical education according to CMS -
2
