CPMSM COMPREHENSIVE EXAM 2025/2026 QUESTIONS
AND ANSWERS GUARANTEE A+
✔✔Medicare Program - ✔✔Established by an amendment to the Social Security Act in
1965
✔✔SMDA - ✔✔Safe Medical Device Act of 1990
✔✔HCQIA - ✔✔Provides immunity from liability for damages from good-faith peer
review
✔✔Conditions of Participation - ✔✔Federal regulations relating to Medicare and
Medicaid
✔✔The Federal Register - ✔✔Contains details of proposed and recently passed federal
regulations and Presidential executive orders
✔✔Ostensible Agency - ✔✔Responsibility due to appearance of control
✔✔Administrative Law - ✔✔Regulations enacted by state and federal agencies to
implement statues and regulatory requirements.
✔✔Common Law - ✔✔Judicial decisions that decide the outcome of litigation.
✔✔1789 - ✔✔U.S. Constitution went into effect.
✔✔27 - ✔✔The number of amendments in the Constitution
✔✔15 days - ✔✔Adverse action reports must be sent to state llicensing boards within
✔✔Statutory Law - ✔✔Legislation passed by Congress
✔✔Main Motion - ✔✔This motion introduces items to membership for consideration and
cannot be made when any other motion is on the floor.
✔✔Subsidary Motion - ✔✔This motion changes or affects how a main motion is
handled. Subsidary motion is voted on before a main motion.
✔✔Call for Order of the Day - ✔✔A request to follow the agenda
✔✔Privileged motion - ✔✔This motion brings up items that are urgent - unrelated to
pending business. Take precedence over all other motions.
✔✔A motion to divide the assemble - ✔✔A more exlicit type of vote (show of hands)
, ✔✔Formal Grievance - ✔✔A written or verbal complaint that is made to the hopsital by
a patient or the patient's representative
✔✔7 days - ✔✔Hospitals are required to respond to patient grievances within
✔✔ACGME - ✔✔Established in 1981, evaluates and accredits medical residency
programs in the US
✔✔Deeming - ✔✔Authority granted to an accrediting organization by CMS - meets
conditions of participation
✔✔CPT - ✔✔System used to report medical procedures and services to health
insurance programs. Developed by AMA
✔✔RBRVS - ✔✔Resource based relative value scale - 1992. payment to physicians
determined
✔✔2004 - NPDB - ✔✔NPDB allowed practitioner to add statements to the report
✔✔1999 - HIPDB - ✔✔HIPBD - Healthcare Integrity Protection Databank began
accepting reports
✔✔Hospitals - ✔✔The only organization required to query the NPDB
✔✔60 days - ✔✔Practitioner may dispute NPDB report within
✔✔2010 - NPDB - ✔✔Expanded reporting actions against all providers
✔✔HCQIA peer review protection - ✔✔Applies to MDs, DOs and Dentists only
✔✔1986 - ✔✔HCQIA was passed into law
✔✔1990 - NPDB - ✔✔NPDB opened and began collecting reports
✔✔1919 - ✔✔American College of Surgeons' Minimum Standards created role for MSO
✔✔1951 - ✔✔When Joint Commission was originally formed
✔✔1965 - ✔✔Medicare Conditions of Participation was established
✔✔Three "hospital needed functions" for the medical staff - ✔✔1-to provide patient
care, 2-to evaluate & improve the quality of care provided, and 3-to assess & make
recommendations regarding qualifications of those who wish to provide care
AND ANSWERS GUARANTEE A+
✔✔Medicare Program - ✔✔Established by an amendment to the Social Security Act in
1965
✔✔SMDA - ✔✔Safe Medical Device Act of 1990
✔✔HCQIA - ✔✔Provides immunity from liability for damages from good-faith peer
review
✔✔Conditions of Participation - ✔✔Federal regulations relating to Medicare and
Medicaid
✔✔The Federal Register - ✔✔Contains details of proposed and recently passed federal
regulations and Presidential executive orders
✔✔Ostensible Agency - ✔✔Responsibility due to appearance of control
✔✔Administrative Law - ✔✔Regulations enacted by state and federal agencies to
implement statues and regulatory requirements.
✔✔Common Law - ✔✔Judicial decisions that decide the outcome of litigation.
✔✔1789 - ✔✔U.S. Constitution went into effect.
✔✔27 - ✔✔The number of amendments in the Constitution
✔✔15 days - ✔✔Adverse action reports must be sent to state llicensing boards within
✔✔Statutory Law - ✔✔Legislation passed by Congress
✔✔Main Motion - ✔✔This motion introduces items to membership for consideration and
cannot be made when any other motion is on the floor.
✔✔Subsidary Motion - ✔✔This motion changes or affects how a main motion is
handled. Subsidary motion is voted on before a main motion.
✔✔Call for Order of the Day - ✔✔A request to follow the agenda
✔✔Privileged motion - ✔✔This motion brings up items that are urgent - unrelated to
pending business. Take precedence over all other motions.
✔✔A motion to divide the assemble - ✔✔A more exlicit type of vote (show of hands)
, ✔✔Formal Grievance - ✔✔A written or verbal complaint that is made to the hopsital by
a patient or the patient's representative
✔✔7 days - ✔✔Hospitals are required to respond to patient grievances within
✔✔ACGME - ✔✔Established in 1981, evaluates and accredits medical residency
programs in the US
✔✔Deeming - ✔✔Authority granted to an accrediting organization by CMS - meets
conditions of participation
✔✔CPT - ✔✔System used to report medical procedures and services to health
insurance programs. Developed by AMA
✔✔RBRVS - ✔✔Resource based relative value scale - 1992. payment to physicians
determined
✔✔2004 - NPDB - ✔✔NPDB allowed practitioner to add statements to the report
✔✔1999 - HIPDB - ✔✔HIPBD - Healthcare Integrity Protection Databank began
accepting reports
✔✔Hospitals - ✔✔The only organization required to query the NPDB
✔✔60 days - ✔✔Practitioner may dispute NPDB report within
✔✔2010 - NPDB - ✔✔Expanded reporting actions against all providers
✔✔HCQIA peer review protection - ✔✔Applies to MDs, DOs and Dentists only
✔✔1986 - ✔✔HCQIA was passed into law
✔✔1990 - NPDB - ✔✔NPDB opened and began collecting reports
✔✔1919 - ✔✔American College of Surgeons' Minimum Standards created role for MSO
✔✔1951 - ✔✔When Joint Commission was originally formed
✔✔1965 - ✔✔Medicare Conditions of Participation was established
✔✔Three "hospital needed functions" for the medical staff - ✔✔1-to provide patient
care, 2-to evaluate & improve the quality of care provided, and 3-to assess & make
recommendations regarding qualifications of those who wish to provide care
