CPMSM EXAMS SCRIPT 2025/2026 QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔Misfeasance difination? - ✔✔Doing a proper act in an unlawful or injurious manner
✔✔According to AAAHC how often does the governing board meet? - ✔✔The
governing body must meet at least annually
✔✔Felony convictions/criminal convictions information must be provided according to
these 3 accreditations? - ✔✔NCQA, HFAP & AAAHC
✔✔This accredition must perform an assessment of the capability and quality of the
CVO's work in order to use it? - ✔✔AAAHC
✔✔Reappointment not to exceed 3 years for these 3 accreditiation? - ✔✔AAAHC,
NCQA, URAC
✔✔This accreditation has a 3 phase process to credentialing? - ✔✔AAAHC (establish
training/experience, establish a process to review, carries out review)
✔✔Identity of the applicant must be verified for this accredition? - ✔✔TJC
✔✔AAAHC stands for? - ✔✔Accreditation Association for Ambulatory Healthcare
(Ambulatory Care Facilities)
✔✔AHRQ stands for? - ✔✔Agency for Healthcare Research and Quality (est. in 1989)
✔✔Common Law is derived from? - ✔✔The judicial decisions rather than statutes
✔✔Adverse action reports must be sent to state licensing boards within how many
days? - ✔✔15
✔✔Hospitals are required to respond to patient grievances within how many days? -
✔✔7
✔✔NPDB allowed practitioners to add statements to the report in what year? - ✔✔2004
✔✔HIPBD (Healthcare Integrity Protection Databank) began accepting reports in what
year? - ✔✔1999
✔✔Practitioners may dispute NPDB report within how many days? - ✔✔60
✔✔Organization can conduct accreditation surveys of hospital? - ✔✔Deemed status
, ✔✔NPDB opened and began collecting reports in what year? - ✔✔1990
✔✔TJC was formed in what year? - ✔✔1951
✔✔Medicare COP was est. in what year? - ✔✔1965
✔✔HMO stands for? - ✔✔Health Maintenance Organization
✔✔Administrative Law definition? - ✔✔Regulations enacted by the state and federal
agencies to implement statues and regulatory requirements "friend of the court"
✔✔Negligent Tort has 4 elements, what are they? - ✔✔1. Duty to exercise due care
(standard of care) 2. Breach of duty 3. Injury 4. Proximate cause
✔✔MCO stands for? - ✔✔Managed Care Organization
✔✔This healthcare regulatory created NPDB? - ✔✔Healthcare quality improvement act
(HCQIA) est. 1986
✔✔This healthcare regulatory is a competition law (anti-competitive) - ✔✔Sherman Anti-
trust Act
✔✔Patient self-determination act definition? - ✔✔Patient allowed to participate in
treatment decisions
✔✔Which accredition requires that a recommendation be made to the medical
executive committee within 60 days of receipt of completed application? - ✔✔HFAP
✔✔Which accreditation requires the applicant to be notified of initial credentialing
decisions and recredentialing denials within 60 days from cred cmte decision? (Not
required to notify practitioners of re-credentialing approvals) - ✔✔NCQA
✔✔What must be reported to NPDB? - ✔✔•Medical malpractice payments
•Federal and state licensure and certification actions
•Adverse clinical privileges actions
•Adverse professional society membership actions
•Negative actions or findings by private accreditation organizations and peer review
organizations
•Health care-related criminal convictions and civil judgments
•Exclusions from participation in a Federal or state health care program (including
Medicare and Medicaid exclusions)
•Other adjudicated actions or decisions
ANSWERS GUARANTEE A+
✔✔Misfeasance difination? - ✔✔Doing a proper act in an unlawful or injurious manner
✔✔According to AAAHC how often does the governing board meet? - ✔✔The
governing body must meet at least annually
✔✔Felony convictions/criminal convictions information must be provided according to
these 3 accreditations? - ✔✔NCQA, HFAP & AAAHC
✔✔This accredition must perform an assessment of the capability and quality of the
CVO's work in order to use it? - ✔✔AAAHC
✔✔Reappointment not to exceed 3 years for these 3 accreditiation? - ✔✔AAAHC,
NCQA, URAC
✔✔This accreditation has a 3 phase process to credentialing? - ✔✔AAAHC (establish
training/experience, establish a process to review, carries out review)
✔✔Identity of the applicant must be verified for this accredition? - ✔✔TJC
✔✔AAAHC stands for? - ✔✔Accreditation Association for Ambulatory Healthcare
(Ambulatory Care Facilities)
✔✔AHRQ stands for? - ✔✔Agency for Healthcare Research and Quality (est. in 1989)
✔✔Common Law is derived from? - ✔✔The judicial decisions rather than statutes
✔✔Adverse action reports must be sent to state licensing boards within how many
days? - ✔✔15
✔✔Hospitals are required to respond to patient grievances within how many days? -
✔✔7
✔✔NPDB allowed practitioners to add statements to the report in what year? - ✔✔2004
✔✔HIPBD (Healthcare Integrity Protection Databank) began accepting reports in what
year? - ✔✔1999
✔✔Practitioners may dispute NPDB report within how many days? - ✔✔60
✔✔Organization can conduct accreditation surveys of hospital? - ✔✔Deemed status
, ✔✔NPDB opened and began collecting reports in what year? - ✔✔1990
✔✔TJC was formed in what year? - ✔✔1951
✔✔Medicare COP was est. in what year? - ✔✔1965
✔✔HMO stands for? - ✔✔Health Maintenance Organization
✔✔Administrative Law definition? - ✔✔Regulations enacted by the state and federal
agencies to implement statues and regulatory requirements "friend of the court"
✔✔Negligent Tort has 4 elements, what are they? - ✔✔1. Duty to exercise due care
(standard of care) 2. Breach of duty 3. Injury 4. Proximate cause
✔✔MCO stands for? - ✔✔Managed Care Organization
✔✔This healthcare regulatory created NPDB? - ✔✔Healthcare quality improvement act
(HCQIA) est. 1986
✔✔This healthcare regulatory is a competition law (anti-competitive) - ✔✔Sherman Anti-
trust Act
✔✔Patient self-determination act definition? - ✔✔Patient allowed to participate in
treatment decisions
✔✔Which accredition requires that a recommendation be made to the medical
executive committee within 60 days of receipt of completed application? - ✔✔HFAP
✔✔Which accreditation requires the applicant to be notified of initial credentialing
decisions and recredentialing denials within 60 days from cred cmte decision? (Not
required to notify practitioners of re-credentialing approvals) - ✔✔NCQA
✔✔What must be reported to NPDB? - ✔✔•Medical malpractice payments
•Federal and state licensure and certification actions
•Adverse clinical privileges actions
•Adverse professional society membership actions
•Negative actions or findings by private accreditation organizations and peer review
organizations
•Health care-related criminal convictions and civil judgments
•Exclusions from participation in a Federal or state health care program (including
Medicare and Medicaid exclusions)
•Other adjudicated actions or decisions
