CPCS Study Guide Practice Test Exam
2026 Questions and Answers
Why it is important to check that the practitioner is not currently excluded,
suspended, debarred, or ineligible to participate in Federal health care programs? -
Correct Answer-The facility won't get paid for treating patients unless service is
provided by authorized provider.
Which of the following credentials must be tracked on an ongoing basis? - Correct
Answer-Licensure
According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must take what
action? - Correct Answer-Determine if there is evidence of poor quality that could
affect the health and safety of its members.
What is the name of the entity that was established through the Health Care
Quality Improvement Act of 1986 to restrict the ability of incompetent physicians,
dentists, and other health care practitioners to move from state to state without
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, disclosure or discovery of previous medical malpractice payment and adverse
action history? - Correct Answer-The National Practitioner Data Bank
When developing clinical privileging criteria, which of the following is important
to evaluate? - Correct Answer-Established standards of practice, such as specialty
board recommendations.
What is the main reason for periodically assessing appropriateness of clinical
privileges for each specialty? - Correct Answer-It is required by the Medicare
Conditions of Participation.
Which of the following specialists is most likely to perform a PTCA? - Correct
Answer-Interventional Cardiologist
The Joint Commission hospital standards require that clinical privileges are
hospital specific and - Correct Answer-Based on the individual's demonstrated
current competence and the procedures the hospital can support.
Which of the following would be routinely performed by a cardiologist? - Correct
Answer-Transesophageal Echocardiography
Which NCQA-required committee makes recommendations regarding
credentialing decisions? - Correct Answer-Credentialing Committee
©COPYRIGHT2025, ALL RIGHTS RESERVED 2
2026 Questions and Answers
Why it is important to check that the practitioner is not currently excluded,
suspended, debarred, or ineligible to participate in Federal health care programs? -
Correct Answer-The facility won't get paid for treating patients unless service is
provided by authorized provider.
Which of the following credentials must be tracked on an ongoing basis? - Correct
Answer-Licensure
According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must take what
action? - Correct Answer-Determine if there is evidence of poor quality that could
affect the health and safety of its members.
What is the name of the entity that was established through the Health Care
Quality Improvement Act of 1986 to restrict the ability of incompetent physicians,
dentists, and other health care practitioners to move from state to state without
©COPYRIGHT2025, ALL RIGHTS RESERVED 1
, disclosure or discovery of previous medical malpractice payment and adverse
action history? - Correct Answer-The National Practitioner Data Bank
When developing clinical privileging criteria, which of the following is important
to evaluate? - Correct Answer-Established standards of practice, such as specialty
board recommendations.
What is the main reason for periodically assessing appropriateness of clinical
privileges for each specialty? - Correct Answer-It is required by the Medicare
Conditions of Participation.
Which of the following specialists is most likely to perform a PTCA? - Correct
Answer-Interventional Cardiologist
The Joint Commission hospital standards require that clinical privileges are
hospital specific and - Correct Answer-Based on the individual's demonstrated
current competence and the procedures the hospital can support.
Which of the following would be routinely performed by a cardiologist? - Correct
Answer-Transesophageal Echocardiography
Which NCQA-required committee makes recommendations regarding
credentialing decisions? - Correct Answer-Credentialing Committee
©COPYRIGHT2025, ALL RIGHTS RESERVED 2
