CPCS exam | All Questions and Correct Answers | Verified
Answers | Just Released | Newest Version
What two accreditors state: HFAP, CMS
a hospital may not rely
solely on board certification
when considering
practitioner for medical
staff membership?
According to JC & Medical School, AMA, ECFMG, AOA
HFAP name four
approved sources
PSV for Medical
Education
According to NCQA 60 Days
practitioners must be
notified of credentialing
decision within how many
days?
The DHHS mails a copy of 60 Days
the NPDB report to the
named provider. If the
provider wishes to dispute
the reports accuracy, the
provider has how many
days to do so?
NCQA requires verifications 180
must be less than how
many days old?
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,8/13/25, 3:57 AM CPCS exam | All Questions and Correct Answers | Verified Answers | Just Released | Newest Version
What is the verification 180 days
time limit on malpractice
history according to the
NCQA?
Time limited credential must 120 days
be verified by the CVO
within how many days
prior to submission to the
client?
According to AAAHC, for Experience and hospital affiliation
initial appointments, in
addition to licensure and
education, what
verification is required?
What accreditation body NCQA
states "the NPDB is an
acceptable source for
sanctions or
limitations on licensure,
Medicaid/Medicare
sanctions and malpractice
history?
Who is required to query the Hospitals
NPDB
Is disciplinary action taken Yes
against the license of a
dentist reportable to the
NPDB?
Under HCQIA, a hospital 3 years
failure to report an
adverse privilege action
lasting longer than 30 days
may cause the organization
to lose HCQIA immunity for
how many years?
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,8/13/25, 3:57 AM CPCS exam | All Questions and Correct Answers | Verified Answers | Just Released | Newest Version
According to NCQA AMA, FSMB, HIPDB, OIG, Sanctions Report, NPDB, State Agency
verification of
Medicare/Medicaid
sanctions can be queried
by any of what sources?
According to NCQA, how Annually
often must an
organization conduct an
audit of the
credentialing process
delegated to another
organization?
How far back does the Joint Back to Medical School
Commission require
evaluation of malpractice
history?
According to JC, what source NPDB
may be used to verify
malpractice history?
Is an internet verification from No
a website
not contracted by the
primary source that attest to
the accuracy and timeliness
of the information
considered a complete
verification by NCQA?
What accreditation bodies Joint Commission - CMS
require
privileges to be distributed
to essential department
personnnel?
Who requires background HFAP (the only organization that requires)
checks?
Is a payment made by an Yes
insurance company
reportable to the NPDB?
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, 8/13/25, 3:57 AM CPCS exam | All Questions and Correct Answers | Verified Answers | Just Released | Newest Version
According to NCQA what Locum Tenens\nHospital based practitioners (i.e.,
providers are NOT required anesthesia, pathology, radiology, etc.)
to be credentialed when
working in an independent
relationship?
Is denial of a medical license Yes
application by a state
medical board reportable
to the
NPDB
Telemedicine - according Full credentialing\nUse of the distant sites credentialing
to JC what two options are
available for credentialing
at the originating site?
What two accreditors state: HFAP, CMS
a hospital may not rely
solely on board certification
when considering
practitioner for medical
staff membership
According to who? Medical JC, HFAP
School, AMA,
ECFMG, AOA are approves
sources of medical
education?
According to NCQA 60 Days
practitioners must be
notified of credentialing
decision within how many
days?
How long does a named 60 Days
provider have to dispute the
accuracy of an NPDB report?
According to URAC, within 10 Days
how many days must the
practitioner be notified of
credentialing decisions?
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