CPCS Practice Exam Questions with Correct Answers
100% Verified Graded A+
1. According toThe Joint Commission, who is notified of state licensing board sanctions?
a. Credentials Committee
b. Governing Board
c. Medical Executive Committee
Answer: Medical Executive Committee
2. According to URAC, the license verification must include which of the following
elements?
a. Issue date, expiration date, verification date
b. Expiration date, verification date, sanctions
c. Issue date, license status, expiration date
Answer: Expiration date, verification date, sanctions
3. According to NCQA, the recredentialing application must include which of the
following?
a. Lack of illegal drug use
b. Consent to release of information c. Physical or mental health issues
1/
19
,Answer: a. Lack of illegal drug use
4. According to The Joint Commission, which of the following is a designated equivalent
source for verification of licensure sanctions?
a. FSMB
b. FCVS
c. FEHB
Answer: a. FSMB
5. According to NCQA, the applicant's work history must be reviewed by the
credentialing staff within how many calendar days?
a. 120
b.180
c. 365
Answer: c. 365
6. According to URAC, eligibility criteria for the organization will be found in which of the
following documents?
a. Medical Staff Bylaws
b. Credentialing Program Plan
c. Rules and Regulations
2/
19
, Answer: b. Credentialing Program Plan
7. According to CMS, the application used by a Medicare Advantage health plan must
include which of the following?
a. At least 5-year relevant work history applicable to the position applying
b. At least 5-year history of open professional liability claims
c. At least 5-year history of any criminal misdemeanor or felony charges
Answer: a. At least 5-year relevant work history applicable to the position applying
8. According to The Joint Commission, communication of credentialing and privileging
decisions are defined in which of the following documents?
a. Medical Staff Policies
b. Rules and Regulations
c. Medical Staff Bylaws
Answer: c. Medical Staff Bylaws
9. When credentialing a practitioner for a Medicare Advantage health plan under the
CMS standards, which of the following must be verified for a prac- titioner who is not
board certified?
a. Medical degree
b. Internship
3/
19
100% Verified Graded A+
1. According toThe Joint Commission, who is notified of state licensing board sanctions?
a. Credentials Committee
b. Governing Board
c. Medical Executive Committee
Answer: Medical Executive Committee
2. According to URAC, the license verification must include which of the following
elements?
a. Issue date, expiration date, verification date
b. Expiration date, verification date, sanctions
c. Issue date, license status, expiration date
Answer: Expiration date, verification date, sanctions
3. According to NCQA, the recredentialing application must include which of the
following?
a. Lack of illegal drug use
b. Consent to release of information c. Physical or mental health issues
1/
19
,Answer: a. Lack of illegal drug use
4. According to The Joint Commission, which of the following is a designated equivalent
source for verification of licensure sanctions?
a. FSMB
b. FCVS
c. FEHB
Answer: a. FSMB
5. According to NCQA, the applicant's work history must be reviewed by the
credentialing staff within how many calendar days?
a. 120
b.180
c. 365
Answer: c. 365
6. According to URAC, eligibility criteria for the organization will be found in which of the
following documents?
a. Medical Staff Bylaws
b. Credentialing Program Plan
c. Rules and Regulations
2/
19
, Answer: b. Credentialing Program Plan
7. According to CMS, the application used by a Medicare Advantage health plan must
include which of the following?
a. At least 5-year relevant work history applicable to the position applying
b. At least 5-year history of open professional liability claims
c. At least 5-year history of any criminal misdemeanor or felony charges
Answer: a. At least 5-year relevant work history applicable to the position applying
8. According to The Joint Commission, communication of credentialing and privileging
decisions are defined in which of the following documents?
a. Medical Staff Policies
b. Rules and Regulations
c. Medical Staff Bylaws
Answer: c. Medical Staff Bylaws
9. When credentialing a practitioner for a Medicare Advantage health plan under the
CMS standards, which of the following must be verified for a prac- titioner who is not
board certified?
a. Medical degree
b. Internship
3/
19
