CPCS exam (2025) comprehensive
questions and verified answers ( detailed
& elaborated) ACTUAL EXAM 2025 TEST!!
What two accreditors state: a hospital may not rely solely
on board certification when considering practitioner for
medical staff membership? - ✔✔ANSWER ✔✔-HFAP,
CMS
According to JC & HFAP name four approved sources PSV
for Medical Education - ✔✔ANSWER ✔✔-Medical
School, AMA, ECFMG, AOA
,According to NCQA practitioners must be notified of
credentialing decision within how many days? -
✔✔ANSWER ✔✔-60 Days
The DHHS mails a copy of 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? -
✔✔ANSWER ✔✔-60 Days
According to URAQ, within how many days must the
practitioner be notified of credentialing decisions? -
✔✔ANSWER ✔✔-10 Days
How many days does a practitioner have to dispute an
NPDB report accuracy - ✔✔ANSWER ✔✔-60 Days
Which accrediting body requires five year verification of
malpractice history - ✔✔ANSWER ✔✔-NCQA
What is commonly used source for verifying malpractice
history - ✔✔ANSWER ✔✔-NPDB
,According to the JC a fair hearing and appeals process as
described in the medical staff bylaws is available to
whom? - ✔✔ANSWER ✔✔-Medical staff members and
non-members holding clinical privileges
T/F Only the highest of training must be verified
according to NCQA - ✔✔ANSWER ✔✔-True
According to the Joint Commission a peer
recommendation should address what six competencies?
- ✔✔ANSWER ✔✔-Medical knowledge\nTechnical &
clinical skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are
available for credentialing a the original site? -
✔✔ANSWER ✔✔-Full credentialing, use of the distant
sites credentialing
, According to JC what is included in the process of
planning and implementing privileges? - ✔✔ANSWER
✔✔-Develop & approve procedure list\nProcess the
application\nEvaluate applicant specific
information\nSubmit recommendations to governing
body for applicant specific delineated privileges\nNotify
the applicant, relevant personnel\nMonitor the use of
privileges
Are payments made by a physician in a malpractice claim
reportable to the NPDB? - ✔✔ANSWER ✔✔-No
Who requires Peer References - ✔✔ANSWER ✔✔-JC,
HFAP, AAAHC
Who reappoints - ✔✔ANSWER ✔✔-JC, HFAP, NCQA,
URAC
Who requires an attestation? - ✔✔ANSWER ✔✔-NCQA,
URAC, AAAHC
questions and verified answers ( detailed
& elaborated) ACTUAL EXAM 2025 TEST!!
What two accreditors state: a hospital may not rely solely
on board certification when considering practitioner for
medical staff membership? - ✔✔ANSWER ✔✔-HFAP,
CMS
According to JC & HFAP name four approved sources PSV
for Medical Education - ✔✔ANSWER ✔✔-Medical
School, AMA, ECFMG, AOA
,According to NCQA practitioners must be notified of
credentialing decision within how many days? -
✔✔ANSWER ✔✔-60 Days
The DHHS mails a copy of 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? -
✔✔ANSWER ✔✔-60 Days
According to URAQ, within how many days must the
practitioner be notified of credentialing decisions? -
✔✔ANSWER ✔✔-10 Days
How many days does a practitioner have to dispute an
NPDB report accuracy - ✔✔ANSWER ✔✔-60 Days
Which accrediting body requires five year verification of
malpractice history - ✔✔ANSWER ✔✔-NCQA
What is commonly used source for verifying malpractice
history - ✔✔ANSWER ✔✔-NPDB
,According to the JC a fair hearing and appeals process as
described in the medical staff bylaws is available to
whom? - ✔✔ANSWER ✔✔-Medical staff members and
non-members holding clinical privileges
T/F Only the highest of training must be verified
according to NCQA - ✔✔ANSWER ✔✔-True
According to the Joint Commission a peer
recommendation should address what six competencies?
- ✔✔ANSWER ✔✔-Medical knowledge\nTechnical &
clinical skill\nclinical judgment\ninterpersonal
skills\ncommunication skills\nprofessionalism
Telemedicine - according to JC what two options are
available for credentialing a the original site? -
✔✔ANSWER ✔✔-Full credentialing, use of the distant
sites credentialing
, According to JC what is included in the process of
planning and implementing privileges? - ✔✔ANSWER
✔✔-Develop & approve procedure list\nProcess the
application\nEvaluate applicant specific
information\nSubmit recommendations to governing
body for applicant specific delineated privileges\nNotify
the applicant, relevant personnel\nMonitor the use of
privileges
Are payments made by a physician in a malpractice claim
reportable to the NPDB? - ✔✔ANSWER ✔✔-No
Who requires Peer References - ✔✔ANSWER ✔✔-JC,
HFAP, AAAHC
Who reappoints - ✔✔ANSWER ✔✔-JC, HFAP, NCQA,
URAC
Who requires an attestation? - ✔✔ANSWER ✔✔-NCQA,
URAC, AAAHC
