PAPP quiz 1 (summer 2025) | QUESTIONS AND ANSWERS | 2025/2026| LATEST
UPDATE
Terms in this set (125)
What role does the Centers for CMS sets and enforces regulatory standards that healthcare
Medicare and Medicaid facilities must follow for credentialing and privileging their staff.
Services (CMS) play in
credentialing?
What is the primary purpose of To verify an applicant's qualifications, ensuring they are competent
credentialing? and authorized to provide patient care, thus protecting patient
safety.
A request for clinical privileges, evidence of current licensure,
What are the key components
evidence of training and professional education, documented
required for credentialing by
experience, and supporting references of competence.
medical staff services?
What is the difference between Credentialing is the verification of qualifications, while privileging is
credentialing and privileging? the process of granting specific clinical privileges to a provider
based on their credentials.
What information is typically Tasks, activities, and privileges to be performed by a provider in
included in a request for accordance with state law.
clinical privileges?
What are the specific They include demonstrating appropriate training, experience, and
requirements for requesting competence specific to surgical procedures.
surgical privileges?
What documents are typically Documents include proof of licensure, training certificates,
required for a complete professional references, and evidence of experience.
, application for medical staff
credentialing?
What is the usual timeline for The timeline can vary, but it typically takes several weeks to
the credentialing process after months to complete the credentialing process.
hiring a Physician Assistant
(PA)?
When was the Centers for CMS was established on July 30, 1965.
Medicare and Medicaid Services
(CMS) established?
CMS delivers Medicare, Medicaid, the Children's Health Insurance
What programs does CMS deliver?
Program (CHIP), and the Health Insurance Marketplace.
What significant expansion The expansion included coverage for disabled individuals, those
occurred in CMS in 1972? with End-Stage Renal Disease (ESRD), and low-income families.
UPDATE
Terms in this set (125)
What role does the Centers for CMS sets and enforces regulatory standards that healthcare
Medicare and Medicaid facilities must follow for credentialing and privileging their staff.
Services (CMS) play in
credentialing?
What is the primary purpose of To verify an applicant's qualifications, ensuring they are competent
credentialing? and authorized to provide patient care, thus protecting patient
safety.
A request for clinical privileges, evidence of current licensure,
What are the key components
evidence of training and professional education, documented
required for credentialing by
experience, and supporting references of competence.
medical staff services?
What is the difference between Credentialing is the verification of qualifications, while privileging is
credentialing and privileging? the process of granting specific clinical privileges to a provider
based on their credentials.
What information is typically Tasks, activities, and privileges to be performed by a provider in
included in a request for accordance with state law.
clinical privileges?
What are the specific They include demonstrating appropriate training, experience, and
requirements for requesting competence specific to surgical procedures.
surgical privileges?
What documents are typically Documents include proof of licensure, training certificates,
required for a complete professional references, and evidence of experience.
, application for medical staff
credentialing?
What is the usual timeline for The timeline can vary, but it typically takes several weeks to
the credentialing process after months to complete the credentialing process.
hiring a Physician Assistant
(PA)?
When was the Centers for CMS was established on July 30, 1965.
Medicare and Medicaid Services
(CMS) established?
CMS delivers Medicare, Medicaid, the Children's Health Insurance
What programs does CMS deliver?
Program (CHIP), and the Health Insurance Marketplace.
What significant expansion The expansion included coverage for disabled individuals, those
occurred in CMS in 1972? with End-Stage Renal Disease (ESRD), and low-income families.
