Cpmsm study Study guides, Study notes & Summaries

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - The facility will not get paid for treating patients unless service is provided by an authorized provider Which of the following credentials must be tracked on an ongoing basis? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must ...

CPMSM Cards, CPMSM Study (MCO), CPMSMBoyd vS Albert Einstein - correct answer Doctrine of Ostensible Agency - HMO found liable in patient's death. Chest perforation during breast biopsy, chest pain/MI six weeks later. Elam vS CollegePark - correct answer Doctrine of Corporate Negligence - Med Records had information on many lawsuits agains podiatrist Patrick vs Burget - correct answer Anticompetitive Peer Review - Led to development of HCQIA Gonzales vs Nork & Mercy Hospital - correct ...

CPMSM Study Guide Non-profit under religious/community control. - correct answer Voluntary/Charitable Hospital Non-profit under city, state, county. - correct answer Govt (non-federal) hospital Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. - correct answer Govt (federal) hospital Owned by corporation, partnership. - correct answer Proprietary for-profit hospital Provides services typical of a doctor's office our outpati...

CPMSM Study Questions Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - The facility will not get paid for treating patients unless service is provided by an authorized provider Which of the following credentials must be tracked on an ongoing basis? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events r...

CPMSM Study Guide Questions and Answers 2024.

CPMSM Study Guide Questions and Answers Fully solved 2024 Non-profit under religious/community control. Voluntary/Charitable Hospital Non-profit under city, state, county. Govt (non-federal) hospital Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:07 / 0:15 Full screen Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. Govt (federal) hospital Owned by corpor...

Non-profit under religious/community control. correct answer: Voluntary/Charitable Hospital Non-profit under city, state, county. correct answer: Govt (non-federal) hospital Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. correct answer: Govt (federal) hospital Owned by corporation, partnership. correct answer: Proprietary for-profit hospital Provides services typical of a doctor's office our outpatient clinic. correct...

CPMSM Study Guide Material 2023

CPMSM Study Group - 1st halfDoes not specifically addressed in the standards health status and Nondiscretionary a.TJC b.HFAP c.DNV GL D.NCQA - correct answer DNV GLS How many peer references does HFAP require at initial appointment? - correct answer 1 According to NCQA what requires ongoing monitoring between recredentialing cycles? - correct answer Medicare/Medicaid sanctions NCQA requires an attestation of good health and competence to perform essential functions. How is this ach...