CPMSM EXAMS COMPILATION BUNDLE
TEST BANK 2026 COMPLETE ANSWERS
ALREADY PASSED GRADED A+
⩥ The following bodies approves clinical privileges? Answer:
Governing Body or Board
⩥ Which NCQA-required committee makes recommendations regarding
credentialing decisions? Answer: Credentialing Committee
⩥ What primary source verification is required by NCQA prior to
temporary privileges/provisional credentialing? Answer: Licensure and 5
year history of malpractice history
⩥ EMTALA stands for? Answer: Emergency Treatment and Active
Labor Act (anti-dumping) which was enacted to stop hospitals from
transferring, discharging or refusing to treat indigent patients coming to
the ED because of cost factors
⩥ Divided into 4 standards/rules. privacy, security, identifiers, and
transactions/code sets. Answer: HIPAA
, ⩥ Prohibits a physician who has a financial relationship with an entity
from referring a medicare and Medicaid patients to that entity for the
provision of a designated health service. Answer: Stark Law
⩥ HCQIA stands for? Answer: Healthcare Quality Improvement Act of
1986
⩥ Name the federal law that was entailed for the purpose of encouraging
good faith professional review activities? Answer: HCQIA of 1986
⩥ PSQIA stands for? Answer: Patient Safety and Quality Improvement
Act of 2005
⩥ Patrick vs. Burget case is a violation of and let to develop what
Healthcare Regulatory? Answer: The Federal Anti-trust Laws
(Anticompetitive Peer Review - Led to development of HCQIA)
⩥ NCQA & URAC counts the recredentialing period to the month or
day? Answer: Month
⩥ Medicare COP's stands for? Answer: Medicare Conditions of
Participation
⩥ According to TJC the following is an element of a self-governing
medical staff? Answer: Medical Staff determines the mechanism for
TEST BANK 2026 COMPLETE ANSWERS
ALREADY PASSED GRADED A+
⩥ The following bodies approves clinical privileges? Answer:
Governing Body or Board
⩥ Which NCQA-required committee makes recommendations regarding
credentialing decisions? Answer: Credentialing Committee
⩥ What primary source verification is required by NCQA prior to
temporary privileges/provisional credentialing? Answer: Licensure and 5
year history of malpractice history
⩥ EMTALA stands for? Answer: Emergency Treatment and Active
Labor Act (anti-dumping) which was enacted to stop hospitals from
transferring, discharging or refusing to treat indigent patients coming to
the ED because of cost factors
⩥ Divided into 4 standards/rules. privacy, security, identifiers, and
transactions/code sets. Answer: HIPAA
, ⩥ Prohibits a physician who has a financial relationship with an entity
from referring a medicare and Medicaid patients to that entity for the
provision of a designated health service. Answer: Stark Law
⩥ HCQIA stands for? Answer: Healthcare Quality Improvement Act of
1986
⩥ Name the federal law that was entailed for the purpose of encouraging
good faith professional review activities? Answer: HCQIA of 1986
⩥ PSQIA stands for? Answer: Patient Safety and Quality Improvement
Act of 2005
⩥ Patrick vs. Burget case is a violation of and let to develop what
Healthcare Regulatory? Answer: The Federal Anti-trust Laws
(Anticompetitive Peer Review - Led to development of HCQIA)
⩥ NCQA & URAC counts the recredentialing period to the month or
day? Answer: Month
⩥ Medicare COP's stands for? Answer: Medicare Conditions of
Participation
⩥ According to TJC the following is an element of a self-governing
medical staff? Answer: Medical Staff determines the mechanism for
