CPCS 2026 CORE MAIN EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔If a medical staff member has privileges and/or medical staff appointment revoked,
he/she must be: - ✔✔a. Granted temporary privileges
b. Provided due process.
c. Reported immediately to the National Practitioner Data Bank
✔✔Access to credentials files should be: - ✔✔a. Described fully in an access policy.
b. Available to the organization's patients and potential patients
c. Available to any physician on the staff
✔✔Which of the following bodies approves clinical privileges? - ✔✔a. Credentials
Committee
b. Medical Executive Committee
c. Governing Body or Board.
✔✔What primary source verification is required by NCQA prior to provisional
credentialing? - ✔✔a. Licensure and 5-year malpractice history or NPDB.
b. Education and Training
c. Ability to perform privileges requested
✔✔According to The Joint Commission standards, initial appointment to the medical
staff are made for a period of: - ✔✔a. One year
b. Three years
c. A reasonable time as determined by the medical staff bylaws not to exceed two
years.
✔✔According to The Joint Commission standards, temporary privileges may be granted
by: - ✔✔a. The department chair
b. The CEO on the recommendation of the medical staff president or authorized
designee.
c. The department chair and the president of the medical staff
✔✔According to The Joint Commission standards, which of the following items must be
verified with a primary source? - ✔✔a. Medicare/Medicaid Sanctions
b. Licensure, training, experience, and competence.
c. Proof of professional liability insurance
✔✔According to NCQA standards, a copy of which of the following is acceptable
verification of the document? - ✔✔a. DEA certificate.
b. Licensure
c. Board certification
, ✔✔According to NCQA standards, which is an acceptable source for primary source
verification of Medicare and Medicaid sanction activity against physicians? - ✔✔a.
Federation of State Medical Boards (FSMB).
b. American Board of Medical Specialties (ABMS)
c. Education Committee on Foreign Medical Graduates Profile (ECFMG)
✔✔According to The Joint Commission standards, which of the following is considered
a designated equivalent source for verification of board certification? - ✔✔a. American
Board of Medical Specialties (ABMS).
b. Education Committee on Foreign Medical Graduates Profile (ECFMG)
c. Federation of State Medical Boards (FSMB)
✔✔Which of the following organizations have been recognized by The Joint
Commission and NCQA to provider primary source verification of medical school
graduation and residency training for U.S. graduates? - ✔✔a. National Practitioner Data
Bank
b. American Medical Association Masterfile.
c. Federation of State Medical Boards
✔✔According to NCQA standards, the application attestation statement must affirm that
the application: - ✔✔a. Was actually completed by the provider
b. Was signed in the presence of a notary public
c. Is correct and complete.
✔✔According to The Joint Commission standards, medical staff bylaws should define: -
✔✔a. Mechanism for appointment/reappointment of physician employed non-
independent practitioners
b. The structure of the medical staff.
c. The mechanism for emergency department call schedule
✔✔According to The Joint Commission hospital standards, professional criteria for the
granting of clinical privileges must include at least: - ✔✔a. Relevant training and
experience, ability to perform privileges requested, current licensure, and competence.
b. Verification of all current and prior malpractice suits filed and settlements made
c. Letters of reference from the Chief Executive Office of all current and prior hospital
affiliations
✔✔The Joint Commission hospital standards require medical staff bylaws to include: -
✔✔a. A requirement that all quality of care information be reviewed by the medical staff
president
b. A mechanism for removal of the hospital's chief executive office
c. A mechanism for selection and removal of officers.
ANSWERS SURE A+
✔✔If a medical staff member has privileges and/or medical staff appointment revoked,
he/she must be: - ✔✔a. Granted temporary privileges
b. Provided due process.
c. Reported immediately to the National Practitioner Data Bank
✔✔Access to credentials files should be: - ✔✔a. Described fully in an access policy.
b. Available to the organization's patients and potential patients
c. Available to any physician on the staff
✔✔Which of the following bodies approves clinical privileges? - ✔✔a. Credentials
Committee
b. Medical Executive Committee
c. Governing Body or Board.
✔✔What primary source verification is required by NCQA prior to provisional
credentialing? - ✔✔a. Licensure and 5-year malpractice history or NPDB.
b. Education and Training
c. Ability to perform privileges requested
✔✔According to The Joint Commission standards, initial appointment to the medical
staff are made for a period of: - ✔✔a. One year
b. Three years
c. A reasonable time as determined by the medical staff bylaws not to exceed two
years.
✔✔According to The Joint Commission standards, temporary privileges may be granted
by: - ✔✔a. The department chair
b. The CEO on the recommendation of the medical staff president or authorized
designee.
c. The department chair and the president of the medical staff
✔✔According to The Joint Commission standards, which of the following items must be
verified with a primary source? - ✔✔a. Medicare/Medicaid Sanctions
b. Licensure, training, experience, and competence.
c. Proof of professional liability insurance
✔✔According to NCQA standards, a copy of which of the following is acceptable
verification of the document? - ✔✔a. DEA certificate.
b. Licensure
c. Board certification
, ✔✔According to NCQA standards, which is an acceptable source for primary source
verification of Medicare and Medicaid sanction activity against physicians? - ✔✔a.
Federation of State Medical Boards (FSMB).
b. American Board of Medical Specialties (ABMS)
c. Education Committee on Foreign Medical Graduates Profile (ECFMG)
✔✔According to The Joint Commission standards, which of the following is considered
a designated equivalent source for verification of board certification? - ✔✔a. American
Board of Medical Specialties (ABMS).
b. Education Committee on Foreign Medical Graduates Profile (ECFMG)
c. Federation of State Medical Boards (FSMB)
✔✔Which of the following organizations have been recognized by The Joint
Commission and NCQA to provider primary source verification of medical school
graduation and residency training for U.S. graduates? - ✔✔a. National Practitioner Data
Bank
b. American Medical Association Masterfile.
c. Federation of State Medical Boards
✔✔According to NCQA standards, the application attestation statement must affirm that
the application: - ✔✔a. Was actually completed by the provider
b. Was signed in the presence of a notary public
c. Is correct and complete.
✔✔According to The Joint Commission standards, medical staff bylaws should define: -
✔✔a. Mechanism for appointment/reappointment of physician employed non-
independent practitioners
b. The structure of the medical staff.
c. The mechanism for emergency department call schedule
✔✔According to The Joint Commission hospital standards, professional criteria for the
granting of clinical privileges must include at least: - ✔✔a. Relevant training and
experience, ability to perform privileges requested, current licensure, and competence.
b. Verification of all current and prior malpractice suits filed and settlements made
c. Letters of reference from the Chief Executive Office of all current and prior hospital
affiliations
✔✔The Joint Commission hospital standards require medical staff bylaws to include: -
✔✔a. A requirement that all quality of care information be reviewed by the medical staff
president
b. A mechanism for removal of the hospital's chief executive office
c. A mechanism for selection and removal of officers.
