CPCS - Credentialing Questions with Verified
Correct Answers
What is the verification time limit for licensure per NCQA CVO standards?
120 days
According to the joint commission, initial appointments to the medical staff are not to
exceed what time period?
Three years
In the hospital environment, what body has the ultimate authority for granting
privileges?
Board or governing body
According to the HCQIA at what times must the hospital query the NPDB for a
physician, dentist or other healthcare practitioner?
Initial credentialing, request to add privileges, recredentialing
URAC standards require PSV of two elements when initially credentialing a
practitioner. One of these elements is board certification, or highest level of education.
What is the other element?
State licensure
Which specialty is most likely to be granted privileges for surgical management of
congenital septal, and valvular defects?
Cardiovascular or cardiothoracic surgeon
HFAP standards allow a hospital to accept the credentialing and privileging decision of
another organization(credentialing privileging by proxy) for Teleradiology services?
, True
The case of Darling versus Charleston Memorial community Hospital was significant in
that it set aside a long-standing doctrine that was applied to hospitals. What is this
doctrine?
Charitable immunity doctrine
NCQA utilizes what date when assessing compliance with timeliness requirements for
PSV
The credentials committee or medical Director sign off on clean files
Does the joint commission allow the use of temporary privileges if a practitioner does
not return their application and the reappointment will lapse?
No
What is the federal law that was enacted for the purpose of encouraging good faith,
professional review activities?
Healthcare quality improvement act of 1986 the HCQIA
Who requires a current signed attestation from applicant, regarding the reasons for any
inability to perform essential functions of the position, with or without accommodation,
and the lack of present legal drug use?
NCQA
Which body states surgical privileges shall correspond with the established
competencies of each practitioner?
DNV
Correct Answers
What is the verification time limit for licensure per NCQA CVO standards?
120 days
According to the joint commission, initial appointments to the medical staff are not to
exceed what time period?
Three years
In the hospital environment, what body has the ultimate authority for granting
privileges?
Board or governing body
According to the HCQIA at what times must the hospital query the NPDB for a
physician, dentist or other healthcare practitioner?
Initial credentialing, request to add privileges, recredentialing
URAC standards require PSV of two elements when initially credentialing a
practitioner. One of these elements is board certification, or highest level of education.
What is the other element?
State licensure
Which specialty is most likely to be granted privileges for surgical management of
congenital septal, and valvular defects?
Cardiovascular or cardiothoracic surgeon
HFAP standards allow a hospital to accept the credentialing and privileging decision of
another organization(credentialing privileging by proxy) for Teleradiology services?
, True
The case of Darling versus Charleston Memorial community Hospital was significant in
that it set aside a long-standing doctrine that was applied to hospitals. What is this
doctrine?
Charitable immunity doctrine
NCQA utilizes what date when assessing compliance with timeliness requirements for
PSV
The credentials committee or medical Director sign off on clean files
Does the joint commission allow the use of temporary privileges if a practitioner does
not return their application and the reappointment will lapse?
No
What is the federal law that was enacted for the purpose of encouraging good faith,
professional review activities?
Healthcare quality improvement act of 1986 the HCQIA
Who requires a current signed attestation from applicant, regarding the reasons for any
inability to perform essential functions of the position, with or without accommodation,
and the lack of present legal drug use?
NCQA
Which body states surgical privileges shall correspond with the established
competencies of each practitioner?
DNV
