CPMSM EXAM TEST BANK LATEST UPDATE THIS YEAR ALL WITH 680 QUESTIONS AND WELL ELABORATED ANSWERS

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CPMSM EXAM TEST BANK LATEST UPDATE
THIS YEAR ALL WITH 680 QUESTIONS AND
WELL ELABORATED ANSWERS

CPMSM EXAM 1

Question: Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist,
in Speech and Language Therapist - CORRECT ANSWER✔✔During an NCQA accreditation audit
which practitioner type would be included in an audit file




Question: every 6 months - CORRECT ANSWER✔✔According to NCQA how frequently must an
organization show evidence of an evaluation of the history of complaints for all practitioners




Question: Medical Staff Structure, Qualifications for medical staff appointment, Duties and
Privileges for each medical staff category, Requirements for completing and documenting
histories and physicals, Description of medical staff member eligibility to vote, Medical Staff
officers position, function, size, and composition of MEC. - CORRECT ANSWER✔✔According to
the Joint Commission medical staff bylaws must delineate which of the following




Question: 120 day - CORRECT ANSWER✔✔In order to remain compliant with NCQA standards a
CVO must ensure that time-sensitive information is not older than how many days when it is
released to the client

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Question: active state license - CORRECT ANSWER✔✔According to NCQA and initial application
must include which of the following verifications.




Question: for health plans 180 days, for CVO 120 days. - CORRECT ANSWER✔✔what is the
verification time limit for a state license




Question: When a complaint is filed - CORRECT ANSWER✔✔according to NCQA when must
specific practitioner site visit be conducted




Question: Tracer mythology - CORRECT ANSWER✔✔In educating medical staff leadership to the
Joint Commission survey process which of the following should be used




Question: every three years - CORRECT ANSWER✔✔according to URAC how often must a
periodic review of delegated functions occur




Question: HCQIA - CORRECT ANSWER✔✔which of the following specifically delineates the
required components of a fair hearing process




Question: Medical School Graduation - CORRECT ANSWER✔✔According to the Joint
Commission the AMA is considered an equivalent primary source for which of the following

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Question: monthly unless the agency is not on a consistent schedule then it must be requested
every 6 months - CORRECT ANSWER✔✔according to NCQA how frequently must ongoing
monitoring of Medicare Medicaid sanctions be conducted




Question: Medical Staff - CORRECT ANSWER✔✔according to the Joint Commission who is
responsible for developing criteria for FPPE when issues affecting the provision of safety patient
care are identified.




Question: 5 years - CORRECT ANSWER✔✔NCQA requires an organization to obtain a claims
history for a minimum of how many years




Question: every 6 Months - CORRECT ANSWER✔✔According to NCQA how frequently must a
delegate submit a report to the organization




Question: For health plans 180 days, for CVO 120 days - CORRECT ANSWER✔✔verification time
limit for malpractice claims history




Question: licensure - CORRECT ANSWER✔✔According to NCQAwhich of the following
documents must be verified through the direct source

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Question: Annually - CORRECT ANSWER✔✔according to URAC how frequently must the
credentialing program Plan be reviewed.




Question: to document evidence of current clinical competency - CORRECT ANSWER✔✔what is
the primary purpose of collecting information regarding participation in appropriate CME
activities during the reappointment process




Question: gynecologist - CORRECT ANSWER✔✔what practitioner would perform a
colporrhaphy.




Question: utilization review Department - CORRECT ANSWER✔✔who should be involved in the
credentialing software selection process




Question: a committee of two members of the governing body - CORRECT
ANSWER✔✔according to the Joint Commission the organization may delegate appointment
decisions to which of the following




Question: true - CORRECT ANSWER✔✔true or false date of birth is considered as confidential
credentialing information




Question: comparable competency - CORRECT ANSWER✔✔according to the Joint Commission
a department chair is required to be certified by the appropriate specialty board or 11have