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CPMSM Ultimate Study Set QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Ultimate Study Set QUESTIONS 
AND ANSWERS RATED A+ 2023|2024 
UPDATE 
NPDB - Correct Answer-National Practitioner Databank 
NPDB Contains: (what type of info) - Correct Answer-- adverse licensure 
- clinical privilege actions 
- membership actions (professional/society) 
- paid malpractice judgements 
- exclusions from Medicare/Medicaid 
- actions by US DEA 
What must Hospitals and Other Health Care Entities report on for Physicians & Dentists 
(3 things), and how quickly must it be report...
- Examen
- • 116 pages •
CPMSM Ultimate Study Set QUESTIONS 
AND ANSWERS RATED A+ 2023|2024 
UPDATE 
NPDB - Correct Answer-National Practitioner Databank 
NPDB Contains: (what type of info) - Correct Answer-- adverse licensure 
- clinical privilege actions 
- membership actions (professional/society) 
- paid malpractice judgements 
- exclusions from Medicare/Medicaid 
- actions by US DEA 
What must Hospitals and Other Health Care Entities report on for Physicians & Dentists 
(3 things), and how quickly must it be report...
CPMSM Test – Law Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Test – Law Exam QUESTIONS 
AND ANSWERS RATED A+ 2023|2024 
UPDATE 
Miller v Eisenhower - Correct Answer-Disruptive behavior must be related to patient 
care. 
Robinson v McGovern - Correct Answer-Denied privileges. Hospital may determine 
proper limitations. Denial of application is not a restriction of trade. 
Patrick v Burget - Correct Answer-Peer review for anti competitive reasons violated anti- 
trust laws. 
Elam v College Park - Correct Answer-Podiatrist. Hospital failed to obtain ...
- Examen
- • 3 pages •
CPMSM Test – Law Exam QUESTIONS 
AND ANSWERS RATED A+ 2023|2024 
UPDATE 
Miller v Eisenhower - Correct Answer-Disruptive behavior must be related to patient 
care. 
Robinson v McGovern - Correct Answer-Denied privileges. Hospital may determine 
proper limitations. Denial of application is not a restriction of trade. 
Patrick v Burget - Correct Answer-Peer review for anti competitive reasons violated anti- 
trust laws. 
Elam v College Park - Correct Answer-Podiatrist. Hospital failed to obtain ...
CPMSM Study QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Study QUESTIONS AND ANSWERS RATED A+ 
2023|2024 UPDATE 
Why is it important to check that the practitioner is not currently excluded, suspended, 
debarred, or ineligible to participate in Federal health care programs? - Correct Answer- 
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? - Correct 
Answer-Licensure 
According to NCQA standards, an organization tha...
- Examen
- • 11 pages •
CPMSM Study QUESTIONS AND ANSWERS RATED A+ 
2023|2024 UPDATE 
Why is it important to check that the practitioner is not currently excluded, suspended, 
debarred, or ineligible to participate in Federal health care programs? - Correct Answer- 
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? - Correct 
Answer-Licensure 
According to NCQA standards, an organization tha...
CPMSM Study Guide QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Study Guide QUESTIONS AND ANSWERS 
RATED A+ 2023|2024 UPDATE 
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 service...
- Examen
- • 97 pages •
CPMSM Study Guide QUESTIONS AND ANSWERS 
RATED A+ 2023|2024 UPDATE 
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 service...
CPMSM Practice Tests QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Practice Tests QUESTIONS AND 
ANSWERS RATED A+ 2023|2024 
UPDATE 
What does HEDIS stand for? - Correct Answer-Healthcare Effectiveness Data and 
Information Set 
What is HEDIS? - Correct Answer-is a widely used set of performance measures in the 
managed care industry. HEDIS is a multipurpose tool originally designed to address 
private employers' needs and has been adopted by public purchasers, regulators and 
consumers. HEDIS is an element of NCQA accreditation and the basis of consumer...
- Examen
- • 9 pages •
CPMSM Practice Tests QUESTIONS AND 
ANSWERS RATED A+ 2023|2024 
UPDATE 
What does HEDIS stand for? - Correct Answer-Healthcare Effectiveness Data and 
Information Set 
What is HEDIS? - Correct Answer-is a widely used set of performance measures in the 
managed care industry. HEDIS is a multipurpose tool originally designed to address 
private employers' needs and has been adopted by public purchasers, regulators and 
consumers. HEDIS is an element of NCQA accreditation and the basis of consumer...
CPMSM Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Exam QUESTIONS AND ANSWERS RATED A+ 
2023|2024 UPDATE 
HFAP - Correct Answer-Refers to a CVO as a Professional Credentialing Organization 
(PCO) 
HFAP Appointment time frame - Correct Answer-2 years 
TJC Appointment time frame - Correct Answer-No longer than every 2 years 
NCQA Appointment time frame - Correct Answer-3 years (to the month) 
URAC Appointment time frame - Correct Answer-3 years 
AAAHC Appointment time frame - Correct Answer-3 years 
Attestation Statement - Correct Answer-TJC...
- Examen
- • 35 pages •
CPMSM Exam QUESTIONS AND ANSWERS RATED A+ 
2023|2024 UPDATE 
HFAP - Correct Answer-Refers to a CVO as a Professional Credentialing Organization 
(PCO) 
HFAP Appointment time frame - Correct Answer-2 years 
TJC Appointment time frame - Correct Answer-No longer than every 2 years 
NCQA Appointment time frame - Correct Answer-3 years (to the month) 
URAC Appointment time frame - Correct Answer-3 years 
AAAHC Appointment time frame - Correct Answer-3 years 
Attestation Statement - Correct Answer-TJC...
CPMSM Test Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM Test Exam QUESTIONS AND ANSWERS 
RATED A+ 2023|2024 UPDATE 
Patient Self Determination Act 1990 - Correct Answer-Advanced Directives - Living will, etc. 
Save Medical Devices Act 1990 (SMDA) - Correct Answer-Deaths must be reported to the manufacturer 
& FDA 
Federal Anti-Kickback & Regulatory Safe Harbor - Correct Answer-reduce connecting compensations to 
referrals or the agreement to refer. 
Americans with Disability Act (ADA) - Correct Answer-Protects against the disabled in employment...
- Examen
- • 2 pages •
CPMSM Test Exam QUESTIONS AND ANSWERS 
RATED A+ 2023|2024 UPDATE 
Patient Self Determination Act 1990 - Correct Answer-Advanced Directives - Living will, etc. 
Save Medical Devices Act 1990 (SMDA) - Correct Answer-Deaths must be reported to the manufacturer 
& FDA 
Federal Anti-Kickback & Regulatory Safe Harbor - Correct Answer-reduce connecting compensations to 
referrals or the agreement to refer. 
Americans with Disability Act (ADA) - Correct Answer-Protects against the disabled in employment...
CPMSM - Study Guide Material QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE
CPMSM - Study Guide Material QUESTIONS AND ANSWERS 
RATED A+ 2023|2024 UPDATE 
What are four models of HMOs? - Correct Answer-Staff Model 
Group Model 
Network Model 
Independent Practice Association (IPA) 
What are the four types of committees? - Correct Answer-Standing 
Ad hoc 
Task force 
Continuous quality improvement team 
How many medical staff members comprise a Bylaws Committee? - Correct Answer-5 
At least five active medical staff 
How many medical staff members comprise a Credentials ...
- Examen
- • 41 pages •
CPMSM - Study Guide Material QUESTIONS AND ANSWERS 
RATED A+ 2023|2024 UPDATE 
What are four models of HMOs? - Correct Answer-Staff Model 
Group Model 
Network Model 
Independent Practice Association (IPA) 
What are the four types of committees? - Correct Answer-Standing 
Ad hoc 
Task force 
Continuous quality improvement team 
How many medical staff members comprise a Bylaws Committee? - Correct Answer-5 
At least five active medical staff 
How many medical staff members comprise a Credentials ...
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the answers are incorrect