CPCS Review Questions with Verified Correct
Answers
Wherever surgical procedures are scheduled
According to CMS guidelines, a roster listing each practitioners specific surgical privileges
should be available in which locations?
HCQIA
Which of the following is an essential source when developing a policy regarding the
functions of a peer review committee?
Release of information
According to URAC, the Credentialing application must include which of the following?
Medical staff members and non-members holding clinical privileges
According to TJC, a fair hearing and appeals process as described in the medical staff by,was
is available to which of the followings?
DEA License for all states where care is provided
According to NCQA, which of the following verifications must be documented for
Credentialing.
Medical executive committee
According to TJC, which of the following is required to review and make recommendations
regarding Credentialing applications?
Actions on a license
, According to NCQA, in which situation should a practitioner be notified about a discrepancy
and be required to submit additional information?
Annually
According to NCQA, How often must an organization conduct an audit of the Credentialing
process delegated to another organization?
At least every 3 years, unless state law provides otherwise
Within what time frame must practitioners in an AAAHC accredited organization be re
Credentialed?
Gastroenterologist
Which of the following practitioners would require privileges to perform an Endoscopy?
ABMS
According to TJC, which of the following resources can be used to verify Board
Certification?
License
According to TJC, which of the following documents is required to be verified at the time if
expiration?
License & Highest level of education
According to URAC, which of the following credentials must be verified using PSV?
Federation of chiropractic licensing boards
Answers
Wherever surgical procedures are scheduled
According to CMS guidelines, a roster listing each practitioners specific surgical privileges
should be available in which locations?
HCQIA
Which of the following is an essential source when developing a policy regarding the
functions of a peer review committee?
Release of information
According to URAC, the Credentialing application must include which of the following?
Medical staff members and non-members holding clinical privileges
According to TJC, a fair hearing and appeals process as described in the medical staff by,was
is available to which of the followings?
DEA License for all states where care is provided
According to NCQA, which of the following verifications must be documented for
Credentialing.
Medical executive committee
According to TJC, which of the following is required to review and make recommendations
regarding Credentialing applications?
Actions on a license
, According to NCQA, in which situation should a practitioner be notified about a discrepancy
and be required to submit additional information?
Annually
According to NCQA, How often must an organization conduct an audit of the Credentialing
process delegated to another organization?
At least every 3 years, unless state law provides otherwise
Within what time frame must practitioners in an AAAHC accredited organization be re
Credentialed?
Gastroenterologist
Which of the following practitioners would require privileges to perform an Endoscopy?
ABMS
According to TJC, which of the following resources can be used to verify Board
Certification?
License
According to TJC, which of the following documents is required to be verified at the time if
expiration?
License & Highest level of education
According to URAC, which of the following credentials must be verified using PSV?
Federation of chiropractic licensing boards
