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CPCS Exam Questions with Correct
Answers latest
Appointment Timeframe - TJC Ans: Not to exceed two
years
Appointment Timeframe - NCQA Ans: Recredential at
least every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP Ans: At least every 24
months
Appointment Timeframe - DNV Ans: Not to exceed 3
years
Appointment Timeframe - URAC Ans: At least every 3
years
Cycle to the month
Appointment Timeframe - AAAHC Ans: Not to exceed 3
years
Appointment Timeframe - CMS Ans: Practitioner - at least
every 24 months
Surgery - every two years
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Attestation Statement Timeframe - NCQA Ans: 365 days
from final approval
305 - CVO
Attestation Statement Timeframe - URAC Ans: 180 days
prior to credentials committee review
Doesn't require attestation statement Ans: TJC, DNV,
CoPs
Board Certification Time Limit - NCQA Ans: 180 days
120 days CVO
Board Certification Time Limit - URAC Ans: 6 months
Board Certification Verification Required at
Recredentialing by Ans: NCQA - verification
HFAP - review
AAAHC
What is typically monitored for expiration? Ans: Board
certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and
Expiration by Ans: URAC
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PSV for Board Certification Ans: ABMS, AMA, AOA
State licensing agency if confirmation that agency
conducts PSV of board status
Confirmation from board
NCQA Approved Source: requirement for verifying source
completes PSV Ans: Organization verifies source
performs PSV
At least annually organization obtains written
confirmation that source performs PSV
QAPI Ans: Medicare CoPs require periodical appraisals of
members through Quality Assessment Performance
Improvement (QAPI) process
must include complaints regarding medical staff-related
issues
Complaints evaluation - NCQA Ans: Evaluate history of
complaints for all practitioners at least every 6 months
CME not addressed by Ans: NCQA, URAC, AAAHC, CoPs
Evaluation of CVO - TJC Ans: 9 principles
Data & Info available
processes utilized
limitations of info
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identification of primary source vs. secondary source
quality control measures related to data integrity,
security, transmission, etc.
Criminal Background Check - HFAP Ans: Application
requests criminal history information for 7 - 10 years
Facility conducts background investigation as required
Criminal Background Check required by Ans: TJC, HFAP
FSMB Ans: Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board
actions, or if physician is clean.
Disciplinary alert service: notification for report of MD,
DO, or PA
NPDB information available: Ans: Medical malpractice
payments
Adverse licensure action
Dismissal or closure of proceedings
Adverse clinical privileging actions
© 2025 All rights reserved
CPCS Exam Questions with Correct
Answers latest
Appointment Timeframe - TJC Ans: Not to exceed two
years
Appointment Timeframe - NCQA Ans: Recredential at
least every 3 years.
Cycle to the month.
Appointment Timeframe - HFAP Ans: At least every 24
months
Appointment Timeframe - DNV Ans: Not to exceed 3
years
Appointment Timeframe - URAC Ans: At least every 3
years
Cycle to the month
Appointment Timeframe - AAAHC Ans: Not to exceed 3
years
Appointment Timeframe - CMS Ans: Practitioner - at least
every 24 months
Surgery - every two years
© 2025 All rights reserved
, 2 | Page
Attestation Statement Timeframe - NCQA Ans: 365 days
from final approval
305 - CVO
Attestation Statement Timeframe - URAC Ans: 180 days
prior to credentials committee review
Doesn't require attestation statement Ans: TJC, DNV,
CoPs
Board Certification Time Limit - NCQA Ans: 180 days
120 days CVO
Board Certification Time Limit - URAC Ans: 6 months
Board Certification Verification Required at
Recredentialing by Ans: NCQA - verification
HFAP - review
AAAHC
What is typically monitored for expiration? Ans: Board
certification
License (loss of license, sanctions) - NCQA
DEA - AAAHC
Board Certification Verification Required at Initial and
Expiration by Ans: URAC
© 2025 All rights reserved
, 3 | Page
PSV for Board Certification Ans: ABMS, AMA, AOA
State licensing agency if confirmation that agency
conducts PSV of board status
Confirmation from board
NCQA Approved Source: requirement for verifying source
completes PSV Ans: Organization verifies source
performs PSV
At least annually organization obtains written
confirmation that source performs PSV
QAPI Ans: Medicare CoPs require periodical appraisals of
members through Quality Assessment Performance
Improvement (QAPI) process
must include complaints regarding medical staff-related
issues
Complaints evaluation - NCQA Ans: Evaluate history of
complaints for all practitioners at least every 6 months
CME not addressed by Ans: NCQA, URAC, AAAHC, CoPs
Evaluation of CVO - TJC Ans: 9 principles
Data & Info available
processes utilized
limitations of info
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, 4 | Page
identification of primary source vs. secondary source
quality control measures related to data integrity,
security, transmission, etc.
Criminal Background Check - HFAP Ans: Application
requests criminal history information for 7 - 10 years
Facility conducts background investigation as required
Criminal Background Check required by Ans: TJC, HFAP
FSMB Ans: Federation of State Medical Boards
all actions against a physician's medical licesnse
used by TJC, HFAP
Disciplinary actions: state licensing agency, board
actions, or if physician is clean.
Disciplinary alert service: notification for report of MD,
DO, or PA
NPDB information available: Ans: Medical malpractice
payments
Adverse licensure action
Dismissal or closure of proceedings
Adverse clinical privileging actions
© 2025 All rights reserved
