MSM Study guides, Class notes & Summaries

CPMSM - Study Guide Material What are four models of HMOs? - Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - 5 At least five active medical staff How many medical staff m...

AAAHC Accreditation Association for Ambulatory Health Care correct answer: Formed in 1979. Ambulatory means the same as outpatient or overnight stay. It is the preeminent leader in developing standards to advance and promote patient safety, quality and value for ambulatory health care through peer-based accreditation processes, education and research. Accreditation is ultimately awarded to organizations that are found to be in compliance with their standards. With a single focus on the ambu...

CPCS/CPMSM Sample Questions Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to the Joint Commission, who may amend the medical staff bylaws? - Governing Body Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of ???? years of work history? - 5 years According to NCQA what policy must an organiza...

CPMSM Acronyms Exam Questions With 100% Correct Answers Latest 2024/2025 (Graded) Accreditation Association for Ambulatory Health Care - Correct answer-Formed in 1979. Ambulatory means the same as outpatient or overnight stay. It is the preeminent leader in developing standards to advance and promote patient safety, quality and value for ambulatory health care through peer-based accreditation processes, education and research. Accreditation is ultimately awarded to organizations that are fou...

___ is the activity of two or more people working together to achieve a common goal, result, or work product - Collaboration Which type of employee fraud has the highest median loss? - Financial statement fraud The difference between the total value added and the total costs incurred is called the ________ of the value chain - total margin Neil creates an application which facilitates the easy storage and access of employee information like name, age, experience, and qualifications for his...

CPCS CPMSM ExamApplicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identified above. Signature stamps are n...

CPMSM 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 and Medicare do not specifically address, URAC allows electronic signature, all others require. Board Certification Verification - ...

CPMSM Ultimate Study Set 03 2019NPDB - 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 reported? - correct answer - Professional revie...

CPMSM Study Guide 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 services typical of a doctor's office our outpati...

Medicare requires providers to perform what process every 3-5 years? correct answer: Revalidation According to DNV standards, initial appointments to the medical staff are not to exceed what time period? correct answer: 36 months / 3 years T/F: The Joint Commission standards require that the applicant's participation in continuing education is evaluated and considered on initial appointment to the medical staff. correct answer: False. Participating in continuing education must be c...