Npdb 2 Study guides, Class notes & Summaries

CPCS 2018 Practice Exam 2 Questions & Answers URAC standards require primary source verification of which two elements when initially credentialing a provider? - ANSWERSa. State licensure & Board certification or highest level of education. b. Medical malpractice claims & Professional liability coverage c. Health status & Ability to perform privileges requested True/False: AOA-HFAP standards allow a hospital to accept the credentialing and privileging decision of another organization...

CPCS Certified Provider Credentialing Specialist (2023/2024) Graded A What elements should a peer recommendation include according to TJC? Patient Care, medical clinical knowledge, practice based learning, interpersonal and communication skills, system-based practice Peer recommendations according to NCQA There is no specific requirement for peer recommendations. The organization must designate a Credentialing Committee that uses a peer-review process to make recommendations regarding credentia...

RHIT Chp 9 Question and answers already passed 2023/2024 National Practitioner Data Bank must be query - correct answer law requires healthcare facilities to query NPDB in credentialing process when physician initially applies for medical staff privileges & every 2 yrs thereafter. purpose for collectin Secondary Data Sources - correct answer 1. Quality, performance, and patient safety, 2. Research, like disease-oriented databases can help determine effectiveness of alternate treatment method...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)What does HCQIA stand for? - correct answer Health Care Quality Improvement Act When was HCQIA enacted by congress? - correct answer 1986 What is the purpose of HCQIA? - correct answer HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. What system was developed as a result of HCQIA? - correct answer The National ...

1. Question: If an NP receives a letter from the board of nursing with concerns about a license issue. What should the NP do immediately? 2. Question: What is reported to the National Practitioner Data Bank (NPDB)? 3. Question: Patient hand of means to the transfer of care of a patient from one practitioner to another 4. Question: Choosing a level of evaluation and management services for coding/billing purposes Comprehensive is considered more extensive. 5. Question: What office of the fede...

What is the 7 step process TJC uses to process applications? - ANSWER 1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Verification Program, accessabl...

Methods of HC Provider Regulation by Fed correct answers 1. Education 2. Licensure Types of HC Provider Regulation correct answers 1. Private 2. State 3. Federal Physician Licensure correct answers - by state, not federal - AMA made recommendations for the states to follow - need to do continuing education Physician Discipline correct answers - State medical boards - Stored on NPDB (National Practitioner Data Bank) - consumers cannot see but hospitals can NBME correct answers ...

What is the 7 step process TJC uses to process applications? - 1. Receive Application 2. Verify completeness & all requested material are included 3. Process Application: conduct PSV and verify current competencies for privileges requested 4. Dept. Chair review and recommendation 5. Executive Committee review and makes recommendation to the Board 6. Board approves 7. Notify Applicant of final decision According to NCQA, is the ABMS Certified Doctor Verification Program, accessable throu...

OPSEC - Answer-This is a process of identifying, analyzing, and controlling critical information indicating friendly actions associated with military operations and other activities Failure to implement these measures will be considered by commanders/directors for appropriate disciplinary action TEMPEST (Code Name) - Answer-This denies interception and exploitation of classified, and in some instances, unclassified, information transmitted via electromagnetic waves within a facility where ...

NCQA - ANSWER National Committee for Quality Assurance Which of the 7 accreditation bodies require appointment time frames no greater than 3 years AND base their cycle to the MONTH and NOT the day. - ANSWER NCQA & URAC (National Committee of Quality Assurance AND Utilization Review Accreditation Commission ) Which of the 7 accreditation bodies makes the RECOMMENDATION appointment timeframe be at LEAST 24 months, in the absence of a State law. - ANSWER CMS, HFAP, DNV, and AAAHC TJC - ANS...