CPCS EXAM 2024-2025 WITH 300 REAL
EXAM QUESTIONS A ND CORRECT
ANSWERS (100% CORRECT ANSWERS)
BRAND NEW!!
How many days does a practitioner have to dispute an NPDB report accuracy - ANSWER-60 Days
Which accrediting body requires five year verification of malpractice history -
ANSWER-NCQA
What is commonly used source for verifying malpractice history - ANSWER- NPDB
According to the JC a fair hearing and appeals process as described in the medical staff bylaws is available to whom? - ANSWER-Medical staff members and non- members holding clinical privileges
T/F Only the highest of training must be verified according to NCQA - ANSWER- True
According to the Joint Commission a peer recommendation should address what six competencies? - ANSWER-Medical knowledge\nTechnical & clinical skill\nclinical judgment\interpersonal skills\communication skills\professionalism
What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - ANSWER-HFAP,
CMS 1 / 4
According to JC & HFAP name four approved sources PSV for Medical Education
- ANSWER-Medical School, AMA, ECFMG, AOA
According to NCQA practitioners must be notified of credentialing decision within how many days? - ANSWER-60 Days
The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, the provider has how many days to do so? - ANSWER-60 Days
According to URAQ, within how many days must the practitioner be notified of credentialing decisions? - ANSWER-10 Days
Telemedicine - according to JC what two options are available for credentialing a the original site? - ANSWER-Full credentialing, use of the distant sites credentialing
According to JC what is included in the process of planning and implementing privileges? - ANSWER-Develop & approve procedure list\nProcess the application\nEvaluate applicant specific information\nSubmit recommendations to governing body for applicant specific delineated privileges\nNotify the applicant, relevant personnel\nMonitor the use of privileges
Are payments made by a physician in a malpractice claim reportable to the NPDB?
- ANSWER-No
Who requires Peer References - ANSWER-JC, HFAP, AAAHC 2 / 4
Who reappoints - ANSWER-JC, HFAP, NCQA, URAC
Who requires an attestation? - ANSWER-NCQA, URAC, AAAHC
Who requires education verification? - ANSWER-JC, HFAP, URAC, AAAHC
Who requires statement regarding felony convictions? - ANSWER-HFAP, NCQA, AAAHC
Attestation must state that the information submitted is complete & correct -
ANSWER-NCQA, AAAHC
Attestation must state that the information submitted is complete & accurate -
ANSWER-URAC
Attestation must include inquiry regarding illegal drug use? - ANSWER-NCAQ
Attestation must include inquiry regarding inability to perform essential functions?
- ANSWER-NCQA
Attestation must include inquiry regarding history or loss or limitations of licensure or privileges or disciplinary actions? - ANSWER-NCQA
Attestation must include inquiry regarding current malpractice coverage? -
ANSWER-NCQA
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Attestation must include inquiry regarding felony convictions? - ANSWER-NCQA
Applicant must attest to limitations on ability to perform functions of the position with or without accomodation, if any - ANSWER-NCQA
Applicant must attest to lack of present illegal drug use - ANSWER-AAAHC
Applicant must attest to history or loss of license and felony convictions, if any -
ANSWER-AAAHC
Applicant must attest to history of loss or limitations of privileges or disciplinary actions, if any - ANSWER-AAAHC
Applicant must attest to current malpractice insurance coverage? - ANSWER- AAAHC
Who requires a malpractice history for applicants? - ANSWER-JC, HFAP, NCQA,
URAC, AAAHC
Who must have a process in place to address complaints? - ANSWER-JC, HFAP,
NCQA, URAC
Who requires Board Certification? - ANSWER-None
Who requires criminal background checks? - ANSWER-HFAP
Who requires applicant ID - ANSWER-JC
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