CPCS Exam 318 Questions and Answers with Complete Solutions Question :What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership?
Correct answer:HFAP, CMS
Question :According to JC & HFAP name four approved
sources PSV for Medical Education
Correct answer:Medical School, AMA, ECFMG, AOA
Question :According to NCQA practitioners must be notified
of credentialing decision within how many days?
Correct answer:60 Days
Question :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?
Correct answer:60 Days
Question :According to URAQ, within how many days must
the practitioner be notified of credentialing decisions?
Correct answer:10 Days
Question :How many days does a practitioner have to dispute
an NPDB report accuracy
Correct answer:60 Days
Question :Which accrediting body requires five year
verification of malpractice history
Correct answer:NCQA
Question :What is commonly used source for verifying
malpractice history
Correct answer:NPDB
Question :According to the JC a fair hearing and appeals
process as described in the medical staff bylaws is available to whom?
Correct answer:Medical staff members and non-members
holding clinical privileges
Question :T/F Only the highest of training must be verified
according to NCQA
Correct answer:True
Question :According to the Joint Commission a peer
recommendation should address what six competencies?
Correct answer:Medical knowledge
Question :Telemedicine - according to JC what two options
are available for credentialing a the original site?
Correct answer:Full credentialing, use of the distant sites
credentialing
Question :According to JC what is included in the process of
planning and implementing privileges?
Correct answer:Develop & approve procedure list
Question :Are payments made by a physician in a malpractice
claim reportable to the NPDB?
Correct answer:No
Question :Who requires Peer References
Correct answer:JC, HFAP, AAAHC
Question :Who reappoints
Correct answer:JC, HFAP, NCQA, URAC
Question :Who requires an attestation?
Correct answer:NCQA, URAC, AAAHC
Question :Who requires education verification?
Correct answer:JC, HFAP, URAC, AAAHC
Question :Who requires statement regarding felony
convictions?