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pg. 1 CPCS-Certified Provider Credentialing Specialist DC Property Management License Exam Newest 2025 Actual Exam Test Bank| Complete Questions and Correct Answers (Verified Answers) Already Graded A+|| Brand New!!
What type of specialists is most likely to perform a PTCA? - ANSWER - Interventional Cardiologist
The Joint Commission hospital standards require that clinical privileges are hospital-specific and - ANSWER - Based on the individual's demonstrated current competence and the procedures the hospital can support.
What type of procedure would be routinely performed by a cardiologist?
- ANSWER - Transesophageal Echocardiography
Which NCQA-required committee makes recommendations regarding credentialing decisions? - ANSWER - Credentialing Committee
What organization has been recognized by The Joint Commission and NCQA to provide primary source verification of medical school graduation and residency training for U.S. graduates? - ANSWER - American Medical Association Masterfile
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pg. 2 According to N CQA standards, the application attestation statement must affirm that the application - ANSWER - Is correct and complete
According to The Joint Commission standards, medical staff bylaws should define - ANSWER - The structure of the medical staff
According to The Joint Commission hospital standards, professional criteria for the granting of clinical privileges must include at least - ANSWER - Relevant training or experience, ability to perform privileges requested, current licensure, and competence
The Joint Commission hospital standards require medical staff bylaws to include - ANSWER - A mechanism for selection and removal of officers
According to NCQA standards, name an approved source for verification of board certification? - ANSWER - State licensing agency if state agency conducts primary verification of board status
According to The Joint Commission hospital standards, which of the following is a required component of the reappointment process? - ANSWER - Documentation of the applicant's health status
According to URAC's health network standards, each applicant within the scope of the credentialing program submits an application that
includes at least what: - ANSWER - State licensure information,
including current license(s) and history of licensure in all jurisdictions
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pg. 3 According to AAAHC, what must be monitored on an ongoing basis? - ANSWER - Current licensure
According to The Joint Commission, a nurse practitioner functioning
independently and providing a medical level of care must: - ANSWER -
Be granted delineated clinical privileges
According to The Joint Commission, which organization is an acceptable source for verification for medical education of an international graduate? - ANSWER - Education Commission for Foreign Medical Graduates
When evaluating compliance with the required time-frame for
recredentialing, NCQA counts the recredentialing period to the: -
ANSWER - Month
NCQA standards require the organization to verify board certification at
recredentialing: - ANSWER - In all cases
To whom does the AAAHC give the responsibility for approving and ensuring compliance with policies and procedures related to credentialing, quality improvement, and risk management? - ANSWER - Governing body
According to The Joint Commission hospital standards, which of the following is an element of a self-governing medical staff? - ANSWER - The medical staff determines the mechanism for establishing and 3 / 4
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pg. 4 enforcing criteria for assigning oversight responsibilities to practitioners with independent privileges.
Robert's Rule of order is an example of - ANSWER - Parliamentary procedure
The medical staff application should provide a chronological history of - ANSWER - The applicant's education, training, and work history
In order to participate in a managed care plan, a provider must be accepted to the plan's - ANSWER - Provider panel
In order for a physician to practice medicine in any state in the United States, he/she must possess - ANSWER - Current state licensure
What is considered post-graduate education? - ANSWER - Residency training
What may not be used to evaluate credentials of applicants? - ANSWER
- Gender
The release of liability statement signed by the applicant for medical
staff appointment should include: - ANSWER - A statement providing
immunity to those who respond in good faith to requests for information
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