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Data Management & Reporting Flashcards

7 cards from real CHCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Data Management & Reporting flashcards as text

  1. How often does the OIG update its List of Excluded Individuals/Entities (LEIE)?

    Answer: Monthly

    The OIG updates the LEIE monthly, which is why many organizations screen providers monthly.

  2. What is the main benefit of enrolling providers in NPDB Continuous Query?

    Answer: It sends automatic notification when a new report is filed on an enrolled practitioner

    Continuous Query alerts the organization within one business day of new reports for enrolled practitioners.

  3. How often must a provider re-attest their CAQH ProView profile to keep it active?

    Answer: Every 120 days

    CAQH ProView requires re-attestation every 120 days to keep data current for participating organizations.

  4. Which practice best protects credentialing data against loss from a server failure?

    Answer: Regular, tested backups stored securely offsite or in the cloud

    Routine tested backups with secure offsite storage support recovery from system failures.

  5. A credentialing database requires the DEA number field to follow a set format before saving. This is an example of:

    Answer: Data validation

    Validation rules check entries for proper format and completeness at the point of entry.

  6. Which report would a Medical Staff credentials committee typically review at each meeting?

    Answer: List of files ready for review with verification status and flagged issues

    Committees review completed files with summaries of verifications and any red flags requiring decisions.

  7. Under NCQA standards, how frequently must practitioners be recredentialed?

    Answer: At least every 36 months

    NCQA requires recredentialing at least every 36 months.

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