CHCS CHCS Primary Source Verification & Quality Management

Question 1

What is 'primary source verification' (PSV) in the credentialing process?

Accepted Answer

Confirming a practitioner's credentials directly with the originating institution or licensing body

Answer

Verifying credentials through a third-party database only

Answer

Checking a practitioner's resume against their application

Answer

Reviewing peer references only

Question 2

Which organization established the most widely recognized standards for primary source verification in credentialing, particularly for health plans?

Accepted Answer

NCQA (National Committee for Quality Assurance)

Answer

The Joint Commission

Answer

CMS

Answer

URAC

Question 3

Under NCQA standards, which of the following elements requires primary source verification?

Accepted Answer

Current valid license to practice

Answer

Practitioner's personal biography

Answer

Mailing address

Answer

Languages spoken

Question 4

The National Practitioner Data Bank (NPDB) must be queried during initial credentialing and at minimum how often thereafter?

Accepted Answer

Every 2 years

Answer

Every 6 months

Answer

Every year

Answer

Only when a concern arises

Question 5

Which type of NPDB report allows a hospital to continuously monitor practitioners between required queries?

Accepted Answer

Continuous query (proactive disclosure)

Answer

One-time query

Answer

Bulk data request

Answer

Self-query

Question 6

A credentialing application is considered 'complete' for the purpose of starting the PSV process when:

Accepted Answer

All required information and supporting documentation have been submitted and are ready for verification

Answer

The practitioner signs the application

Answer

The credentials committee meets

Answer

The medical staff office assigns an application number