FREE CPCS Knowledge Questions and Answers Flashcards
6 cards from real CPCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 FREE CPCS Knowledge Questions and Answers flashcards as text
Which type of medical staff committee is primarily responsible for reviewing cases involving unexpected patient outcomes to determine if standard of care was met?
Answer: Peer review committee (quality assurance/quality improvement)
The peer review committee (also called quality assurance, quality improvement, or quality management committee) reviews cases involving unexpected patient outcomes to evaluate adherence to standard of care and identify improvement opportunities.
A practitioner requests an expansion of privileges mid-appointment cycle. Under TJC standards, this request is processed as:
Answer: A modification to existing privileges, requiring verification of additional training/competency and FPPE for the new privileges
Mid-cycle privilege expansion requests are processed as modifications to existing privileges, requiring documentation of competency for the new privileges and initiation of FPPE for the new privilege category.
Which of the following professional organizations awards the CPMSM credential, and how does it differ from the CPCS?
Answer: NAMSS awards CPMSM; it is a broader credential covering medical staff management beyond credentialing
NAMSS awards the CPMSM (Certified Professional Medical Staff Management), which covers the full scope of medical staff management including credentialing, governance, performance improvement, and management competencies, broader than the credentialing-focused CPCS.
A health plan receives a complaint from a network practitioner alleging that the plan's credentialing process discriminates against practitioners with foreign medical degrees. Which regulatory framework would most directly apply to this complaint?
Answer: Title VII of the Civil Rights Act and applicable state anti-discrimination laws
Anti-discrimination claims in credentialing are governed by civil rights laws, including Title VII, state anti-discrimination statutes, and potentially the ADA, not HIPAA, EMTALA, or the FCA.
In a health plan's credentialing delegation arrangement, which party retains ultimate responsibility for compliance with NCQA credentialing standards?
Answer: The delegating health plan
Under NCQA delegation standards, the delegating health plan retains ultimate accountability for compliance with NCQA credentialing standards, even when specific activities are delegated to another entity.
What is the significance of a practitioner having 'active staff' status versus 'courtesy staff' status on a hospital medical staff?
Answer: Active staff members typically have full voting rights and committee obligations; courtesy staff members have limited privileges with few governance rights or obligations
Active staff status typically includes full clinical privileges with voting rights and committee service obligations, while courtesy staff status is for practitioners who use the hospital occasionally and generally have limited governance rights and no committee obligations.