FREE CPCS MCQ 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 MCQ Questions and Answers flashcards as text
What is the primary purpose of the National Practitioner Data Bank (NPDB)?
Answer: To improve healthcare quality by making information about adverse actions and malpractice payments available to authorized entities during credentialing
The NPDB improves healthcare quality by disclosing adverse action and malpractice information to authorized entities (hospitals, health plans, state boards) during credentialing and licensing processes.
Which of the following is NOT one of the 'six general competencies' established by ACGME that are commonly used as frameworks for evaluating practitioner performance in credentialing?
Answer: Financial Management
The ACGME's six general competencies are Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice. Financial Management is not one of them.
A hospital grants a physician privileges for a procedure that the physician is not competent to perform, and the patient suffers injury. Under what legal theory is the hospital most directly liable?
Answer: Corporate negligence (negligent credentialing)
Corporate negligence or negligent credentialing holds hospitals directly liable for failing to properly investigate and ensure the competency of practitioners to whom they grant privileges.
What does 'primary source verification' (PSV) mean in the context of medical credentialing?
Answer: Verifying credentials directly with the original issuing institution or a recognized equivalent
Primary source verification means confirming credential information directly with the institution or authority that originally issued or conferred the credential, rather than relying on copies or self-reports.
The CPCS credential is awarded by which organization?
Answer: The National Association of Medical Staff Services (NAMSS)
The Certified Provider Credentialing Specialist (CPCS) credential is awarded by the National Association of Medical Staff Services (NAMSS) upon passing the CPCS certification examination.
Which of the following describes the difference between 'credentialing' and 'privileging'?
Answer: Credentialing verifies a practitioner's qualifications; privileging determines what specific clinical procedures the practitioner is authorized to perform at a specific facility
Credentialing verifies that a practitioner holds and maintains required qualifications (degree, license, training, board certification); privileging uses those verified credentials plus competency assessment to authorize specific procedures at a specific facility.