MCQ Flashcards
7 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 7 MCQ flashcards as text
The Federation of State Medical Boards (FSMB) Data Bank is useful in credentialing primarily because it provides:
Answer: Information about physician licenses across all US states and territories
The FSMB provides a centralized record of physician licensure status across all US states and territories.
Which type of malpractice insurance requires the policy to be active both when the incident occurs AND when the claim is filed?
Answer: Claims-made policy
A claims-made policy provides coverage only if the policy is active at both the time of the incident and the time the claim is filed.
What is 'tail coverage' in the context of malpractice insurance?
Answer: An endorsement that extends claims-made coverage after a policy ends
Tail coverage is a reporting endorsement that allows claims arising from incidents during the policy period to be filed after the policy terminates.
A credentialing specialist receives a reference letter that raises concerns about a physician's clinical judgment. The best next step is to:
Answer: Document the concern and refer to the credentials committee for review
Documenting the concern and escalating to the credentials committee ensures a fair, structured review of the red flag.
Which accreditation body uses the 'Comprehensive Accreditation Manual for Hospitals' (CAMH) which includes credentialing standards?
Answer: The Joint Commission
The Joint Commission publishes the CAMH, which contains the Medical Staff (MS) chapter with credentialing and privileging standards.
When must a credentialing organization query the NPDB under federal law?
Answer: At initial appointment and at re-credentialing, and when a practitioner resigns under investigation
Federal law mandates NPDB queries at initial appointment, re-credentialing, and upon resignation of a practitioner under investigation.
A physician requests temporary privileges due to an emergency need. Which condition typically must be met for approval?
Answer: Evidence of current licensure and a pending complete application
Temporary privileges may be granted while the full application is pending, provided current licensure and other basic requirements are met.