CPCS CPCS National Practitioner Data Bank (NPDB) Querying and Reporting 2

Question 1

What is a 'self-query' in the context of the NPDB?

Accepted Answer

A query submitted by a practitioner to review their own NPDB report

Answer

A self-query allows practitioners to access their own NPDB records to review what information has been reported about them.

Question 2

Which entities are authorized to query the NPDB as part of the credentialing process?

Accepted Answer

Hospitals, other health care entities, and state licensing boards

Answer

Authorized queriers include hospitals, other health care entities that engage in formal peer review, and state licensing boards, among others.

Question 3

A report in the NPDB is disputed by a practitioner. What is the correct process for disputing a report?

Accepted Answer

The practitioner files a dispute with the NPDB, which notifies the reporting entity to review it

Answer

To dispute an NPDB report, the practitioner submits a dispute directly to the NPDB, which then contacts the reporting entity to review the accuracy of the report.

Question 4

Which of the following is a permissible use of NPDB information by a hospital?

Accepted Answer

Using NPDB data to make credentialing and privileging decisions

Answer

NPDB information is confidential and may only be used by hospitals to make credentialing and privileging decisions for medical staff membership.

Question 5

What category of NPDB report is generated when a state licensing board takes an adverse action against a practitioner's license?

Accepted Answer

Adverse Action Report

Answer

State licensing boards submit Adverse Action Reports to the NPDB when they take formal disciplinary or adverse actions against a practitioner's license.

(CPCS) Certified Professional Credentialing Specialist Practice Test

(CPCS) Certified Professional Credentialing Specialist Practice Test

CPCS CPCS National Practitioner Data Bank (NPDB) Querying and Reporting 2