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

Question 1

Which federal agency oversees the National Practitioner Data Bank (NPDB)?

Accepted Answer

Health Resources and Services Administration (HRSA)

Answer

The Joint Commission

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Office of Inspector General (OIG)

Question 2

A hospital is required to query the NPDB when a practitioner applies for initial medical staff membership. How long is the NPDB response valid for credentialing purposes?

Accepted Answer

90 days

Answer

30 days

Answer

60 days

Answer

180 days

Question 3

Which of the following events MUST be reported to the NPDB by a hospital?

Accepted Answer

A clinical privilege reduction of more than 30 days based on professional competence

Answer

A practitioner voluntarily resigns before an investigation begins

Answer

A malpractice settlement paid on behalf of a licensed practical nurse

Answer

A verbal warning issued to a physician for tardiness

Question 4

Which practitioner type is NOT subject to mandatory NPDB reporting by hospitals for adverse privilege actions?

Accepted Answer

Pharmacists

Answer

Physicians

Answer

Dentists

Answer

Advanced practice registered nurses

Question 5

A credentialing specialist discovers that a malpractice payment was made on behalf of a practitioner but was never reported to the NPDB. Who is responsible for submitting this report?

Accepted Answer

The malpractice insurance entity that made the payment

Answer

The hospital credentialing department

Answer

The state licensing board

Answer

The practitioner themselves

Question 6

Under NPDB regulations, what is the timeframe within which an adverse action must be reported after the final decision is made?

Accepted Answer

30 days

Answer

15 days

Answer

45 days

Answer

60 days