CPCS Clinical Privileging and Competency Evaluation (FPPE/OPPE) 3

Question 1

Which situation requires a hospital to obtain information from the National Practitioner Data Bank (NPDB) during privileging?

Accepted Answer

Initial appointment and every two-year reappointment

Answer

NPDB regulations mandate querying at initial appointment and at least every two years at reappointment.

Question 2

A proctor observing a surgeon during FPPE determines the surgeon lacks sufficient skill for one of the requested privileges. Who has authority to DENY that specific privilege?

Accepted Answer

The governing body, upon recommendation from the medical staff

Answer

Only the governing body has authority to grant, modify, or deny privileges, acting on the medical staff's recommendation.

Question 3

What is the purpose of 'threshold' or 'trigger' criteria in an OPPE program?

Accepted Answer

To define performance levels that prompt additional review or action

Answer

Thresholds define the point at which OPPE data triggers escalation to focused review or other action.

Question 4

A telemedicine physician provides services at a hospital without being physically present. Under TJC standards, how must this practitioner be credentialed?

Accepted Answer

Credentialed at the originating site or through a TJC-approved credentialing-by-proxy agreement

Answer

TJC allows credentialing by proxy for telemedicine practitioners under specific conditions, or they must be fully credentialed at the originating site.

Question 5

Which of the following BEST illustrates a 'low volume' challenge in OPPE?

Accepted Answer

A practitioner who performs only 3 procedures per year, making statistical comparison unreliable

Answer

Low case volume makes it statistically difficult to draw meaningful conclusions from performance data in OPPE.

(CPCS) Certified Professional Credentialing Specialist Practice Test

(CPCS) Certified Professional Credentialing Specialist Practice Test

CPCS Clinical Privileging and Competency Evaluation (FPPE/OPPE) 3