CPCS MCQ 2

Question 1

Under NCQA standards, how long may a credentialing file remain active before re-credentialing is required?

Accepted Answer

36 months

Answer

NCQA requires re-credentialing of practitioners at least every 36 months.

Question 2

Which federal act established the National Practitioner Data Bank (NPDB)?

Accepted Answer

Health Care Quality Improvement Act of 1986

Answer

The Health Care Quality Improvement Act of 1986 created the NPDB to track adverse actions against practitioners.

Question 3

A provider's DEA registration is expiring in 45 days. What action should a credentialing specialist take first?

Accepted Answer

Notify the provider and initiate a renewal reminder

Answer

Proactively notifying the provider and initiating a renewal reminder ensures continuous compliance before expiration.

Question 4

Which of the following best describes 'primary source verification' in credentialing?

Accepted Answer

Confirming credentials directly with the issuing organization

Answer

Primary source verification requires confirming credentials directly with the original issuing organization.

Question 5

Which organization publishes the Credentials Verification Organization (CVO) certification program?

Accepted Answer

NCQA

Answer

NCQA certifies CVOs through its CVO Certification program to standardize credentialing verification.

CPCS - Certified Provider Credentialing Specialist Practice Test