CPCS MCQ 4

Question 1

The Federation of State Medical Boards (FSMB) Data Bank is useful in credentialing primarily because it provides:

Accepted Answer

Information about physician licenses across all US states and territories

Answer

The FSMB provides a centralized record of physician licensure status across all US states and territories.

Question 2

Which type of malpractice insurance requires the policy to be active both when the incident occurs AND when the claim is filed?

Accepted Answer

Claims-made policy

Answer

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.

Question 3

What is 'tail coverage' in the context of malpractice insurance?

Accepted Answer

An endorsement that extends claims-made coverage after a policy ends

Answer

Tail coverage is a reporting endorsement that allows claims arising from incidents during the policy period to be filed after the policy terminates.

Question 4

A credentialing specialist receives a reference letter that raises concerns about a physician's clinical judgment. The best next step is to:

Accepted Answer

Document the concern and refer to the credentials committee for review

Answer

Documenting the concern and escalating to the credentials committee ensures a fair, structured review of the red flag.

Question 5

Which accreditation body uses the 'Comprehensive Accreditation Manual for Hospitals' (CAMH) which includes credentialing standards?

Accepted Answer

The Joint Commission

Answer

The Joint Commission publishes the CAMH, which contains the Medical Staff (MS) chapter with credentialing and privileging standards.

CPCS - Certified Provider Credentialing Specialist Practice Test