CPCS Medical Staff Committee Support and Management 3

Question 1

Under CMS Conditions of Participation, which body must ultimately approve medical staff bylaws?

Accepted Answer

The governing board

Answer

CMS requires that the hospital's governing board approve the medical staff bylaws, ensuring accountability to the organization's leadership.

Question 2

A physician's privileges are being summarily suspended. Which committee is typically convened first to review the action?

Accepted Answer

The medical executive committee

Answer

Summary suspensions are typically reviewed by the medical executive committee, which has authority to act on urgent patient safety matters.

Question 3

What does 'focused professional practice evaluation' (FPPE) require from a committee support standpoint?

Accepted Answer

A structured time-limited monitoring period with defined criteria and a conclusion report

Answer

FPPE is a time-limited focused review with defined evaluation criteria that must be documented and concluded with a formal committee determination.

Question 4

Which of the following is a key difference between a hearing committee and an appeals committee in the fair hearing process?

Accepted Answer

The hearing committee reviews the initial adverse action, while the appeals committee reviews the hearing outcome

Answer

The hearing committee conducts the initial review of an adverse recommendation, while the appeals committee reviews whether the hearing was conducted properly and the decision was supported by evidence.

Question 5

What is the credentialing specialist's responsibility regarding committee confidentiality under Health Care Quality Improvement Act (HCQIA) protections?

Accepted Answer

To maintain confidentiality of peer review proceedings to preserve statutory protections

Answer

HCQIA protections depend on maintaining confidentiality of peer review deliberations, and the credentialing specialist must safeguard these records accordingly.

(CPCS) Certified Professional Credentialing Specialist Practice Test

(CPCS) Certified Professional Credentialing Specialist Practice Test

CPCS Medical Staff Committee Support and Management 3