CPCS Medical Staff Committee Support and Management 4

Question 1

A credentialing specialist notices that a physician's reappointment file lacks a required peer reference. What is the correct action?

Accepted Answer

Place the file on hold and obtain the missing reference before presenting to the committee

Answer

Present the file to the committee with a note about the missing reference

Answer

Request the committee waive the requirement for this applicant

Answer

Proceed with reappointment and collect the reference within 90 days

Question 2

Which of the following best describes the role of the credentials committee versus the medical executive committee in the credentialing process?

Accepted Answer

The credentials committee makes recommendations; the MEC acts on those recommendations

Answer

The credentials committee grants privileges; the MEC reviews appeals

Answer

The credentials committee is advisory only; the MEC has sole decision-making authority

Answer

Both committees have equal and independent authority to grant or deny privileges

Question 3

What is the significance of the '30-day rule' commonly referenced in medical staff committee proceedings?

Accepted Answer

Physicians have 30 days to respond to a notice of adverse action

Answer

Applicants must submit applications 30 days before the committee meeting

Answer

Committees must act on complete applications within 30 days of receipt

Answer

New privileges must be reviewed within 30 days of being exercised

Question 4

What is the purpose of a 'proctoring' or 'supervision' requirement attached to newly granted clinical privileges?

Accepted Answer

To allow observed evaluation of competency before independent practice is confirmed

Answer

To reduce the hospital's malpractice insurance premiums

Answer

To satisfy state licensing board requirements for new physicians

Answer

To ensure the physician meets patient volume requirements

Question 5

Which accreditation standard requires hospitals to define the criteria used to evaluate clinical privilege requests?

Accepted Answer

The Joint Commission MS standard requiring criteria-based privileging

Answer

The National Practitioner Data Bank reporting rules

Answer

The CMS Conditions of Participation for staffing ratios

Answer

The HIPAA Privacy Rule for credentialing records

Question 6

When a physician is granted 'telemedicine privileges,' what unique credentialing consideration typically applies?

Accepted Answer

Telemedicine practitioners must be licensed in the originating site's state

Answer

Telemedicine providers are exempt from credentialing requirements under federal law

Answer

Only physicians licensed in the distant site state require credentialing

Answer

Telemedicine privileges automatically expire after 90 days

Question 7

A committee is reviewing a physician's application and discovers an undisclosed malpractice settlement. What is the most appropriate next step?

Accepted Answer

Request the physician provide a written explanation and review the circumstances before deciding

Answer

Automatically deny the application due to failure to disclose

Answer

Forward the matter directly to the board of directors

Answer

Approve the application provisionally pending a 90-day review