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

Incomplete files should not be presented to the committee; the specialist must obtain all required documentation before the file proceeds to review.

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 evaluates applications and makes recommendations that are then reviewed and acted upon by the medical executive committee.

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

Most medical staff bylaws and fair hearing policies give physicians 30 days to request a hearing after receiving notice of an adverse credentialing action.

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

Proctoring provides direct observation of a physician's clinical performance to validate competency before granting unrestricted independent privileges.

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 Joint Commission MS standards require that hospitals establish and apply defined, criteria-based processes for evaluating privilege requests.

(CPCS) Certified Professional Credentialing Specialist Practice Test

(CPCS) Certified Professional Credentialing Specialist Practice Test

CPCS Medical Staff Committee Support and Management 4