CPCS Primary Source Verification 2

Question 1

Which organization is considered the primary source for verifying a physician's board certification status?

Accepted Answer

The American Board of Medical Specialties (ABMS)

Answer

ABMS member boards are primary sources for verifying board certification because they directly issue and maintain certification records.

Question 2

When performing primary source verification for a foreign medical graduate's education, which resource is most appropriate?

Accepted Answer

The Educational Commission for Foreign Medical Graduates (ECFMG)

Answer

ECFMG verifies the credentials of international medical graduates who want to practice in the United States.

Question 3

A credential file shows a provider's DEA registration expired 30 days ago. What is the FIRST action a credentialing specialist should take?

Accepted Answer

Notify the medical staff office and request updated documentation

Answer

The first action is to notify the appropriate parties and request current documentation so the issue can be resolved promptly.

Question 4

Which of the following best describes 'attestation' in the credentialing process?

Accepted Answer

A provider's sworn statement confirming the accuracy of their application

Answer

Attestation is when the applicant personally affirms the truthfulness and completeness of information provided on their application.

Question 5

Under NCQA standards, how frequently must primary source verification be repeated for re-credentialing?

Accepted Answer

Every three years

Answer

NCQA requires re-credentialing, including primary source verification, at least every three years.

CPCS - Certified Provider Credentialing Specialist Practice Test