CPCS Primary Source Verification (PSV) Standards and Procedures 2

Question 1

Which database is an acceptable primary source for verifying a physician's board certification according to The Joint Commission?

Accepted Answer

The applicable American Board of Medical Specialties (ABMS) member board

Answer

The AMA DoctorFinder database

Answer

Healthgrades or a similar public consumer website

Answer

The hospital's previously completed credentialing file

Question 2

How frequently must Primary Source Verification be conducted for medical staff reappointment under typical Joint Commission standards?

Accepted Answer

At least every two years, coinciding with each reappointment cycle

Answer

Every five years

Answer

Only at initial appointment; reappointment requires only self-attestation

Answer

Every ten years unless credentials change

Question 3

The Federation of State Medical Boards (FSMB) Physician Data Center is an acceptable primary source for verifying which type of credential?

Accepted Answer

State medical licensure across multiple states

Answer

Board certification status across specialties

Answer

Medical school degree and graduation date

Answer

Graduate medical education (residency) completion

Question 4

When verifying completion of graduate medical education (residency), what is the correct primary source?

Accepted Answer

The graduate medical education (GME) office of the institution where training was completed

Answer

The American Board of Medical Specialties (ABMS) database

Answer

A training program director's letter held in the hospital's own credentialing file

Answer

The American Medical Association physician profile

Question 5

Which of the following is NOT considered Primary Source Verification?

Accepted Answer

Reviewing a photocopy of a diploma submitted by the applicant

Answer

Calling a state licensing board directly to confirm licensure status

Answer

Accessing the ABMS certification verification website

Answer

Accessing the DEA Diversion Control Division registration verification portal

Question 6

What is the role of CAQH ProView in the Primary Source Verification process?

Accepted Answer

It provides a centralized practitioner-self-reported repository that facilitates data collection, but PSV must still be obtained from issuing sources

Answer

It serves as a primary source for all credential types

Answer

It replaces the requirement for primary source verification under CMS rules

Answer

It conducts malpractice history checks that satisfy PSV requirements

Question 7

Under NCQA standards, how often must a Credentials Verification Organization (CVO) be recertified to maintain its recognized status?

Accepted Answer

Every three years

Answer

Every year

Answer

Every two years

Answer

Every five years