CPCS Reappointment and Recredentialing 3

Question 1

Under The Joint Commission (TJC) standards, how frequently must an organization conduct reappointment of medical staff members at a minimum?

Accepted Answer

Every two years

Answer

TJC MS.06.01.03 requires that reappointment occur at least every two years.

Question 2

A provider's reappointment application is complete, but the credentials committee cannot reach quorum for three consecutive scheduled meetings. The provider's privileges will lapse next week. What is the best course of action?

Accepted Answer

Convene an emergency session or invoke a provisional reappointment process per bylaws

Answer

Organizations should have bylaw provisions for emergency or provisional reappointment to prevent lapses when quorum cannot be achieved in time.

Question 3

When recredentialing a CRNA, which additional verification is essential beyond standard physician recredentialing requirements?

Accepted Answer

Confirmation of collaborating physician agreement if required by state law

Answer

Some states require CRNAs to have a supervising or collaborating physician agreement, making verification of that relationship essential during recredentialing.

Question 4

A physician's reappointment is approved with a condition requiring completion of CME in a specific area within 90 days. The physician does not complete the CME within the timeframe. What should happen?

Accepted Answer

Privileges related to that area are automatically suspended per the conditional approval terms

Answer

Conditional reappointment terms are enforceable; failure to meet the condition typically triggers the stated consequence, such as suspension of related privileges.

Question 5

During recredentialing, a provider discloses a DUI arrest that did not result in conviction. How should the credentials committee handle this disclosure?

Accepted Answer

Request additional information and evaluate whether it raises patient safety concerns

Answer

The committee should gather full context and assess whether the disclosure raises patient safety concerns, even without a conviction.

CPCS - Certified Provider Credentialing Specialist Practice Test

CPCS - Certified Provider Credentialing Specialist Practice Test

CPCS Reappointment and Recredentialing 3