FREE CPCS Basic Questions and Answers

Question 1

Although PSV is not necessary, professional liability insurance is frequently needed in the healthcare industry, thus it is appropriate to verify coverage.

Accepted Answer

confirmation of malpractice and professional liability coverage per CMS

Answer

confirmation of TJC's professional liability and malpractice coverage

Answer

confirmation of malpractice and professional liability coverage per NCQA

Answer

confirmation of postgraduate education in compliance with NCQA

Question 2

Verification from the medical school or an approved PSV is necessary.

Accepted Answer

Verification of medical school credentials in accordance with TJC

Answer

Verification of Medical Education in Compliance with NCQA Guidelines

Answer

confirmation of postgraduate education in compliance with NCQA

Answer

confirmation of graduate education in accordance with TJC

Question 3

Board certification is not mentioned in the CMS requirements expressly. The medical staff must take into account all aspects of training and professional education when making recommendations; they cannot rely their decisions only on board certification.

Accepted Answer

Board certification confirmation in accordance with CMS

Answer

confirmation of past misconduct claims as reported by NCQA

Answer

confirmation of the malpractice history as reported by TJC.

Answer

confirmation of past malpractice claims, according CMS

Question 4

Before being sent to each client, the credentials information must be accurate, up to date, and validated within 305 calendar days.

Accepted Answer

NCQA deadlines for CVO professional liability and malpractice

Answer

The three NCQA-defined levels of instruction and training

Answer

NCQA deadlines for HP/MBHO professional liability and malpractice

Answer

Confirmation of postgraduate education in compliance with NCQA

Question 5

If professional liability coverage is mandated by medical staff bylaws, policies, or rules and regulations, PSV is not needed.

Accepted Answer

confirmation of TJC's professional liability and malpractice coverage

Answer

confirmation of past malpractice claims, according CMS

Answer

confirmation of postgraduate education in compliance with NCQA

Answer

confirmation of malpractice and professional liability coverage per CMS

Question 6

CMS does not provide information on how license sanctions are evaluated; nonetheless, the interpretation guidelines mention prioritizing criteria that take into account an individual's character.

Accepted Answer

penalties for licensure as stated by CMS

Answer

confirmation of past malpractice claims, according CMS

Answer

License suspensions in accordance with the TJC

Answer

License suspensions in accordance with NCQA regulations

Question 7

The medical personnel needs a way to look through records of their experiences and training.

Accepted Answer

validation of postgraduate education in compliance with CMS

Answer

confirmation of the license's current status per CMS

Answer

confirmation of the misconduct history as reported by TJC

Answer

Verification of medical school credentials as per CMS

Question 8

The organization confirms that the practitioner holds a valid license in the states where the practitioner treats members of the organization and that the practitioner's current license or certification is current, valid, and on file at the time the Credentialing Committee renders its decision.

Accepted Answer

confirmation of the license's current status per NCQA

Answer

confirmation of the license's current status per TJC

Answer

verification of a Doctor ABMS Certified

Answer

confirmation of past misconduct claims as reported by NCQA

Question 9

Credentialing rules and procedures that apply to all practitioners who care for the members of the organization must be documented by HPs and MBHOs.

Accepted Answer

First appointment, clinical rights, and practitioners covered by the NCQA

Answer

Initial Appointment, Clinical Privileges, and TJC-covered Practitioners

Answer

First Appointment, Clinical Privileges, and Practitioner Coverage Per CMS

Answer

Confirmation of malpractice and professional liability coverage per CMS

Question 10

According to the Staye Law, the Governing Body decides which kind of practitioners can be appointed to the medical staff. The medical personnel should, at the very least, consist of MDs and DOs.

Accepted Answer

First Appointment, Clinical Privileges, and Practitioner Coverage Per CMS

Answer

earliest appointment, clinical rights, and practitioners covered by the TJC

Answer

confirmation of malpractice and professional liability coverage per NCQA

Answer

NCQA deadlines for HP/MBHO professional liability and malpractice