FREE CPCS Knowledge Questions and Answers

A healthcare institution, including but not limited to hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations, is usually the employer or contracting party for the Certified Provider Credentialing Specialist (CPCS).

Expert in Provider Credentialing Certification

validation of employment history in accordance with NCQA

PSV for Medical Education Was Accepted by TJC

confirmation of the malpractice history as reported by TJC.

Correct! Wrong!

CMS does not say anything about reviewing a malpractice history, but it does mandate that companies abide by local, state, and federal laws.

sanctions based on CMS for licensure

confirmation of past misconduct claims as reported by NCQA

confirmation of past malpractice claims, according CMS

Board certification confirmation in accordance with NCQA

Correct! Wrong!

The greatest degree of education and training obtained across the three levels. Board certification is sufficient if it is obtained.

validation of postgraduate education in compliance with CMS

confirmation of postgraduate education in compliance with NCQA

Board certification confirmation in accordance with NCQA

validation of employment history in accordance with Ncqa

Correct! Wrong!

AOA and AMA

NCQA's current CVO for licensure verification

Time limitations for HP/MBHO NCCQA Malpractice Verification

PSV for medical education was accepted by TJC.

PSV was approved by TJC for postgraduate study.

Correct! Wrong!

The State licensing board where the practitioner is asking privileges must verify the primary source.

confirmation of past malpractice claims, according CMS

confirmation of the license's current status per NCQA

confirmation of the license's current status per TJC

confirmation of postgraduate education in compliance with NCQA

Correct! Wrong!

Requires the greatest level of education and training among the three offered by HP/CVO.

confirmation of postgraduate education in compliance with NCQA

Verification of medical school credentials in accordance with TJC

Verification of Medical Education in Compliance with NCQA Guidelines

confirmation of graduate education in accordance with TJC

Correct! Wrong!

Needs confirmation from the original source or other approved sources of equal value.

Verification of Medical Education in Compliance with NCQA Guidelines

Verification of medical school credentials in accordance with TJC

validation of postgraduate education in compliance with CMS

confirmation of graduate education in accordance with TJC

Correct! Wrong!

The AOA, the ECFMG, and the AMA

PSV was approved by TJC for postgraduate study.

confirmation of the license's current status per CMS

validation of medical training in accordance with CMS

PSV for medical education was accepted by TJC.

Correct! Wrong!

The medical personnel needs a way to look through documentation of their professional training.

validation of employment history in accordance with NCQA

verification of medical school credentials as per CMS

confirmation of postgraduate education in compliance with NCQA

validation of postgraduate education in compliance with CMS

Correct! Wrong!

At the time of credentialing, the credentials information must be accurate, up to date, and no older than 365 calendar days.

NCQA deadlines for HP/MBHO professional liability and malpractice

NCQA deadlines for CVO professional liability and malpractice

Confirmation of postgraduate education in compliance with NCQA

How many times does TJC demand proof of licensure?

Correct! Wrong!

The precise procedure to fulfill this need is not specified in the guidelines, but it is recommended that the organized medical staff consider any evidence of an odd trend or an excessive number of professional liability cases leading to a verdict.

Board certification confirmation in accordance with TJC

Confirmation of the malpractice history as reported by TJC.

Board certification confirmation in accordance with TJC

Board certification confirmation in accordance with CMS

Correct! Wrong!

FREE CPCS Knowledge Questions and Answers

A healthcare institution, including but not limited to hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations, is usually the employer or contracting party for the Certified Provider Credentialing Specialist (CPCS).

CMS does not say anything about reviewing a malpractice history, but it does mandate that companies abide by local, state, and federal laws.

The greatest degree of education and training obtained across the three levels. Board certification is sufficient if it is obtained.

AOA and AMA

The State licensing board where the practitioner is asking privileges must verify the primary source.

Requires the greatest level of education and training among the three offered by HP/CVO.

Needs confirmation from the original source or other approved sources of equal value.

The AOA, the ECFMG, and the AMA

The medical personnel needs a way to look through documentation of their professional training.

At the time of credentialing, the credentials information must be accurate, up to date, and no older than 365 calendar days.

The precise procedure to fulfill this need is not specified in the guidelines, but it is recommended that the organized medical staff consider any evidence of an odd trend or an excessive number of professional liability cases leading to a verdict.

FREE CPCS MCQ Questions and Answers

FREE CPCS Basic Questions and Answers

Master CPCS Test with Effective Practice Tests 2025

A healthcare institution, including but not limited to hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations, is usually the employer or contracting party for the Certified Provider Credentialing Specialist (CPCS).

CMS does not say anything about reviewing a malpractice history, but it does mandate that companies abide by local, state, and federal laws.

The greatest degree of education and training obtained across the three levels. Board certification is sufficient if it is obtained.

AOA and AMA

The State licensing board where the practitioner is asking privileges must verify the primary source.

Requires the greatest level of education and training among the three offered by HP/CVO.

Needs confirmation from the original source or other approved sources of equal value.

The AOA, the ECFMG, and the AMA

The medical personnel needs a way to look through documentation of their professional training.

At the time of credentialing, the credentials information must be accurate, up to date, and no older than 365 calendar days.

The precise procedure to fulfill this need is not specified in the guidelines, but it is recommended that the organized medical staff consider any evidence of an odd trend or an excessive number of professional liability cases leading to a verdict.

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