FREE CPCS Knowledge Questions and Answers

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

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

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

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AOA and AMA

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

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

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

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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).

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The AOA, the ECFMG, and the AMA

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

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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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