FREE CPCS MCQ Questions and Answers

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As per NCQA guidelines, a company needs to confirm the restrictions or limitations on a practitioner's license in every state where the professional currently holds or has ever held a license.

Correct! Wrong!

Solely in the state in which the practitioner treats members.

TJC rules state that peer recommendations need to contain relevant details about six factors. These three are: clinical judgment, technical and clinical skills, and medical knowledge. Which three are the others?

Please select 3 correct answers

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TJC standards state that written information about six items must be included in a peer referral. Three of these components are included in the provided response: interpersonal skills, communication skills, and professionalism. When assessing a healthcare professional's overall competency and capacity for productive communication with patients and coworkers, these three factors are crucial. While interpersonal and communication skills are concerned with fostering good connections and efficient communication, professionalism is defined as moral and ethical behavior. These components are essential for both delivering high-quality patient care and preserving a courteous and cooperative work environment.

Which source is most frequently utilized to confirm a history of malpractice?

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The National Practitioner Data Bank is the most often utilized resource for confirming a history of malpractice (NPDB). Information about payments for medical malpractice and negative actions brought against healthcare professionals is gathered and kept up to date in this database. Hospitals, healthcare organizations, and licensing boards use it extensively to evaluate the credentials and possible dangers of healthcare providers.

How many times must the license be validated with the primary source according to the Joint Commission's requirements?

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The main source must confirm licensure four times, per Joint Commission requirements. They consist of the first appointment, the reappointment of privileges, changes in the status of a license, and transferring from one state to another. This implies that throughout their careers, healthcare workers will need to present documentation of their license and have it confirmed by the original source several times.

Can information from a different healthcare organization, like a hospital or group practice, that has completed primary source verification be accepted for credentialing in accordance with AAAHC standards?

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True, so long as the other healthcare organization provides original records or photocopies of the verification reporters it has directly consulted, devoid of any involvement or rebuttal from the application or any other outside parties. It is insufficient to just declare that verification has been done.

In order to confirm physician licensure sanctions, NCQA permits verification through NPDB, HIPDB, the relevant state agency or agencies, and whatever other organization?

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The right response is FSMB. NCQA permits verification of physician licensure sanctions with the Federation of State Medical Boards (FSMB), NPDB, HIPDB, and the relevant state agency or agencies. A consolidated source of information on physician licensure and disciplinary actions is the Federation of State Medical Boards of America (FSMB), a national organization that represents state medical licensing boards in the United States.

Is verification from the ECFMG appropriate for education and training completed through the AMA's Fifth Pathway program, as per NCQA Standards?

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This needs to be verified by the AMA using PSV.

When clinical privileges are first awarded, when they are renewed, and when a new privilege is requested, the hospital is required by The Joint Commission to query the NPDB.

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Hospitals must search the National Practitioner Data Bank (NPDB) when awarding clinical privileges for the first time, while privileges are being renewed, and whenever a new privilege is requested, according to The Joint Commission. This is done to make sure the medical professionals are qualified to practice and have a spotless background.

Can a hospital accept a doctor's NPDB self-query to fulfill The Joint Commission's need for an NPDB query?

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The question needs to be completed by the hospital or a designated agent.

There is no board certification required by NCQA. Verification can be received directly from the specialized board, AMA, or AOA if the person is board certified.

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The ABMS Certified Doctor Verification Program, which may be accessed via the ABMS website, is recognized by NCQA as a reliable source for confirming an MD's board certifications.

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This website is not regarded as PSV and is merely meant for consumer reference.

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