CPCS FREE CPCS Basic Questions and Answers 2

Question 1

In medical credentialing, what does the abbreviation 'LIP' stand for?

Accepted Answer

Licensed Independent Practitioner

Answer

LIP stands for Licensed Independent Practitioner, a practitioner licensed to practice independently and without supervision under state law.

Question 2

What is the difference between 'certification' and 'licensure' in the context of healthcare practitioner credentials?

Accepted Answer

Licensure is mandatory government authorization to practice; certification is voluntary professional recognition of specialized knowledge or competency

Answer

Licensure is mandatory government permission to practice a profession within a state; certification is typically voluntary recognition by a professional body (such as an ABMS board) of specialized expertise or competency beyond basic licensure.

Question 3

Which of the following is most accurate regarding the relationship between credentialing and patient safety?

Accepted Answer

Credentialing is a patient safety mechanism that helps ensure only qualified practitioners provide care

Answer

Credentialing is fundamentally a patient safety mechanism, by verifying practitioner qualifications and monitoring ongoing competence, it helps ensure that only qualified, competent practitioners provide care to patients.

Question 4

What is 'delegated credentialing' in the context of health plan credentialing?

Accepted Answer

When a health plan authorizes another organization (such as a hospital or CVO) to perform credentialing activities on the plan's behalf

Answer

Delegated credentialing occurs when a health plan formally authorizes another qualified organization to perform credentialing activities on its behalf, subject to a delegation agreement and ongoing oversight.

Question 5

Which of the following best describes the concept of 'tail coverage' in malpractice insurance?

Accepted Answer

Extended reporting period coverage that provides protection after a claims-made policy ends for incidents that occurred during the policy period

Answer

Tail coverage (extended reporting endorsement) extends the reporting period for a claims-made malpractice policy, allowing claims to be filed after the policy ends for incidents that occurred during the policy period.

CPCS - Certified Provider Credentialing Specialist Practice Test

CPCS - Certified Provider Credentialing Specialist Practice Test

CPCS FREE CPCS Basic Questions and Answers 2