Ncqa Study guides, Class notes & Summaries

CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A)CPCS Exam Questions and Answers (Graded A) MCO acronym for - ANSWER-Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - ANSWER-National Association of Medical Staff Services CPCS acronym for - ANSWER-Certified Provider Credentialing Specialist CVO acronym for - ANSWER-Credential Verifications Organization HEDIS acronym for - ANS...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - Five years According to the NCQA what policy must an organization have in place to obtain approval to...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - Five years According to the NCQA what policy must an organization have in place to obtain approval to...

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - The facility will not get paid for treating patients unless service is provided by an authorized provider Which of the following credentials must be tracked on an ongoing basis? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must ...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - ️️Yes According to TJC, who may amend the medical staff bylaws? - ️️Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - ️️The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - ️️Five years According to the NCQA what policy must an organization have ...

NCQA & URAC question and answers 2023 verified NCQA defines credentialing as - correct answer A process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. According to NCQA standards, practitioners who do not need to be credentialed are: - correct answer - Those who practice exclusively within the inpatient setting and who provide care for organization members only as a result of members being directed to ...

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? Five years According to the...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - Answer- HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Answer- Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - Answer- 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to disput...

CPCS Exam Questions and Answers Already Passed What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wish...

CPCS Exam Questions and Answers 100% Correct What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes...