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CERTIFIED PROVIDER CREDENTIALING SPECIALIST
(CPCS) PRACTICE EXAM LATEST UPDATE 2026-2027
WITH COMPLETE 200 QUESTIONS AND CORRECT
VERIFIED SOLUTIONS JUST RELEASED
Question: According to JC what is included in the process of planning and implementing
privileges? - CORRECT ANSWER✔✔Develop & approve procedure list\nProcess the
application\nEvaluate applicant specific information\nSubmit recommendations to governing
body for applicant specific delineated privileges\nNotify the applicant, relevant
personnel\nMonitor the use of privileges
Question: Are payments made by a physician in a malpractice claim reportable to the NPDB? -
CORRECT ANSWER✔✔No
Question: Who requires Peer References - CORRECT ANSWER✔✔JC, HFAP, AAAHC
Question: Who reappoints - CORRECT ANSWER✔✔JC, HFAP, NCQA, URAC
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SUCCESS!
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Question: Who requires an attestation? - CORRECT ANSWER✔✔NCQA, URAC, AAAHC
Question: Who requires education verification? - CORRECT ANSWER✔✔JC, HFAP, URAC,
AAAHC
Question: Who requires statement regarding felony convictions? - CORRECT ANSWER✔✔HFAP,
NCQA, AAAHC
Question: Attestation must state that the information submitted is complete & correct -
CORRECT ANSWER✔✔NCQA, AAAHC
Question: Attestation must state that the information submitted is complete & accurate -
CORRECT ANSWER✔✔URAC
Q: What two accreditors state: a hospital may not rely solely on board certification when
considering practitioner for medical staff membership? - CORRECT ANSWER✔✔HFAP, CMS
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Question: According to JC & HFAP name four approved sources PSV for Medical Education -
CORRECT ANSWER✔✔Medical School, AMA, ECFMG, AOA
Question: According to NCQA practitioners must be notified of credentialing decision within
how many days? - CORRECT ANSWER✔✔60 Days
Question: The DHHS mails a copy of the NPDB report to the named provider. If the provider
wishes to dispute the reports accuracy, the provider has how many days to do so? - CORRECT
ANSWER✔✔60 Days
Question: According to URAQ, within how many days must the practitioner be notified of
credentialing decisions? - CORRECT ANSWER✔✔10 Days
Question: How many days does a practitioner have to dispute an NPDB report accuracy -
CORRECT ANSWER✔✔60 Days
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SUCCESS!
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Question: Which accrediting body requires five year verification of malpractice history -
CORRECT ANSWER✔✔NCQA
Question: What is commonly used source for verifying malpractice history - CORRECT
ANSWER✔✔NPDB
Question: According to the JC a fair hearing and appeals process as described in the medical
staff bylaws is available to whom? - CORRECT ANSWER✔✔Medical staff members and non-
members holding clinical privileges
Question: T/F Only the highest of training must be verified according to NCQA - CORRECT
ANSWER✔✔True
Question: According to the Joint Commission a peer recommendation should address what six
competencies? - CORRECT ANSWER✔✔Medical knowledge\nTechnical & clinical skill\nclinical
judgment\ninterpersonal skills\ncommunication skills\nprofessionalism
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SUCCESS!
CERTIFIED PROVIDER CREDENTIALING SPECIALIST
(CPCS) PRACTICE EXAM LATEST UPDATE 2026-2027
WITH COMPLETE 200 QUESTIONS AND CORRECT
VERIFIED SOLUTIONS JUST RELEASED
Question: According to JC what is included in the process of planning and implementing
privileges? - CORRECT ANSWER✔✔Develop & approve procedure list\nProcess the
application\nEvaluate applicant specific information\nSubmit recommendations to governing
body for applicant specific delineated privileges\nNotify the applicant, relevant
personnel\nMonitor the use of privileges
Question: Are payments made by a physician in a malpractice claim reportable to the NPDB? -
CORRECT ANSWER✔✔No
Question: Who requires Peer References - CORRECT ANSWER✔✔JC, HFAP, AAAHC
Question: Who reappoints - CORRECT ANSWER✔✔JC, HFAP, NCQA, URAC
1
SUCCESS!
,Page 2 of 80
Question: Who requires an attestation? - CORRECT ANSWER✔✔NCQA, URAC, AAAHC
Question: Who requires education verification? - CORRECT ANSWER✔✔JC, HFAP, URAC,
AAAHC
Question: Who requires statement regarding felony convictions? - CORRECT ANSWER✔✔HFAP,
NCQA, AAAHC
Question: Attestation must state that the information submitted is complete & correct -
CORRECT ANSWER✔✔NCQA, AAAHC
Question: Attestation must state that the information submitted is complete & accurate -
CORRECT ANSWER✔✔URAC
Q: What two accreditors state: a hospital may not rely solely on board certification when
considering practitioner for medical staff membership? - CORRECT ANSWER✔✔HFAP, CMS
2
SUCCESS!
,Page 3 of 80
Question: According to JC & HFAP name four approved sources PSV for Medical Education -
CORRECT ANSWER✔✔Medical School, AMA, ECFMG, AOA
Question: According to NCQA practitioners must be notified of credentialing decision within
how many days? - CORRECT ANSWER✔✔60 Days
Question: The DHHS mails a copy of the NPDB report to the named provider. If the provider
wishes to dispute the reports accuracy, the provider has how many days to do so? - CORRECT
ANSWER✔✔60 Days
Question: According to URAQ, within how many days must the practitioner be notified of
credentialing decisions? - CORRECT ANSWER✔✔10 Days
Question: How many days does a practitioner have to dispute an NPDB report accuracy -
CORRECT ANSWER✔✔60 Days
3
SUCCESS!
, Page 4 of 80
Question: Which accrediting body requires five year verification of malpractice history -
CORRECT ANSWER✔✔NCQA
Question: What is commonly used source for verifying malpractice history - CORRECT
ANSWER✔✔NPDB
Question: According to the JC a fair hearing and appeals process as described in the medical
staff bylaws is available to whom? - CORRECT ANSWER✔✔Medical staff members and non-
members holding clinical privileges
Question: T/F Only the highest of training must be verified according to NCQA - CORRECT
ANSWER✔✔True
Question: According to the Joint Commission a peer recommendation should address what six
competencies? - CORRECT ANSWER✔✔Medical knowledge\nTechnical & clinical skill\nclinical
judgment\ninterpersonal skills\ncommunication skills\nprofessionalism
4
SUCCESS!
