CPMSM Preparation 2026
Exam Questions and Verified
Answers | Already Graded A+
Why is it important to check that the practitioner is not currently exclude,
suspended, debarred, or ineligible to participate in Federal health care
programs? - 🧠ANSWER ✔✔The facility will not get paid for treating patients
unless the service is provided by an authorized provider.
Which of the following credentials must be tracked on an ongoing basis? -
🧠ANSWER ✔✔Licensure
,According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must
take what action? - 🧠ANSWER ✔✔Determine if there is evidence of poor
quality that could affect the health and safety of its members.
What is the name of the entity that was established thru the Health Care
Quality Improvement Act of 1986 to restrict the ability of incompetent
physicians, dentists, and other health care practitioners to move from state
to state without disclosure or discovery of previous medical malpractice
payment and adverse action history? - 🧠ANSWER ✔✔The Nation
Practitioner Data Bank
When developing clinical privileging criteria, which of the following is
important to evaluate? - 🧠ANSWER ✔✔Established standards of practice
such as specialty board recommendations.
What is the main reason for periodically assessing appropriateness of
clinical privileges for each specialty? - 🧠ANSWER ✔✔To protect patient
safety by ensuring current competency, relevance to the facility, and
accepted standards of care.
, Which of the following specialists is most likely to perform a PTCA? -
🧠ANSWER ✔✔Interventional Cardiologist
The Joint Commission hospital standards require that clinical privileges are
hospital specific and - 🧠ANSWER ✔✔Based on the individual's
demonstrated current competence and the procedures the hospital can
support.
Which of the following would be routinely performed by a cardiologist? -
🧠ANSWER ✔✔Transesophageal Echocardiography
Which NCQA required committee makes recommendations regarding
credentialing decisions? - 🧠ANSWER ✔✔Credentialing Committee
HFAP standards require three medical staff committees to be delineated in
the medical staff structure; what are they? - 🧠ANSWER ✔✔Medical
Executive Committee, the Utilization Review Committee and the Utilization
of Osteopathic Methods and Concepts Committee
If you needed to find out about what the federal government requires in
regards to anti-trust issues, what law would you consult? - 🧠ANSWER
✔✔The Sherman Anti-trust Act
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Verified
Answers | Already Graded A+
Why is it important to check that the practitioner is not currently exclude,
suspended, debarred, or ineligible to participate in Federal health care
programs? - 🧠ANSWER ✔✔The facility will not get paid for treating patients
unless the service is provided by an authorized provider.
Which of the following credentials must be tracked on an ongoing basis? -
🧠ANSWER ✔✔Licensure
,According to NCQA standards, an organization that discovers sanction
information, complaints, or adverse events regarding a practitioner must
take what action? - 🧠ANSWER ✔✔Determine if there is evidence of poor
quality that could affect the health and safety of its members.
What is the name of the entity that was established thru the Health Care
Quality Improvement Act of 1986 to restrict the ability of incompetent
physicians, dentists, and other health care practitioners to move from state
to state without disclosure or discovery of previous medical malpractice
payment and adverse action history? - 🧠ANSWER ✔✔The Nation
Practitioner Data Bank
When developing clinical privileging criteria, which of the following is
important to evaluate? - 🧠ANSWER ✔✔Established standards of practice
such as specialty board recommendations.
What is the main reason for periodically assessing appropriateness of
clinical privileges for each specialty? - 🧠ANSWER ✔✔To protect patient
safety by ensuring current competency, relevance to the facility, and
accepted standards of care.
, Which of the following specialists is most likely to perform a PTCA? -
🧠ANSWER ✔✔Interventional Cardiologist
The Joint Commission hospital standards require that clinical privileges are
hospital specific and - 🧠ANSWER ✔✔Based on the individual's
demonstrated current competence and the procedures the hospital can
support.
Which of the following would be routinely performed by a cardiologist? -
🧠ANSWER ✔✔Transesophageal Echocardiography
Which NCQA required committee makes recommendations regarding
credentialing decisions? - 🧠ANSWER ✔✔Credentialing Committee
HFAP standards require three medical staff committees to be delineated in
the medical staff structure; what are they? - 🧠ANSWER ✔✔Medical
Executive Committee, the Utilization Review Committee and the Utilization
of Osteopathic Methods and Concepts Committee
If you needed to find out about what the federal government requires in
regards to anti-trust issues, what law would you consult? - 🧠ANSWER
✔✔The Sherman Anti-trust Act
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
