CPMSM EXAMS COMPILATION BUNDLE
EXAMS SET 2026 FULL SOLUTIONS AND
VERIFIED ANSWERS GRADED A+
⩥ | Formerly EPLS.gov was system that maintained list of people/orgs
excluded from doing business with fed gov. New system is sam.gov.
Free access, open to anyone. Answer: System for Award Management
(SAM)
⩥ | Demographics (name, degree, contact, social, gender etc.) Education
(verify highest level of training (residency), or board cert. Med school
can be verified but undergrad ed is not verified. Answer: PSV of
Individual Credentials
⩥ | TJC requires at time of appt, verification of training through PSV.
Medical school can be PSV through school, AMA, ECFMG, AOA, Am
Academy of Physician Assistants (AAPA). Answer: TJC Accreditation
Standards Regarding Verification of Education
⩥ | HFAP, PSV is required and incl AMA profile, AOA profile, ECFMG.
Answer: HFAP Accreditation Standards Regarding Verification of
Education
,⩥ | DNV, PSV required upon initial appt, through AMA/ECFMG.
Answer: DNV Accreditation Standards Regarding Verification of
Education
⩥ | NCQA, Verification time limit, must be prior to credentialing
decision. Org must verify highest of three levels of education;
graduation from school; residency or board cert. So you only need to
verify board certs bc this element already includes verification of
education. NCQA does not require/accept verification of fellowship to
meet this requirement. If practitioner submits transcripts to org in
institution sealed envelope, NCQA accepts this as PSV for
education/training. Org must show that it opened envelope/viewed doc.
NCQA approved sources include medical school, AMA, AOA, ECFMG,
licensing agency, FSMB. Oral/maxillo surgeons must be accredited by
Commission on Dental Accreditation (CODA) State licensing agency.
Schools /boards must be PSVd for podiatrists, other non-physician
professionals. Answer: NCQA Accreditation Standards Regarding
Verification of Education
⩥ Post-grad (residency/fellowship) and dates are verified, in addition to
competence. Specialized training outside of this that would qualify
applicant for special privileges (training on a robotic tool) must also be
verified. Answer: Training under TJC
⩥ TJC, at the time of initial privileges, training must be PSV. TJC allows
AMA, AOA. Answer: TJC Accreditation Standards Regarding
Verification of Training
,⩥ HFAP, PSV includes direct contact with program, AMA, AOA, and
documentation regarding training to support additional privileges.
Answer: HFAP Accreditation Standards Regarding Verification of
Training
⩥ DNV, must be documented in bylaws. AMA is acceptable. Answer:
DNV Accreditation Standards Regarding Verification of Training
⩥ NCQA, org must verify highest level of credentials attained.
Transcript from org with sealed envelope and unbroken seal is
acceptable as PSV. Org must show it opened document and viewed.
NCQA approved sources incl residency training, AMA, AOA, school,
state licensing, boards. Answer: NCQA Accreditation Standards
Regarding Verification of Training
⩥ URAC, verification time limit: 6 months. History of ed/training must
be on app. PSV can incl licensing board, school residency, training. If
you rely on verification from state licensing board, this should be noted
in credentials file. You should also confirm that state board verifies
credential. Verify highest level of ed/training. No need to verify
education/training if board cert is verified. Answer: URAC Accreditation
Standards Regarding Verification of Training
⩥ AAAHC, verify PS on initial appt, and review for time gaps. Answer:
AAAHC Accreditation Standards Regarding Verification of Training
, ⩥ Some hospitals only verify 5-10 yrs. Inquiries should include dates on
staff, standing, category, disciplinary actions, professional practice evals.
Answer: Professional Experience/Work History/Hospital Affiliations
⩥ TJC, no standard requirement to verify other hospital affiliations or
work history. Answer: TJC Accreditation Standards Re: Work History
⩥ HFAP verification of healthcare employment/work hx is required.
Should confirm appt, privilege history, disciplinary actions, resignations,
reduction in privileges. Answer: HFAP Accreditation Standards Re:
Work History
⩥ DNV, work history not specifically addressed; but bylaws for
determining privileges must incorporate experience. Answer: DNV
Accreditation Standards Re: Work History
⩥ NCQA, Verification time limit: 365 calendar days for health plan (e.g.
MedStar Family Choice), 305 calendar days for CVO. NCQA does not
require PSV of work history. But min of 5 yrs relevant work history
must be obtained and reviewed. If practitioner has less than 5 yrs of
work hx, history begins with initial licensure. Time gaps over 6 months
shall be reviewed and explained. Gap in excess of one year must be
clarified by practitioner in writing. Answer: NCQA Accreditation
Standards Re: Work History
EXAMS SET 2026 FULL SOLUTIONS AND
VERIFIED ANSWERS GRADED A+
⩥ | Formerly EPLS.gov was system that maintained list of people/orgs
excluded from doing business with fed gov. New system is sam.gov.
Free access, open to anyone. Answer: System for Award Management
(SAM)
⩥ | Demographics (name, degree, contact, social, gender etc.) Education
(verify highest level of training (residency), or board cert. Med school
can be verified but undergrad ed is not verified. Answer: PSV of
Individual Credentials
⩥ | TJC requires at time of appt, verification of training through PSV.
Medical school can be PSV through school, AMA, ECFMG, AOA, Am
Academy of Physician Assistants (AAPA). Answer: TJC Accreditation
Standards Regarding Verification of Education
⩥ | HFAP, PSV is required and incl AMA profile, AOA profile, ECFMG.
Answer: HFAP Accreditation Standards Regarding Verification of
Education
,⩥ | DNV, PSV required upon initial appt, through AMA/ECFMG.
Answer: DNV Accreditation Standards Regarding Verification of
Education
⩥ | NCQA, Verification time limit, must be prior to credentialing
decision. Org must verify highest of three levels of education;
graduation from school; residency or board cert. So you only need to
verify board certs bc this element already includes verification of
education. NCQA does not require/accept verification of fellowship to
meet this requirement. If practitioner submits transcripts to org in
institution sealed envelope, NCQA accepts this as PSV for
education/training. Org must show that it opened envelope/viewed doc.
NCQA approved sources include medical school, AMA, AOA, ECFMG,
licensing agency, FSMB. Oral/maxillo surgeons must be accredited by
Commission on Dental Accreditation (CODA) State licensing agency.
Schools /boards must be PSVd for podiatrists, other non-physician
professionals. Answer: NCQA Accreditation Standards Regarding
Verification of Education
⩥ Post-grad (residency/fellowship) and dates are verified, in addition to
competence. Specialized training outside of this that would qualify
applicant for special privileges (training on a robotic tool) must also be
verified. Answer: Training under TJC
⩥ TJC, at the time of initial privileges, training must be PSV. TJC allows
AMA, AOA. Answer: TJC Accreditation Standards Regarding
Verification of Training
,⩥ HFAP, PSV includes direct contact with program, AMA, AOA, and
documentation regarding training to support additional privileges.
Answer: HFAP Accreditation Standards Regarding Verification of
Training
⩥ DNV, must be documented in bylaws. AMA is acceptable. Answer:
DNV Accreditation Standards Regarding Verification of Training
⩥ NCQA, org must verify highest level of credentials attained.
Transcript from org with sealed envelope and unbroken seal is
acceptable as PSV. Org must show it opened document and viewed.
NCQA approved sources incl residency training, AMA, AOA, school,
state licensing, boards. Answer: NCQA Accreditation Standards
Regarding Verification of Training
⩥ URAC, verification time limit: 6 months. History of ed/training must
be on app. PSV can incl licensing board, school residency, training. If
you rely on verification from state licensing board, this should be noted
in credentials file. You should also confirm that state board verifies
credential. Verify highest level of ed/training. No need to verify
education/training if board cert is verified. Answer: URAC Accreditation
Standards Regarding Verification of Training
⩥ AAAHC, verify PS on initial appt, and review for time gaps. Answer:
AAAHC Accreditation Standards Regarding Verification of Training
, ⩥ Some hospitals only verify 5-10 yrs. Inquiries should include dates on
staff, standing, category, disciplinary actions, professional practice evals.
Answer: Professional Experience/Work History/Hospital Affiliations
⩥ TJC, no standard requirement to verify other hospital affiliations or
work history. Answer: TJC Accreditation Standards Re: Work History
⩥ HFAP verification of healthcare employment/work hx is required.
Should confirm appt, privilege history, disciplinary actions, resignations,
reduction in privileges. Answer: HFAP Accreditation Standards Re:
Work History
⩥ DNV, work history not specifically addressed; but bylaws for
determining privileges must incorporate experience. Answer: DNV
Accreditation Standards Re: Work History
⩥ NCQA, Verification time limit: 365 calendar days for health plan (e.g.
MedStar Family Choice), 305 calendar days for CVO. NCQA does not
require PSV of work history. But min of 5 yrs relevant work history
must be obtained and reviewed. If practitioner has less than 5 yrs of
work hx, history begins with initial licensure. Time gaps over 6 months
shall be reviewed and explained. Gap in excess of one year must be
clarified by practitioner in writing. Answer: NCQA Accreditation
Standards Re: Work History
