CPMSM Practice Test – Certified Professional in Medical Staff
Management (exam preparation and review material)
Medical Staff - correct answer ✔✔according to the Joint Commission who is responsible for
developing criteria for FPPE when issues affecting the provision of safety patient care are
identified.
5 years - correct answer ✔✔NCQA requires an organization to obtain a claims history for a
minimum of how many years
every 6 Months - correct answer ✔✔According to NCQA how frequently must a delegate submit
a report to the organization
For health plans 180 days, for CVO 120 days - correct answer ✔✔verification time limit for
malpractice claims history
Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist, in Speech
and Language Therapist - correct answer ✔✔During an NCQA accreditation audit which
practitioner type would be included in an audit file
every 6 months - correct answer ✔✔According to NCQA how frequently must an organization
show evidence of an evaluation of the history of complaints for all practitioners
Medical Staff Structure, Qualifications for medical staff appointment, Duties and Privileges for
each medical staff category, Requirements for completing and documenting histories and
physicals, Description of medical staff member eligibility to vote, Medical Staff officers position,
function, size, and composition of MEC. - correct answer ✔✔According to the Joint Commission
medical staff bylaws must delineate which of the following
, 120 day - correct answer ✔✔In order to remain compliant with NCQA standards a CVO must
ensure that time-sensitive information is not older than how many days when it is released to
the client
active state license - correct answer ✔✔According to NCQA and initial application must include
which of the following verifications.
for health plans 180 days, for CVO 120 days. - correct answer ✔✔what is the verification time
limit for a state license
When a complaint is filed - correct answer ✔✔according to NCQA when must specific
practitioner site visit be conducted
Tracer mythology - correct answer ✔✔In educating medical staff leadership to the Joint
Commission survey process which of the following should be used
every three years - correct answer ✔✔according to URAC how often must a periodic review of
delegated functions occur
HCQIA - correct answer ✔✔which of the following specifically delineates the required
components of a fair hearing process
Medical School Graduation - correct answer ✔✔According to the Joint Commission the AMA is
considered an equivalent primary source for which of the following
monthly unless the agency is not on a consistent schedule then it must be requested every 6
months - correct answer ✔✔according to NCQA how frequently must ongoing monitoring of
Medicare Medicaid sanctions be conducted
Management (exam preparation and review material)
Medical Staff - correct answer ✔✔according to the Joint Commission who is responsible for
developing criteria for FPPE when issues affecting the provision of safety patient care are
identified.
5 years - correct answer ✔✔NCQA requires an organization to obtain a claims history for a
minimum of how many years
every 6 Months - correct answer ✔✔According to NCQA how frequently must a delegate submit
a report to the organization
For health plans 180 days, for CVO 120 days - correct answer ✔✔verification time limit for
malpractice claims history
Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist, in Speech
and Language Therapist - correct answer ✔✔During an NCQA accreditation audit which
practitioner type would be included in an audit file
every 6 months - correct answer ✔✔According to NCQA how frequently must an organization
show evidence of an evaluation of the history of complaints for all practitioners
Medical Staff Structure, Qualifications for medical staff appointment, Duties and Privileges for
each medical staff category, Requirements for completing and documenting histories and
physicals, Description of medical staff member eligibility to vote, Medical Staff officers position,
function, size, and composition of MEC. - correct answer ✔✔According to the Joint Commission
medical staff bylaws must delineate which of the following
, 120 day - correct answer ✔✔In order to remain compliant with NCQA standards a CVO must
ensure that time-sensitive information is not older than how many days when it is released to
the client
active state license - correct answer ✔✔According to NCQA and initial application must include
which of the following verifications.
for health plans 180 days, for CVO 120 days. - correct answer ✔✔what is the verification time
limit for a state license
When a complaint is filed - correct answer ✔✔according to NCQA when must specific
practitioner site visit be conducted
Tracer mythology - correct answer ✔✔In educating medical staff leadership to the Joint
Commission survey process which of the following should be used
every three years - correct answer ✔✔according to URAC how often must a periodic review of
delegated functions occur
HCQIA - correct answer ✔✔which of the following specifically delineates the required
components of a fair hearing process
Medical School Graduation - correct answer ✔✔According to the Joint Commission the AMA is
considered an equivalent primary source for which of the following
monthly unless the agency is not on a consistent schedule then it must be requested every 6
months - correct answer ✔✔according to NCQA how frequently must ongoing monitoring of
Medicare Medicaid sanctions be conducted
