CPCS LATEST EVALUTION EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔How is the medical Staff structured - ✔✔the organizational structure of the medical
staff as delineated in it's bylaws defined the framework within which medical staff
appointees act and interact in hospital related activities.
✔✔Bylaws - why are they written - ✔✔Bylaws are written to conform to generally
accepted guidelines for broad content categories - they ensure compliance with legal
requirements and accreditation and regulatory agencies.
✔✔Why review your bylaws - ✔✔bylaws are reviewed and appropriate amendments are
essential to keep up with changes in accreditation standards and regulatory
requirements
✔✔How often should your bylaws be reviewed - ✔✔Typically MSO's make provisiton for
at least a biennial review of the bylaws.
✔✔Bylaws committee - purpose - ✔✔the purpose of the bylaws committee is to review
the bylaws and to make recommendations to the medical staff's executive committee
(MEC)
✔✔When do bylaw changes go into effect - ✔✔bylaw changes are adopted by majority
vote of the medical staff. Bylaw changes are not effective until approved by the
governing body.
✔✔What should be included in your bylaws - ✔✔Bylaws should include all items
necessary to provide a basic frame work for the MSO and to fulfill requirements of the
law, regulatory agencies, and accreditation bodies. Also some states have specific
requirements for elements to be included in bylaws.
✔✔Detail what medical staff appointees may or may not do. such as requirements for
specific clinical processes, rules of each clinical department, requirements for ER
coverage, guidelines for obtaining consultation, membership dues, provisions for leave
of absence, medical records completion, community call coverage requirements,
meeting attendance, and other staff responsibilities and prerogatives. - ✔✔Rules and
Regulations -
✔✔How can changes be made for rules and regulations for individual departments -
✔✔the medical staff may delegate the authority for changing the rules and regulations
to the MEC.
✔✔describe the course of conduct or action pursued or the management of a matter in
certain circumstances. Policies are often used to address internal matters and may be
, subject to frequent change. The medical Staff may delegate the authority for changing
the rules and regs to the MEC. - ✔✔Policies and Procedures -
✔✔Why should MSP's be familiar with the regs and accreditation standards that apply
to their organization? - ✔✔It is a good idea to audit bylaws, rules, regs, and policies to
make sure that they comply with state regs and accreditation standards.
✔✔What if you find out you are not compliant with your bylaws? - ✔✔You should
determine the basis for the bylaw requirement, if it is not required by accreditation
standards, state of federal regs, confer with your legal counsel as to whether not to
change the bylaws to reflect your current practice.
✔✔Instead of Bylaws what do MCO's use? - ✔✔MCO's use policies and procedures to
delineate required functions.
✔✔Who gets credentialed - ✔✔Hospitals governing body and medical staff define
medical staff membership criteria in the bylaws.
✔✔NCQA describes credentialing as- - ✔✔The process by which the managed care
organization authorizes contracts with or employs clinicians who are licensed to practice
independently to provide services to it members.
✔✔Who do the credentialing standards apply to? - ✔✔They apply to all licensed
practitioners or groups of practitioners who provide care to the organizations members
✔✔What criteria must the bylaws include to meet CoPs requirements - ✔✔Your bylaws
must describe the qualifications required of a candidate in order for the medical staff to
recommend appointment by the governing body.
✔✔Main Motion - ✔✔This motion introduces items to membership for consideration and
cannot be made when any other motion is on the floor.
✔✔Subsidary Motion - ✔✔This motion changes or affects how a main motion is
handled. Subsidary motion is voted on before a main motion.
✔✔Call for Order of the Day - ✔✔A request to follow the agenda
✔✔Privileged motion - ✔✔This motion brings up items that are urgent - unrelated to
pending business. Take precedence over all other motions.
✔✔A motion to divide the assemble - ✔✔A more exlicit type of vote (show of hands)
✔✔Incidental motions - ✔✔Resolve particular questions that arise in connections with
the assembly's conduct of business. They take priority over main motions.
ANSWERS SURE A+
✔✔How is the medical Staff structured - ✔✔the organizational structure of the medical
staff as delineated in it's bylaws defined the framework within which medical staff
appointees act and interact in hospital related activities.
✔✔Bylaws - why are they written - ✔✔Bylaws are written to conform to generally
accepted guidelines for broad content categories - they ensure compliance with legal
requirements and accreditation and regulatory agencies.
✔✔Why review your bylaws - ✔✔bylaws are reviewed and appropriate amendments are
essential to keep up with changes in accreditation standards and regulatory
requirements
✔✔How often should your bylaws be reviewed - ✔✔Typically MSO's make provisiton for
at least a biennial review of the bylaws.
✔✔Bylaws committee - purpose - ✔✔the purpose of the bylaws committee is to review
the bylaws and to make recommendations to the medical staff's executive committee
(MEC)
✔✔When do bylaw changes go into effect - ✔✔bylaw changes are adopted by majority
vote of the medical staff. Bylaw changes are not effective until approved by the
governing body.
✔✔What should be included in your bylaws - ✔✔Bylaws should include all items
necessary to provide a basic frame work for the MSO and to fulfill requirements of the
law, regulatory agencies, and accreditation bodies. Also some states have specific
requirements for elements to be included in bylaws.
✔✔Detail what medical staff appointees may or may not do. such as requirements for
specific clinical processes, rules of each clinical department, requirements for ER
coverage, guidelines for obtaining consultation, membership dues, provisions for leave
of absence, medical records completion, community call coverage requirements,
meeting attendance, and other staff responsibilities and prerogatives. - ✔✔Rules and
Regulations -
✔✔How can changes be made for rules and regulations for individual departments -
✔✔the medical staff may delegate the authority for changing the rules and regulations
to the MEC.
✔✔describe the course of conduct or action pursued or the management of a matter in
certain circumstances. Policies are often used to address internal matters and may be
, subject to frequent change. The medical Staff may delegate the authority for changing
the rules and regs to the MEC. - ✔✔Policies and Procedures -
✔✔Why should MSP's be familiar with the regs and accreditation standards that apply
to their organization? - ✔✔It is a good idea to audit bylaws, rules, regs, and policies to
make sure that they comply with state regs and accreditation standards.
✔✔What if you find out you are not compliant with your bylaws? - ✔✔You should
determine the basis for the bylaw requirement, if it is not required by accreditation
standards, state of federal regs, confer with your legal counsel as to whether not to
change the bylaws to reflect your current practice.
✔✔Instead of Bylaws what do MCO's use? - ✔✔MCO's use policies and procedures to
delineate required functions.
✔✔Who gets credentialed - ✔✔Hospitals governing body and medical staff define
medical staff membership criteria in the bylaws.
✔✔NCQA describes credentialing as- - ✔✔The process by which the managed care
organization authorizes contracts with or employs clinicians who are licensed to practice
independently to provide services to it members.
✔✔Who do the credentialing standards apply to? - ✔✔They apply to all licensed
practitioners or groups of practitioners who provide care to the organizations members
✔✔What criteria must the bylaws include to meet CoPs requirements - ✔✔Your bylaws
must describe the qualifications required of a candidate in order for the medical staff to
recommend appointment by the governing body.
✔✔Main Motion - ✔✔This motion introduces items to membership for consideration and
cannot be made when any other motion is on the floor.
✔✔Subsidary Motion - ✔✔This motion changes or affects how a main motion is
handled. Subsidary motion is voted on before a main motion.
✔✔Call for Order of the Day - ✔✔A request to follow the agenda
✔✔Privileged motion - ✔✔This motion brings up items that are urgent - unrelated to
pending business. Take precedence over all other motions.
✔✔A motion to divide the assemble - ✔✔A more exlicit type of vote (show of hands)
✔✔Incidental motions - ✔✔Resolve particular questions that arise in connections with
the assembly's conduct of business. They take priority over main motions.
