CPMSM Study Questions | 63
Questions with 100% Correct
Answers | Updated & Verified | 2023
Why is it important to check that the practitioner is not currently
excluded, suspended, debarred, or ineligible to participate in
Federal health care programs? - -The facility will not get paid for
treating patients unless service is provided by an authorized
provider
-Which of the following credentials must be tracked on an
ongoing basis? - -Licensure
-According to NCQA standards, an organization that discovers
sanction information, complaints, or adverse events regarding a
practitioner must take what action? - -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 through 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 an adverse
action history? - -National Practitioner Data Bank
, -When developing clinical privileging criteria, which of the
following is important to evaluate? - -Established standards of
practice such as, specialty board recommendations
-What is the main reason for periodically assessing
appropriateness of clinical privileges for each specialty? - -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? - -Interventional Cardiologist
-The Joint Commission hospital standards require that clinical
privileges are hospital specific and: - -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? - -Transesophageal Echocardiography
-Which NCQA required committee makes recommendations
regarding credentialing decisions? - -Credentials Committee
-HFAP standards require three medical staff committees to be
delineated in the medical staff structure. Two of them are the
Questions with 100% Correct
Answers | Updated & Verified | 2023
Why is it important to check that the practitioner is not currently
excluded, suspended, debarred, or ineligible to participate in
Federal health care programs? - -The facility will not get paid for
treating patients unless service is provided by an authorized
provider
-Which of the following credentials must be tracked on an
ongoing basis? - -Licensure
-According to NCQA standards, an organization that discovers
sanction information, complaints, or adverse events regarding a
practitioner must take what action? - -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 through 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 an adverse
action history? - -National Practitioner Data Bank
, -When developing clinical privileging criteria, which of the
following is important to evaluate? - -Established standards of
practice such as, specialty board recommendations
-What is the main reason for periodically assessing
appropriateness of clinical privileges for each specialty? - -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? - -Interventional Cardiologist
-The Joint Commission hospital standards require that clinical
privileges are hospital specific and: - -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? - -Transesophageal Echocardiography
-Which NCQA required committee makes recommendations
regarding credentialing decisions? - -Credentials Committee
-HFAP standards require three medical staff committees to be
delineated in the medical staff structure. Two of them are the
