Page 1 of 140
CPMSM EXAM/ PRACTICE EXAM AND STUDY GUIDE
NEWEST 2025 TEST BANK| COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| CPMSM EXAM
PREP 2025 (BRAND NEW!!)
Applicant completes an application that includes, reasons for
inability to perform, las of present illegal drug use, loss of license
or felony convictions. Loss or limitation of privileges or
disciplinary actions. Current malpractice insurance coverage,
current signed attestation confirming the correctness and
completeness of the application. If an application from an
external entity is used it must include the questions and
attestations as identified above. Signature stamps are not
acceptable unless the practitioner is physically impaired and the
disability is documented in the practitioners file. .....ANSWER.....
NCQA Health Plan/CVO
,Page 2 of 140
Which type of agenda is used on a meeting agenda to group
together non-controversial business and reports that can be
approved under one motion instead of individually approving
each item? .....ANSWER..... Consent Agenda
According to NCQA under what circumstance would a Locum
Tenens practitioner be exempt from credentialing?
.....ANSWER..... Covering Practitioner
According to NCQA, what must be included in the organization's
right to appeal policies? .....ANSWER..... written notification when
a professional review action has been brought against a
practitioner
reasons for the action
summary of the appeal rights and process
ability to request a hearing and the specific time period for
submitting the request
,Page 3 of 140
allowing for at least 30 calendar days after the notification for
practitioners to request a hearing
allowing representation by an attorney or another person
appointment of a hearing officer or a panel of individuals to
review the appeal
and written notification of the appeal decision that contains
specific reasons for the decision.
Which Accrediting body requires an attestation to the
practitioners identity? .....ANSWER..... The Joint Commission
According to HFAP, how often must a reappraisal of membership
and privileges occur? .....ANSWER..... Every 24 months
Which Accrediting Agency requires all practitioners with clinical
privileges to participate in continuing education? .....ANSWER.....
DNV
, Page 4 of 140
According to CMS, what criteria are used by the governing
board for the selection of medical staff members?
.....ANSWER..... Character, competence, training, experience, and
judgment
Which agency requires peer recommendations be obtained at
initial credentialing and reappointment? .....ANSWER..... AAAHC
Which regulatory agency standards must be followed for a
hospital to bill for Medicare/Medicaid services? .....ANSWER.....
CMS Conditions of Participation
Which Federal legislation created the National Practitioner Data
Bank? .....ANSWER..... HCQIA
According to TJC, what is required to make a recommendation to
the Governing Board? .....ANSWER..... Medical Executive
Committee
According to NCQA, the application process is located in what
document? .....ANSWER.....
CPMSM EXAM/ PRACTICE EXAM AND STUDY GUIDE
NEWEST 2025 TEST BANK| COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| CPMSM EXAM
PREP 2025 (BRAND NEW!!)
Applicant completes an application that includes, reasons for
inability to perform, las of present illegal drug use, loss of license
or felony convictions. Loss or limitation of privileges or
disciplinary actions. Current malpractice insurance coverage,
current signed attestation confirming the correctness and
completeness of the application. If an application from an
external entity is used it must include the questions and
attestations as identified above. Signature stamps are not
acceptable unless the practitioner is physically impaired and the
disability is documented in the practitioners file. .....ANSWER.....
NCQA Health Plan/CVO
,Page 2 of 140
Which type of agenda is used on a meeting agenda to group
together non-controversial business and reports that can be
approved under one motion instead of individually approving
each item? .....ANSWER..... Consent Agenda
According to NCQA under what circumstance would a Locum
Tenens practitioner be exempt from credentialing?
.....ANSWER..... Covering Practitioner
According to NCQA, what must be included in the organization's
right to appeal policies? .....ANSWER..... written notification when
a professional review action has been brought against a
practitioner
reasons for the action
summary of the appeal rights and process
ability to request a hearing and the specific time period for
submitting the request
,Page 3 of 140
allowing for at least 30 calendar days after the notification for
practitioners to request a hearing
allowing representation by an attorney or another person
appointment of a hearing officer or a panel of individuals to
review the appeal
and written notification of the appeal decision that contains
specific reasons for the decision.
Which Accrediting body requires an attestation to the
practitioners identity? .....ANSWER..... The Joint Commission
According to HFAP, how often must a reappraisal of membership
and privileges occur? .....ANSWER..... Every 24 months
Which Accrediting Agency requires all practitioners with clinical
privileges to participate in continuing education? .....ANSWER.....
DNV
, Page 4 of 140
According to CMS, what criteria are used by the governing
board for the selection of medical staff members?
.....ANSWER..... Character, competence, training, experience, and
judgment
Which agency requires peer recommendations be obtained at
initial credentialing and reappointment? .....ANSWER..... AAAHC
Which regulatory agency standards must be followed for a
hospital to bill for Medicare/Medicaid services? .....ANSWER.....
CMS Conditions of Participation
Which Federal legislation created the National Practitioner Data
Bank? .....ANSWER..... HCQIA
According to TJC, what is required to make a recommendation to
the Governing Board? .....ANSWER..... Medical Executive
Committee
According to NCQA, the application process is located in what
document? .....ANSWER.....
