Hcqia and npdb Study guides, Class notes & Summaries

What does HCQIA stand for? correct answer: Health Care Quality Improvement Act When was HCQIA enacted by congress? correct answer: 1986 What is the purpose of HCQIA? correct answer: HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. What system was developed as a result of HCQIA? correct answer: The National Practitioner Databank (NPDB) What does HCQIA protect? correct answer: The review of phy...

CPCS/CPMSM Sample Questions and Answers 2024 Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to the Joint Commission, who may amend the medical staff bylaws? Governing Body Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:06 / 0:15 Full screen Failure to meet the established qualifications and criteria for appointment should be reported to whom? The a...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)What does HCQIA stand for? - correct answer Health Care Quality Improvement Act When was HCQIA enacted by congress? - correct answer 1986 What is the purpose of HCQIA? - correct answer HCQIA was enacted to created a national tracking system of physicians with a history of medical malpractice payments or adverse actions. What system was developed as a result of HCQIA? - correct answer The National ...

CPMSM Knowledge Check Medicare requires providers to perform what process every 3-5 years? - correct answer Revalidation According to DNV standards, initial appointments to the medical staff are not to exceed what time period? - correct answer 36 months / 3 years T/F: The Joint Commission standards require that the applicant's participation in continuing education is evaluated and considered on initial appointment to the medical staff. - correct answer False. Participating in continu...

CPMSM QUESTIONS AND ANSWERS FULLY SOLVED HFAP stands for? Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? Governing Body or Board Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which NCQA-required committee makes recommendations regarding credentialin...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? correct answers Yes According to TJC, who may amend the medical staff bylaws? correct answers Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? correct answers The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? correct answers Five years According to the NCQA what p...

CPCS/CPMSM Exam Questions and Answers Graded A+ 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 identi...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank)

CPCS Certified Provider Credentialing Specialist (2023/2024) Graded A What elements should a peer recommendation include according to TJC? Patient Care, medical clinical knowledge, practice based learning, interpersonal and communication skills, system-based practice Peer recommendations according to NCQA There is no specific requirement for peer recommendations. The organization must designate a Credentialing Committee that uses a peer-review process to make recommendations regarding credentia...

CPMSM- HCQIA (Healthcare Quality Improvement Act) and NPDB (National Practitioner Databank questions and answers verified 2024