Npdb Study guides, Class notes & Summaries

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? Five years According to the...

CPMSM Ultimate Study Set 03 2019NPDB - correct answer National Practitioner Databank NPDB Contains: (what type of info) - correct answer - adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be reported? - correct answer - Professional revie...

Peer Review, Credentialing & NPDB

NPDB Question and answers already passed 2023/2024NPDB - correct answer a national register of physicians, dentists, and other health care practitioners, was established by the federal government in response to provisions of the Health Care Quality Improvement Act of 1986 (HCQIA). NPDB primary objective - correct answer to improve the quality of health care by encouraging state licensing boards, hospitals, professional societies, and other health care entities to identify and discipline those...

HCQIA and NPDB

CPCS/CPMSM Sample Questions 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 Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of ???? years of work history? - 5 years According to NCQA what policy must an organiza...

NPDB 2 Question and answers already passed 2023/2024 TJC - correct answer Query on I, renewal of priv, new priv including temp priv NCQA - correct answer Acceptable source for sanctions or limitations on licensure & m/m sanctions & malpractice history HFAP - correct answer Required on I/R. App request info on actions on NPDB DNV - correct a

NPDB Guidebook 2021(UPDATED) Question and answers 100% correct NPDB - correct answer On May 6, 2013, NPDB operations were consolidated with those of the former HIPDB. As a result of this consolidation, information previously collected and disclosed by the HIPDB is now collected and disclosed by the Section 6403 of the Patient Protection and Affordable Care Act of 2010 - correct answer To eliminate duplication and prevent the overlap existing in some reporting and querying requirements, Cong...

NPDB National Practitioner Databank

NPDB National Practitioner Databank