1.
Who on initial appointment reviews works history for continuity and relevance?
Correct Answer
B. AAAHC
Explanation
AAAHC stands for Accreditation Association for Ambulatory Health Care. They are an organization that accredits and certifies healthcare organizations, specifically ambulatory care facilities. As part of their accreditation process, AAAHC conducts a thorough review of an organization's works history for continuity and relevance. This helps ensure that the organization has a consistent and relevant track record in providing quality care to patients. Therefore, AAAHC is the correct answer for the question.
2.
Who allows FSMB to verify license sanctions?
Correct Answer
A. TJC, NCQA, HFAP
Explanation
The correct answer is TJC, NCQA, HFAP. The explanation is that TJC (The Joint Commission), NCQA (National Committee for Quality Assurance), and HFAP (Healthcare Facilities Accreditation Program) are all organizations that have the authority to verify license sanctions for FSMB (Federation of State Medical Boards). These organizations ensure that healthcare providers meet certain standards and regulations, including verifying license sanctions.
3.
Does HFAP require an attestation statement?
Correct Answer
A. Yes
Explanation
HFAP stands for Healthcare Facilities Accreditation Program. Accreditation programs like HFAP typically require healthcare facilities to provide an attestation statement as part of the accreditation process. This statement serves as a declaration or affirmation that the facility meets certain standards and guidelines set by the accrediting body. Therefore, it is likely that HFAP does require an attestation statement from healthcare facilities seeking accreditation.
4.
Does COP address sanctions?
Correct Answer
B. No
Explanation
The explanation for the given correct answer is that COP (Code of Practice) does not address sanctions. COP typically refers to a set of guidelines or rules that organizations follow to ensure ethical and legal practices in their operations. Sanctions, on the other hand, are penalties or restrictions imposed by governments or international bodies on individuals, organizations, or countries for violating certain rules or norms. While COP focuses on promoting good practices, it does not specifically deal with sanctions.
5.
Does NCQA use a credentialing committee to make recommendations?
Correct Answer
C. Yes
Explanation
NCQA does use a credentialing committee to make recommendations.
6.
Who says if state law requires criminal background checks they then are required?
Correct Answer
D. COP
Explanation
The correct answer is COP. COP stands for the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (COP). These are federal regulations that healthcare providers must meet in order to participate in the Medicare and Medicaid programs. One of the requirements stated in the COP is that healthcare providers must conduct criminal background checks on employees if state law requires it. Therefore, the COP states that if state law requires criminal background checks, they are then required for healthcare providers.
7.
Who requires peer recommendations?
Correct Answer
A. TJC, HFAP, AAAHC
Explanation
TJC, HFAP, and AAAHC are accrediting organizations in the healthcare industry. These organizations require peer recommendations as part of their accreditation process. Peer recommendations help to assess the quality and performance of healthcare organizations by gathering feedback from other professionals in the field. Therefore, healthcare organizations seeking accreditation from TJC, HFAP, and AAAHC must obtain peer recommendations.
8.
Who says GB must ensure competence?
Correct Answer
C. TJC
Explanation
TJC says that GB must ensure competence.
9.
Who requires CMEs?
Correct Answer
C. TJC
Explanation
TJC stands for The Joint Commission, which is an independent, non-profit organization that accredits and certifies healthcare organizations and programs in the United States. Healthcare professionals, including physicians, nurses, and other healthcare providers, often require Continuing Medical Education (CME) credits to maintain their licensure and stay updated with the latest advancements in their field. The Joint Commission may require CMEs for healthcare professionals working in organizations that they accredit or certify.
10.
Does NCQA require an attestation statement?
Correct Answer
A. yes
Explanation
The NCQA (National Committee for Quality Assurance) does require an attestation statement. This statement serves as a formal declaration or confirmation of certain facts or information, often related to compliance or quality standards. Therefore, the correct answer is "yes."
11.
What is the URAC appointment timeframe?
Correct Answer
A. Every 3 years to the month & day
Explanation
The URAC appointment timeframe is every 3 years to the month and day. This means that appointments are scheduled exactly 3 years from the previous appointment, taking into account the specific month and day. This ensures regular and timely appointments to maintain URAC accreditation.
12.
Does AAAHC require site visits?
Correct Answer
B. No
Explanation
AAAHC does not require site visits.
13.
Does NCQA accept the highest level of education for verification?
Correct Answer
A. Yes
Explanation
NCQA does accept the highest level of education for verification.
14.
Who requests felony convictions?
Correct Answer
A. NCQA, HFAP, AAAHC
Explanation
The correct answer is TJC, HFAP, AAAHC. The question is asking who requests felony convictions, and the correct answer is TJC, HFAP, AAAHC. This means that these organizations require individuals to provide information about any felony convictions they may have when applying for accreditation or certification.
15.
Does URAC require site visits?
Correct Answer
D. No
Explanation
URAC does not require site visits.
16.
What is the NCQA timeframe for an appointment?
Correct Answer
A. Every 36 months to the month
Explanation
The NCQA timeframe for an appointment is every 36 months to the month, meaning that appointments should be scheduled every three years on the same month. This ensures that individuals receive regular check-ups and preventive care within a specific time frame. It helps in monitoring and managing their health effectively.
17.
Who has provisional credentialing?
Correct Answer
B. NCQA, URAC
Explanation
The organizations NCQA and URAC have provisional credentialing.
18.
Malpractice coverage is necessary for what accreditation systems/
Correct Answer
C. NCQA, HFAP, URAC
Explanation
Malpractice coverage is necessary for accreditation systems such as NCQA, HFAP, and URAC. These accreditation systems require healthcare organizations to have malpractice coverage in order to ensure that they are protected against any claims or lawsuits related to medical malpractice. This coverage is necessary to provide financial protection and ensure that healthcare organizations are able to compensate patients in the event of any harm or injury caused during the course of medical treatment.
19.
Who has temporary privileges?
Correct Answer
C. TJC, HFAP
Explanation
The correct answer is TJC, HFAP. This means that The Joint Commission (TJC) and the Healthcare Facilities Accreditation Program (HFAP) have temporary privileges. Temporary privileges are typically granted to healthcare providers who are new to a facility or are filling in temporarily. These privileges allow them to practice medicine or provide healthcare services for a limited time until their full credentials and privileges are established.
20.
Whose professional reference includes health status?
Correct Answer
B. HFAP
Explanation
HFAP, or the Healthcare Facilities Accreditation Program, includes health status as part of their professional reference. This means that when evaluating healthcare facilities for accreditation, HFAP considers the health status of the facility and its ability to provide quality healthcare services. URAC and COP do not specifically mention health status in their professional reference, making HFAP the correct answer.