CPCS Certification Practice Exam Questions

1. According to The Joint Commission, the hospital must query the NPDB when clinical privileges are initially granted, at the time of renewal of privileges, and when a new privilege is requested.

True

False

According to The Joint Commission, hospitals are required to query the National Practitioner Data Bank (NPDB) when granting clinical privileges for the first time, during the renewal of privileges, and when a new privilege is requested. This is done to ensure that the healthcare providers have a clean record and are fit to practice.

Explanation

According to The Joint Commission, hospitals are required to query the National Practitioner Data Bank (NPDB) when granting clinical privileges for the first time, during the renewal of privileges, and when a new privilege is requested. This is done to ensure that the healthcare providers have a clean record and are fit to practice.

2. According to TJC standards, peer recommendation must include written information regarding 6 elements. Here are 3: Medical Knowledge, Technical & Clinical Skills, Clinical Judgement. What are the other 3?

Professionalism

Communication Skills

A nice smile

Interpersonal Skills

According to TJC standards, peer recommendation must include written information regarding 6 elements. The given answer includes three of these elements: Professionalism, Communication Skills, and Interpersonal Skills. These three elements are important in evaluating a healthcare professional's overall competence and ability to effectively interact with patients and colleagues. Professionalism refers to ethical and moral behavior, while Communication Skills and Interpersonal Skills involve effective communication and building positive relationships with others. These elements are crucial for providing quality patient care and maintaining a collaborative and respectful work environment.

Explanation

According to TJC standards, peer recommendation must include written information regarding 6 elements. The given answer includes three of these elements: Professionalism, Communication Skills, and Interpersonal Skills. These three elements are important in evaluating a healthcare professional's overall competence and ability to effectively interact with patients and colleagues. Professionalism refers to ethical and moral behavior, while Communication Skills and Interpersonal Skills involve effective communication and building positive relationships with others. These elements are crucial for providing quality patient care and maintaining a collaborative and respectful work environment.

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3. What is the most commonly used source for verifying malpractice history?

ECFMG

NBME

AMP

NPDB

The most commonly used source for verifying malpractice history is the National Practitioner Data Bank (NPDB). This database collects and maintains information on medical malpractice payments and adverse actions taken against healthcare practitioners. It is widely utilized by hospitals, healthcare organizations, and licensing boards to assess the professional history and potential risks associated with healthcare providers.

Explanation

The most commonly used source for verifying malpractice history is the National Practitioner Data Bank (NPDB). This database collects and maintains information on medical malpractice payments and adverse actions taken against healthcare practitioners. It is widely utilized by hospitals, healthcare organizations, and licensing boards to assess the professional history and potential risks associated with healthcare providers.

4. A hospital can accept an NPDB self-query performed by a physician to satisfy The Joint Commission's requirement for an NPDB query.

True

False

The hospital or its designated agent must perform the query.

Explanation

The hospital or its designated agent must perform the query.

5. When verifying licensure sanctions for physicians, NCQA allows verification to be done with NPDB, HIPDB, the appropriate state agency(ies) and what other organization?

AMA

AOA

FSMB

AMBS

The correct answer is FSMB. When verifying licensure sanctions for physicians, NCQA allows verification to be done with NPDB, HIPDB, the appropriate state agency(ies), and the Federation of State Medical Boards (FSMB). The FSMB is a national organization that represents the medical licensing boards in the United States, and it provides a centralized source for information on physician licensure and disciplinary actions.

Explanation

The correct answer is FSMB. When verifying licensure sanctions for physicians, NCQA allows verification to be done with NPDB, HIPDB, the appropriate state agency(ies), and the Federation of State Medical Boards (FSMB). The FSMB is a national organization that represents the medical licensing boards in the United States, and it provides a centralized source for information on physician licensure and disciplinary actions.

6. According to AAAHC standards, information from another healthcare organization, such as a hospital or group practice, that has carried out primary source verification, can be accepted for credentialing.

True

False

True, provided the other healthcare organization supplies original documents or photocopies of the verification reports it has relied upon directly, without transmission or involvement by the application or other third party. A statement that it has performed verification is not sufficient.

Explanation

True, provided the other healthcare organization supplies original documents or photocopies of the verification reports it has relied upon directly, without transmission or involvement by the application or other third party. A statement that it has performed verification is not sufficient.

7. According to NCQA standards, an organization must verify sanctions or limitations on licensure in each state where the practitioner holds or has ever held licensure.

True

False

According to National Committee for Quality Assurance (NCQA) standards, an organization must verify sanctions or limitations on licensure for each state where the practitioner currently holds or has held a license. This is part of the credentialing process to ensure that healthcare providers meet professional standards and do not have a history of disciplinary actions that could affect their ability to provide safe and effective care. This verification is crucial for maintaining the quality and safety of healthcare services.

Explanation

According to National Committee for Quality Assurance (NCQA) standards, an organization must verify sanctions or limitations on licensure for each state where the practitioner currently holds or has held a license. This is part of the credentialing process to ensure that healthcare providers meet professional standards and do not have a history of disciplinary actions that could affect their ability to provide safe and effective care. This verification is crucial for maintaining the quality and safety of healthcare services.

8. According to NCQA Standards, verification from the ECFMG is acceptable for education and training completed through the AMA's Fifth Pathway program.

True

False

This must be confirmed through PSV from the AMA.

Explanation

This must be confirmed through PSV from the AMA.

9. According to NCQA, the ABMS Certified Doctor Verification Program, accessible through the ABMS Website, is an acceptable source for verifying board certifications for an MD.

True

False

This site is intended for consumer reference only and is not considered PSV.

Explanation

This site is intended for consumer reference only and is not considered PSV.

10. The Joint Commission requires licensure to be verified with the primary source at what 4 times?

Initial and reappointment of privileges

When there are changes in licensure status

When moving from one state to another

All of the above

The Joint Commission requires licensure to be verified with the primary source at four different times. These include the initial appointment, reappointment of privileges, when there are changes in licensure status and when moving from one state to another. This means that healthcare professionals must provide proof of their license and have it verified by the primary source multiple times throughout their career.

Explanation

The Joint Commission requires licensure to be verified with the primary source at four different times. These include the initial appointment, reappointment of privileges, when there are changes in licensure status and when moving from one state to another. This means that healthcare professionals must provide proof of their license and have it verified by the primary source multiple times throughout their career.