CPCS Certification Practice Exam Questions

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CPCS Certification Practice Exam Questions - Quiz


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Questions and Answers
  • 1. 

    According to NCQA, the ABMS Certified Doctor Verification Program, accessable through the ABMS Web site, is an acceptable soruce for verifying board certifications for an MD?

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    This site is intended for consumer reference only and is not considered PSV.

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  • 2. 

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

    • A.

      ECFMG

    • B.

      NBME

    • C.

      AMP

    • D.

      NPDB

    Correct Answer
    D. NPDB
    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.

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  • 3. 

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

    • A.

      Initial and reappointment of privileges

    • B.

      When there are changes in licensure status

    • C.

      When moving from one state to another

    • D.

      All of the above

    Correct Answer
    D. All of the above
    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.

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  • 4. 

    According to The Joint Commissin, 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?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    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.

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  • 5. 

    A hospital can accept an NPDB self query performed by a physician to satisfy The Joint Commissions requirement for an NPDB query?

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The hospital or its designated agent must perform the query.

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  • 6. 

    According to NCQA standards, an organization must verify santions or limitation on licenseure in each state where the practioner holds or has ever held licensure.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Only in the state where the practitioner provides care for its members.

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  • 7. 

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

    • A.

      AMA

    • B.

      AOA

    • C.

      FSMB

    • D.

      AMBS

    Correct Answer
    C. FSMB
    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.

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  • 8. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    This must be confirmed through PSV from the AMA.

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  • 9. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    True, provided the other healthcare organization supplies original documents or photocopes of the verification reportrs it has relied upon directly, without reansmission or involvment by the application or other third party. A statement tht it has performed verification is not sufficient.

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  • 10. 

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

    • A.

      Professionalism

    • B.

      Communication Skills

    • C.

      A nice smile :-)

    • D.

      Interpersonal Skills

    Correct Answer(s)
    A. Professionalism
    B. Communication Skills
    D. Interpersonal Skills
    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 the 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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  • Current Version
  • Mar 28, 2024
    Quiz Edited by
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  • Jan 28, 2011
    Quiz Created by
    Myquiz2011
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