1.
How many peer references does HFAP require at initial appointmen?
2.
According to URAC, who should oversee the clinical aspects of the credentialing program within the organization?
A. 
B. 
C. 
Senior clinical staff person
3.
Which of the following best determines which procedures should be performed by which specialty?
4.
According to NCQA, which of the following credentials must be verified at the time of recredentialing?
A. 
Lifetime board certification
B. 
C. 
5.
Each hospital must request information from the NPDB when a physician applies for which of the following?
6.
According to The Joint Commission, ongoing professional practice evaluation (OPPE) should be conducted for which of the following individuals?
A. 
B. 
All privileges practitioners
C. 
All allied health practitioners
7.
According to NCQA, which of the following sources may be used to verify ongoing monitoring of licenses sanctions?
8.
According to NCQA, how often must an organization conduct an audit of the credentialing process delegated to another organization?
9.
According to AAAHC primary or acceptable secondary source verification is required for which of the following?
A. 
B. 
Board certification and license
C. 
Hospital affiliations and work experience
10.
What type of release should the medical services professional obtain for the release of negative information to another facility?
A. 
Standard release for the organization
B. 
Special release developed by the legal department
C. 
Special release developed by the medical executive committee
11.
According to NCQA, which of the following sources can be used for verification of state licensure?
12.
According to URAC, the credentialing application must include which of the following?
13.
According to The Joint Commission, which of the following documents is required to be verified at the time of expiration?
A. 
B. 
C. 
Professional liability insurance
14.
Which of the following is an essential source when developing a policy regarding the functions of a peer review committee?
15.
According to The Joint Commission, which of the following must be evaluated when determining a practitioner's current competence?
A. 
Medicare/Medicaid sanctions
B. 
Evidence of physical ability to perform the requested privilege
C. 
Evidence of compliance with the facility's bylaws, rules, and regulations
16.
According to NCQA, which of the following verifications must be documented for credentialing?
A. 
Board certification for all levels of training
B. 
DEA license for all states where care is provided
C. 
Hospital privileges with admitting status
17.
According to NCQA, in which situation should a practitioner be notified about a discrepancy and be required to submit additional information?
A. 
B. 
C. 
Six-year-old malpractice claim
18.
According to The Joint Commission, which of the following entities may amend the medical staff bylaws?
A. 
B. 
C. 
Medical executive committee
19.
According to The Joint Commission, a fair hearing and appeals process as described in the medical staff bylaws is available to which of the following?
A. 
Active medical staff members
B. 
All medical staff members
C. 
Medical staff members and non-members holding clinical privileges
20.
According to NCQA, which of the following providers must be credentialed when working in an independent relationship setting?
21.
According to NCQA, which primary source must be utilized to verify licensure?
22.
When preparing for a committee meeting, the medical services professional MOST likely would meet with whom to coordinate the agenda and meeting packet?
A. 
B. 
C. 
Vice president of medical affairs
23.
Which of the following organizations could a credentialing professional query to obtain a current copy of a practitioner's DEA?
24.
According to The Joint Commission, which of the following dictates the qualifications and criteria for appointment to the medical staff?
A. 
Credentialing policies and procedures
B. 
Medical executive committee
C. 
25.
According to The Joint Commission, which of the following is an approved source for verification of a medical degree from a United States educational Institution?