Study guides, Class notes & Summaries

Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - The facility will not get paid for treating patients unless service is provided by an authorized provider Which of the following credentials must be tracked on an ongoing basis? - Licensure According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must ...

CPMSM Exam Study Questions and Correct Solutions 2024 According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Answer -Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - Answer -3 years HFAP is commonly known as - Answer -AOA, an osteopathic organizat...

CPMSM Exam Study Guide Questions and Correct Solutions 2024 What are four models of HMOs? - Answer -Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Answer -Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Answer -5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - Answer -5 At least five ...

CPMSM Study Guide (TJC) - CMH77 Questions and Correct Solutions 2024 Where must accreditors submit their standards for approval? - Answer -CMS When is deemed status given? - Answer -After approval by CMS What are requirements set by forces outside the organization? - Answer -External criteria What factors are defined by the hospital's medical staff and governing body or the MCO's board? - Answer -Internal criteria Name possible internal criteria? - Answer -Board certification, an offic...

CPMSM - Study Guide Material Questions and Correct Solutions 2024 What are four models of HMOs? - Answer -Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Answer -Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Answer -5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - Answer -5 At least...

CPMSM Test Questions & Verified Answers Latest According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Answer -Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - Answer -3 years HFAP is commonly known as - Answer -AOA, an osteopathic organization T/...

CPMSM Exam Study Questions and Correct Solutions 2024 According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Answer -Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - Answer -3 years HFAP is commonly known as - Answer -AOA, an osteopathic organizat...

CPMSM Exam Study Guide Questions and Correct Solutions 2024 What are four models of HMOs? - Answer -Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Answer -Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Answer -5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - Answer -5 At least five ...

CPMSM Study Guide (TJC) - CMH77 Questions and Correct Solutions 2024 Where must accreditors submit their standards for approval? - Answer -CMS When is deemed status given? - Answer -After approval by CMS What are requirements set by forces outside the organization? - Answer -External criteria What factors are defined by the hospital's medical staff and governing body or the MCO's board? - Answer -Internal criteria Name possible internal criteria? - Answer -Board certification, an offic...

CPMSM - Study Guide Material Questions and Correct Solutions 2024 What are four models of HMOs? - Answer -Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Answer -Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Answer -5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - Answer -5 At least...

CPMSM Test Questions & Verified Answers Latest According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Answer -Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Answer -Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - Answer -3 years HFAP is commonly known as - Answer -AOA, an osteopathic organization T/...