CPMSM Exams Questions with 100% Correct Answers 2023 Latest updated, Exams of Psychiatry

Download CPMSM Exams Questions with 100% Correct Answers 2023 Latest updated and more Exams Psychiatry in PDF only on Docsity!

CPMSM Exams

Questions with 100%

Correct Answers 2023

Latest updated

1. Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - ✔️✔️ Yes

2. According to the Joint Commission, who may amend the medical staff bylaws? - ✔️✔️ Governing Body
3. Failure to meet the established qualifications and criteria for

appointment should be reported to whom? - ✔️✔️ The applicant

4. NCQA requires the MCO to obtain a minimum of ???? years of work history? - ✔️✔️ 5 years

5. According to NCQA what policy must an organization have in place to obtain approval to enter into a delegated agreement? - ✔️✔️ Credentialing policies

6. How often does the OIG report to the NPDB? - ✔️✔️ Monthly
7. Hospitals must query the NPDB when: - ✔️✔️ Initial appt, granting of privileges, every two years

8. NCQA requires verifications must be less than how many days old? - ✔️✔️ 180 days
9. What is the verification time limit on malpractice history according to the NCQA? - ✔️✔️ 180 days

10. Time limited credential must be verified by the CVO within how many days prior to submission to the client? - ✔️✔️ 120 days
11. According to AAAHC, for initial appointments, in addition to licensure and education, what

verification is required? - ✔️✔️ Experience and hospital affiliation

12. What accreditation body states "the NPDB is an acceptable source for sanctions or limitations on licensure, Medicaid/Medicare

sanctions and malpractice history? - ✔️✔️ NCQA

13. Who is required to query the NPDB? - ✔️✔️ Hospitals
14. Is disciplinary action taken against the license of a dentist reportable to the NPDB? - ✔️✔️ Yes

15. Under HCQIA, a hospital failure to report an adverse privilege action lasting longer than 30 days may cause the organization to lose HCQIA immunity for how many years? - ✔️✔️ 3 years

16. According to NCQA, verification of Medicare/Medicaid sanctions can be queried by any of what sources? - ✔️✔️ AMA, FSMB, HIPDB, OIG, Sanctions Report, NPDB, Sate Agency

17. According to NCQA, how often must an organization conduct an audit of the credentialing process delegated to another organization? - ✔️✔️ Annually
18. How far back does the Joint Commission require

evaluation of malpractice history? What source may be used? - ✔️✔️ Back to medical school. NPDB.

19. Is an internet verification from a website not contracted by the primary source that attests to the accuracy and timeliness of

the information considered a complete verification by NCQA? - ✔️✔️ No

20. What accreditation bodies require privileges to be distributed to essential department personnel? - ✔️✔️ Joint Commission/CMS

21. T/F - The Joint Commission and NCQA do not require criminal background checks. - ✔️✔️ True - the only organization that requires background checks is HFAP.

22. Is a payment made by an insurance company reportable to the NPDB? - ✔️✔️ Yes
23. Who is the best person to consult when releasing adverse information in a verification request from

another organization? - ✔️✔️ Legal Counsel

24. According to CMS, who in the organization may make decisions regarding approval of credentialing applications? - ✔️✔️ Governing Board

25. What are the six elements of a written delegation agreement? - ✔️✔️ 1. Mutually agreed upon
26. 2. Describes responsibilities of organization and delegated entity

27. 3. Describes delegated activities
28. 4. Requires semi-annual reporting to the organization
29. 5. Describes the process by which the organization evaluates the delegated entities performance

30. 6. Describes remedies available to the organization if the delegated entity does not fulfil its obligations including revocation of delegated agreement
31. According to NCQA, what providers are NOT

required to be credentialed when working in an independent relationship?

• ✔️✔️ Locums Tenens, Hospital based practitioners (i.e. Anesthesia, Pathology, Radiology, etc.)

32. How many peer references does HFAP require at initial appointment? - ✔️✔️ 1
33. T/F - Denial of a medical license application by a state medical board is not reportable to the NPDB? - ✔️✔️ True

34. What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership?
    • ✔️✔️ HFAP, CMS

35. According to the Joint commission & HFAP, name four approved sources for PSV for medical education. - ✔️✔️ Medical School, AMA, ECFMG, AOA
36. According to NCQA, practitioners must be

notified of credentialing decision within how many days? - ✔️✔️ 60 days

37. The DHHS mails a copy of the NPDB report to the names provider. If the provider wishes to dispute the reports accuracy, the provider has how many