CPCS Certification Practice Exam Questions

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CPCS Certification Practice Exam Questions - Quiz

Welcome to the CPCS Certification Quiz, designed specifically for healthcare professionals seeking to validate and enhance their expertise in patient care standards. This quiz provides a focused, effective way to prepare for the Certified Provider Credentialing Specialist (CPCS) exam.

Each question is crafted to challenge your understanding and application of complex concepts essential for ensuring patient safety and effective healthcare delivery. As you navigate through the quiz, you will encounter various question formats that test both your knowledge base and critical thinking skills.

This CPCS Certification Quiz offers immediate feedback on your answers, helping to solidify your knowledge and identify Read moreareas needing further review. Engage with this quiz to boost your confidence and readiness for the CPCS exam, ensuring you're fully prepared to meet the high standards of healthcare credentialing and privileging. Embark on your certification journey today and make a definitive step toward professional advancement.

CPCS Certification Questions and Answers

1.

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.
- 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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1
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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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9
4.

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.
- 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 Commission's 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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1
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6.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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.

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2
0
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 completed 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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3
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9.

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.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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.

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10.

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?
- 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 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
Aug 22, 2024

Quiz Edited by
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Jan 28, 2011

Quiz Created by
Myquiz2011

CPCS Certification Practice Exam Questions

CPCS Certification Questions and Answers

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.

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

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

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.

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

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.

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

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

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.

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?