Study guides, Class notes & Summaries

CPMSM Study Questions 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 r...

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

CPMSM Study QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE When developing clinical privileges the following are important to evaluate? - Correct Answer-Established standards of practice such as, specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? - Correct Answer-To protect patient safety by ensuring current competeny, revelance to the facility and accepted standards of trade. Which is the most li...

When developing clinical privileges the following are important to evaluate? Established standards of practice such as, specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? To protect patient safety by ensuring current competeny, revelance to the facility and accepted standards of trade. Which is the most likely speciality to perform a PTCA? Interventional Cardiologist TJC hospital s...

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 practitione...