CPCS Passbook 1

Which of the following is the definition of "credentialing" according to The Joint Commission?

• Granting credentials to professionals

• Providing the basis for practice within a defined health care setting

• The process of obtaining, verifying, and assessing the qualifications of practitioners seeking to provide care

• A piece of information which is transferred from a computer to check whether the user is as he claims or to allow others to see the information

The MOST important reason for credentialing is

• ensuring competition

• ensuring patient safety

• assessing risks

• ensuring adequate pricing strategies

The Medicare Conditions of Participation or COP's are a part of the code of _____ regulations and are aimed at protecting the health or safety of patients.

• regional

• national

• state

• federal

The reason behind getting accredited is

• improving the quality of care

• meeting the Medicare requirements

• ensuring quality of care

• all of the above

The item reviewed during the physician and dentist credentialing process includes

• education and work history

• prior disciplinary actions and terminations

• board certification

• all of the above

According to legal terminology, ____ is defined as the level at which an average healthcare provider in a community should practice.

• credentialing

• privileging

• standard of care

• deeming

Which of the following certifications assesses whether medical students from outside the United States are ready to be a part of residency programs in the United States?

• AAAHC

• ECFMG

• CPT

• HIPDB

____ can be defined as a professional opinion about the applicant's abilities, character or talents.

• Suggestion

• Peer opinion

• Peer reference

• Peer recommendation

Which of the following authorizes the verification of an applicant's credentials and experience?

• Consent Statement

• Release Statement

• Consent and Release Statements

• None of the Above

The ____ defines a practitioner's scope of practice in any organization.

• Medical Professional Privilege

• Deliberative Process Privilege

• Clinical Client Privilege

• Clinical Privilege Delineation