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CPMSM Ultimate Study Set QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Ultimate Study Set QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE NPDB - Correct Answer-National Practitioner Databank NPDB Contains: (what type of info) - Correct Answer-- adverse licensure - clinical privilege actions - membership actions (professional/society) - paid malpractice judgements - exclusions from Medicare/Medicaid - actions by US DEA What must Hospitals and Other Health Care Entities report on for Physicians & Dentists (3 things), and how quickly must it be report...

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CPMSM Test – Law Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Test – Law Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE Miller v Eisenhower - Correct Answer-Disruptive behavior must be related to patient care. Robinson v McGovern - Correct Answer-Denied privileges. Hospital may determine proper limitations. Denial of application is not a restriction of trade. Patrick v Burget - Correct Answer-Peer review for anti competitive reasons violated anti- trust laws. Elam v College Park - Correct Answer-Podiatrist. Hospital failed to obtain ...

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CPMSM Study QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Study QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE Why is it important to check that the practitioner is not currently excluded, suspended, debarred, or ineligible to participate in Federal health care programs? - Correct Answer- 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? - Correct Answer-Licensure According to NCQA standards, an organization tha...

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CPMSM Study Guide QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Study Guide QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE Non-profit under religious/community control. - Correct Answer-Voluntary/Charitable Hospital Non-profit under city, state, county. - Correct Answer-Govt (non-federal) hospital Owned/operated by fed gov't, supported by fed funds, e.g., VA. Under direct supervision of Surgeon General. - Correct Answer-Govt (federal) hospital Owned by corporation, partnership. - Correct Answer-Proprietary for-profit hospital Provides service...

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CPMSM Practice Tests QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Practice Tests QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE What does HEDIS stand for? - Correct Answer-Healthcare Effectiveness Data and Information Set What is HEDIS? - Correct Answer-is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private employers' needs and has been adopted by public purchasers, regulators and consumers. HEDIS is an element of NCQA accreditation and the basis of consumer...

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CPMSM Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE HFAP - Correct Answer-Refers to a CVO as a Professional Credentialing Organization (PCO) HFAP Appointment time frame - Correct Answer-2 years TJC Appointment time frame - Correct Answer-No longer than every 2 years NCQA Appointment time frame - Correct Answer-3 years (to the month) URAC Appointment time frame - Correct Answer-3 years AAAHC Appointment time frame - Correct Answer-3 years Attestation Statement - Correct Answer-TJC...

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CPMSM Test Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM Test Exam QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE Patient Self Determination Act 1990 - Correct Answer-Advanced Directives - Living will, etc. Save Medical Devices Act 1990 (SMDA) - Correct Answer-Deaths must be reported to the manufacturer & FDA Federal Anti-Kickback & Regulatory Safe Harbor - Correct Answer-reduce connecting compensations to referrals or the agreement to refer. Americans with Disability Act (ADA) - Correct Answer-Protects against the disabled in employment...

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CPMSM - Study Guide Material QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE

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CPMSM - Study Guide Material QUESTIONS AND ANSWERS RATED A+ 2023|2024 UPDATE What are four models of HMOs? - Correct Answer-Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Correct Answer-Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - Correct Answer-5 At least five active medical staff How many medical staff members comprise a Credentials ...

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