CCS CPT Coding Lesson 3 Assessment
Are limitations of the clinical privileges of a psychiatrist
for more than 30 days reportable to the NPDB? -
✔✔Yes
According to TJC, who may amend the medical staff
bylaws? - ✔✔Gov
...
CCS CPT Coding Lesson 3 Assessment
Are limitations of the clinical privileges of a psychiatrist
for more than 30 days reportable to the NPDB? -
✔✔Yes
According to TJC, who may amend the medical staff
bylaws? - ✔✔Governing body/board.
Failure to meet the established qualifications and criteria
for appointment should be reported to whom?
- ✔✔The applicant
NCQA requires the MCO to obtain a minimum of how
may years of work history? - ✔✔Five years
According to the NCQA what policy must an organization
have in place to obtain approval to enter into a
delegated agreement? - ✔✔Credentialing policies
How often does the OIG report to the NPDB? -
✔✔Monthly
When must hospitals query the NPDB? - ✔✔Initial
appointment, granting of privileges, every two years.
NCQA requires verifications must be less than how many
days old? - ✔✔180 days
What is the verification time limit on malpractice history
according to the NCQA? - ✔✔180 days
Time limited credential must be verified by the CVO with
how may days prior to submission to the
client? - ✔✔120 days
According the AAAHC, for initial appointments, in
addition to licensure and education, what verification
is required? - ✔✔Experience and hospital
affiliations.What accreditation body states "The NPDB is
an acceptable source for sanctions or limitations on
licensure, Medicaid/ Medicare sanctions and malpractice
history? - ✔✔NCQA
Who is required to query the NPDB? - ✔✔Hospitals
Is disciplinary action taken against the license of a dentist
reportable to the NPD
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