Certification Status
Medical liability insurance should be held in what limit?
$1 million - $3 million
Which of the following credentials must be tracked on an ongoing basis?
a) Post-Graduate Education
b) Closed Medical Malpractice Claims
c) Licensure
c) Licensure
What does NCQA stand for?
National Committee for Quality Assurance
What does MBHC stand for?
Managed Behavioral Healthcare Organization
Which NCQA required committee makes recommendations regarding credentialing decisions?
Credentialing Committee
What three levels of education and training do CPHL credentialing specialists verify?
Board Certification, Residency, and Graduation Status (Medical School or Equivalent)
Which NCQA required committee makes recommendations regarding credentialing decisions?
Credentialing Committee
What does FSMB stand for?
Federation of State Medical Boards
What does HMO stand for?
Healthcare Management Organization
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 won't get paid for treating patients unless service is provided by authorized power.
Patient's health & safety is at risk.
According to NCQA standards, a copy of which of the following is acceptable verification of the document?
a) DEA certificate
b) Licensure
c) Board Certification
a) DEA certificate
According to NCQA standards, an organization that discovers sanction information, complaints, or adverse events regarding a practitioner must take what action?
Determine if there is evidence of poor quality that could affect the immediate health and safety of its members; If so, forward the case to management/supervisor.
What does ACGME stand for?
Accreditation Council for Graduate Medical Education
What does ECFMG stand for?
Educational Commission for Foreign Medical Graduations
If a medical staff member has privileges and/or medical staff appointment revoked, he/she must be:
a) Granted temporary privileges
b) Provided due process
c) Offered a leave of absence from the medical staff
b) Provided due process
According to AAAHC, which must be monitored on an ongoing basis?
a) Current Licensure
b) Medical malpractice liability coverage
c) Hospital and other healthcare facility affiliation
a) Current Licensure
Which of the following bodies approves clinical privileges?
a) Peer Review Committee
b) Medical Executive Committee
c) Governing Body or Board
c) Governing Body or Board
What does NIAHO stand for?
National Integrated Accreditation for Healthcare Organization
What does HFAP stand for?
Healthcare Facilities Accreditation Program
Unscramble the word:
placmteirac ryihots
malpractice history
The governing body delegates the responsibility of credentialing, re-credentialing, and privileging to:
a) The medical staff office
b) The medical staff
c) The credentials committee
b) The medical staff
Name 3 PAR Hospitals
Refer to *PAR Hospitals* document in Shared drive to confirm.
What does LHCSA stand for?
Licensed Home Care Services Agencies
What does ESAR-VHP stand for?
Emergency System for Advance Registration of Volunteer Health Professionals
What is the address to the Staten Island Centers Plan for Healthy Living location?
Street Address - City - State - Zip Code
75 Vanderbilt Ave, Staten Island NY, 10304