Privileges
Provider Enrollment
Primary Source Verification
Hospital Credentialing
State Licensure
100

What must provider's submit with their application to show they have previous experience for the privileges they have requested?

What is volume or case logs?

100
Who is MMH's surveying body for PE?

Who is NCQA?

100
What is a process that confirms a healthcare provider's credentials and qualifications by verifying the information from the original source?

What is Primary Source Verification?

100

What document does a provider submit to show what privileges they are requsting?

What is the DOP/delineation of privileges form?

100

Which state's abbreviation is AK?

Who is Alaska?

200

Who can perform a C-Section on a patient?

Who is an OB/GYN physician?

200

What document is required for PE that shows a complete history from education to affiliation?

What is a GAP Analysis?

200

What is the most trusted Medical Specialty Certification Organization that represents 24 certifying boards and nearly one million physicians?

What is the ABMS?

200

What is a relationship between a hospital and a physician or their practice. This can be contractual or highly integrated, and can take many forms. They can be beneficial to both patients and hospitals, and can help improve the quality of care

What is a hospital affiliation?

200

Why type of provider is licensed through the TSBDE?

Who are Dentists and/or Dental Assistants?

300

How do hospital staff know if a provider has the privileges to perform a procedure they have scheduled?

What is the Medical Staff Directory on the Pulse?

300

If you have health insurance coverage and you go to the doctor or hospital to get scheduled for a procedure, someone in the office will call the insurance company to verify your provider is currently what with your plan?

What is in network?

300

What does the National Plan & Provider Enumeration System verify?

What is an NPI?

300

What must a provider obtain in order to prescribe narcotics?

What is a DEA number?

300

What organization verifies 59 state boards of nursing? 

Who is Nursys?

400

What type of doctor can perform a bronchoscopy?

What is a Pulmonologist and/or Thoracic Surgeon?

400

Does payer enrollment affect the clinics or hospital?

What is both?
400

Who is the certifying board Osteopathic physicians?

Who/What is the AOA?

400

What certification must all APPs have?

What is a BLS Certification?

400

What type of physician is verified through the TDLR?

What is a Podiatrist?

500

What type of physician starts and stops the heart during an open heart surgery?

What is a cardiac perfusionist?
500

Does payer enrollment involve privileging?

What is no? Privileging is only required for hospital credentialing. 
500

Who is the certifying board for Certified Registered Nurse Anesthetists?

Who/What is the NBCRNA?

500

What type of providers are not licensed, but certified, in their prospective fields?

What is an AHP or Allied Health Professional?

500

Which state licenses are verified at initial appointment?

What are all current and previous state licenses?