NCQA Flashcards

1
Q

According to NCQA, which of the following sources can be used for verification of State Licensure?

A

A) AMA B) FSMB C) State licensing board
Answer: C

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2
Q

Which of the following is recognized by NCQA as an incomplete verification?

A

A) Internet verification from a website not controlled by the primary source that attests to the accuracy and timeliness of the information.
B) Verbal verification documenting the date of the verification, staff members signature, initials, and the credentials verified.
C) Dated and signed written verification from the primary source.
Answer: A

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3
Q

Does NCQA require board certification?

A

NCQA does not require board certification.

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4
Q

According to NCQA practitioners must be notified of credentialing decision within how many days?

A

60 Days

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5
Q

NCQA requires verification of malpractice history for how many years?

A

The last five year period

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6
Q

NCQA time frame for reappointment

A

every 36 months (3 years)

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7
Q

According to NCQA an organization must have credentialing policies in place to obtain approval to enter into…

A

A delegated agreement

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8
Q

According to NCQA practitioners must be notified of credentialing decision within how many days?

A

60 days

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9
Q

Which accrediting body requires five year verification of malpractice history?

A

NCQA

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10
Q

True or False - only the highest of training must be verified according to NCQA

A

True

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11
Q

Attestation must include inquiry regarding illegal drug use?

A

NCQA

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12
Q

Attestation must include inquiry regarding inability to perform essential functions?

A

NCQA

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13
Q

Attestation must include inquiry regarding history or loss of limitation of licensure or privileges or disciplinary actions?

A

NCQA

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14
Q

Attestation must include inquiry regarding felony convictions?

A

NCQA

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15
Q

Applicant must attest to limitation on ability to perform functions of the position with or without accommodation if any?

A

NCQA

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16
Q

NCQA requires the MCO to obtain a minimum of ??? years of work history?

A

Five years (5)

17
Q

According to NCQA what policy must an organization have in place to obtain approval to enter into a delegated agreement?

A

Credentialing Policies

18
Q

According to NCQA, how may days is the time limit on primary source verification of current licensure?

A

180 Days

19
Q

According to NCQA practitioners must be notified of credentialing decision within how many days?

A

60 Days

20
Q

Which accrediting body requires five year verification of malpractice history?

A

NCQA