Study 03/11/2025 Flashcards
For _____, delegation to a CVO is allowed, but an assessment of the capability and quality of the CVO’s work must be performed by the organization.
a. URAC
b. NCQA
c. AAAHC
AAAHC
________ states “All patients shall be under the care of a member of the medical staff or under the care of a practitioner who is directly under the supervision of a member of the medical staff.”
a. ACHC
b. Medicare
c. DNV
DNV
Who states that the organization must provide an annual report on delegated credentialing oversight to the credentialing committee?
a. AAAHC
b. NCQA
c. URAC
URAC
PSV of the highest level of training can be performed through the training program or state licensing board for this accreditation.
a. NCQA
b. URAC
c. DNV
URAC
This standard states, although work history is not specifically addressed, the medical staff bylaws must include criteria for determining the privileges to be granted to individual practitioners, including experience.
a. TJC
b. AAAHC
c. DNV
DNV
This organization allows use of designated equivalent sources for verification of board certification included, but not limited to:
- ABMS or ABMS approved agent
- The AOA Physician Database for osteopathic certification
a. TJC
b. ACHC
c. URAC
TJC
This organizations states that current license(s) and history of licensure in all jurisdictions must be included in the application
a. DNV
b. TJC
c. URAC
URAC
When it comes to delegation of credentialing this organization must conduct an on-site survey every 3 years, or there must be a process for randomly-selecting credentialing files which must be provided to the organization for review within a specific amount of time.
a. URAC
b. DNV
c. NCQA
URAC
Per ACHC, applicants must provide ___________ documentation and competency to be used in consideration of privileges requested.
a. peer review
b. clinical activity
c. attestation
clinical activity
Which accreditation states that the credentialing application must include information on the practitioner’s hospital affiliations or privileges, if applicable. Verification is not required.
a. NCQA
b. DNV
c. URAC
URAC
Medical Staff bylaws describe the qualifications to be met by a candidate for the medical staff to recommend that the governing body appointment the candidate. Those qualifications shall include verification of licensure on initial and reappointment.
a. DNV
b. TJC
c. ACHC
DNV
Policies and procedures must document the process used to delegate credentialing and recredentialing activities. The areas delegated and how the organization decides to delegate must be documented.
a. NCQA
b. URAC
c. Medicare
NCQA
