Study 2/26/2025

Question 1

Which accreditations indicate that the NPDB’s continuous query is acceptable for ongoing monitoring?

a. TJC, NCQA, ACHC, DNV, URAC, AAAHC
b. TJC, ACHC, DNV, AAAHC
c. TJC, NCQA, URAC, AAAHC

Answer 1

TJC, NCQA, URAC, AAAHC

Question 2

____ is the only accrediting body that states verification of healthcare employment and work history is required.

a. DNV
b. NCQA
c. ACHC

Answer 2

ACHC

Question 3

For _____, temporary privileges are permitted for urgent patient care need or when application is complete without any negative or adverse info and cannot exceed 120 days. Granting of the temp privileges is on recommendation of member MEC, MS president or Medical Director.

a. ACHC
b. TJC
c. DNV

Answer 3

DNV

Question 4

Which two accreditations do not reference temporary privileges, but do have a process for provisional credentialing?

a. NCQA and ACHC
b. NCQA and URAC
c. DNV and URAC

Answer 4

NCQA and URAC

Question 5

NCQA standards require files to contain all but what one for consideration of provisional credentialing?

a. PSV of current, valid license and NPDB
b. PSV of five years of malpractice history
c. Complete application and signed attestation

Answer 5

PSV of current, valid license and NPDB

Question 6

Organizations must ensure that provisional credentialing status does not extend for more than ___ calendar days.

a. 180
b. 120
c. 60

Answer 6

60

Question 7

Although Work History is not specifically addressed for _____, they do state there must be primary source verification of experience.

a. ACHC
b. DNV
c. AAAHC

Answer 7

DNV

Question 8

URAC standards state provisional participation can only be for _______

a. 60 days
b. 120 days
c. a limited time

Answer 8

a limited time

Question 9

Per NCQA, what is the time limit for verification of work history?

a. 180 / 120 days
b. Prior to credentialing decision date
c. 365 / 305 days

Answer 9

365 / 305 days

Question 10

At an ACHC accredited organization what should be obtained and verified for work history?

a. A minimum of five years of relevant work history
b. PSV of experience
c. History of medical staff appointments and affiliations where privileges have been granted

Answer 10

History of medical staff appointments and affiliations where privileges have been granted