Study 3/12/2025 Flashcards
What accrediting body states that you must verify board certification on application, reappointment, at expiration and on an ongoing basis (at a minimum at expiration, initial appointment and reappointment)?
a. TJC
b. NCQA
c. AAAHC
AAAHC
Evidence of a current DEA certificate or state controlled dangerous substance certificate is submitted with the application, if applicable. The organization may either collect a copy of the certificate or the certificate number.
-verification of time limit: 6 months
a. TJC
b. DNV
c. URAC
URAC
If applicable, verify on an ongoing basis; at a minimum, at expiration, appointment and reappointment. Verify from primary or secondary source.
a. AAAHC
b. ACHC
c. URAC
AAAHC
Key Word: Face Sheet
a. ACHC
b. NCQA
c. TJC
NCQA
Which standards specify that the Medical Staff cannot base their decision solely on board certification?
a. Medicare, ACHC, DNV
b. TJC, DNV, Medicare, URAC
c. TJC, NCQA, AAAHC
Medicare, ACHC, DNV
For DEA; what is the verification time limit for NCQA?
a. 180 days
b. 120 days
c. none
none
Which standard states “for telemedicine, verify licensure in state where patient is located and where the telemedicine provider is located.”
a. NCQA
b. ACHC
c. TJC
ACHC
Which standard states “verify current state license on an ongoing basis; at a minimum, at expiration, appointment and re-appointment. Verify from primary or secondary source”.
a. ACHC
b. AAAHC
c. TJC
AAAHC
Licensure sanctions are not specifically addressed by which accreditation.
a. DNV
b. Medicare
c. AAAHC
DNV
Which accreditor requests information regarding actions against DEA certificate or state CDS certificate on application?
a. TJC
b. NCQA
c. ACHC
ACHC
Which two accreditations verify / evaluate the past five-year history of professional liability claims / actions resulting in settlement or judgments?
a. NCQA and ACHC
b. NCQA and URAC
c. DNV and URAC
NCQA and ACHC
What organization states an organization can rely on the verification activities of state licensing boards. If this is done, it should be noted in credentials file.
a. AAAHC
b. URAC
c. TJC
URAC
What organization states if applicable, DEA / CDS should be verified on an ongoing basis; at a minimum, at expiration, appointment, and reappointment?
a. AAAHC
b. TJC
c. ACHC
AAAHC
Which source is NOT acceptable for verifying board certification?
a. ABMS or its member boards
b. AOA Official Osteopathic Physician Profile Report
c. Public online physician directories
Public online physician directories
How often must ongoing licensure verification occur, at minimum, under AAAHC?
a. every 5 years
b. Annually
c. at expiration, appointment, and reappointment
at expiration, appointment, and reappointment
What accreditation states practitioner’s credentialing application must include state licensure information, including current license and history of licensure in all jurisdictions and at least five years of license sanction history if applicable.
a. URAC
b. NCQA
c. AAAHC
URAC
Which standard states, for practitioners who will be starting at a later date, a letter from the insurance company with the future start date and description of the liability coverage is acceptable.
a. NCQA
b. URAC
c. AAAHC
URAC
