In order for an organization to apply for NCQA survey, they must have been in operation for how long? -
✔✔
18 months
NPDB
Peer review protection does not apply in which state -
✔✔
Phillipines
TJC - Medical record review is performed how often? -
✔✔
Quarterly (every 3 months)
In order to apply for NCQA certification the CVO must have been under contract to provide verification
services for at least___ -
✔✔
6 months
Why is it important to check that the practitioner is not currently excluded, suspended, debarred or
ineligible to participate in Federal Health Care Programs -
✔✔
The facility won't get paid for treating
patients unless service is provided by an authorized provider.
What credential must be tracked on an ongoing basis? -
✔✔
Licensure
According to NCQA standards, an organization that discovers sanction information, complaints, or
adverse events regarding a practitioner must take what action? -
✔✔
Determine if there is evidence of
poor quality that could affect the health and safety of its members
What is the name of the entity that was established through the Health Care Quality Improvement Act
of 1986 to restrict the ability of incompetent physicians, dentists and other practitioners to move from
state to state without disclosure or discovery of previous medical malpractice payment and adverse
action history -
✔✔
The National Practitioner Data Bank
When developing clinical privileging criteria, what is important to evaluate? -
✔✔
Established standards
of practice, such as specialty board recommendations
What type of specialist is most likely to perform a PTCA? -
✔✔
Interventional Cardiologist
