According to NCQA if a practitioner terminates or is terminated from the contract or there is a break in
service over 30 days, can the practitoner be reinstated without credentialing? -
✔✔
No. The organization
must initially credential the practitioner before reinstatement
Name an organization that can be queried to obtain a copy of a DEA. -
✔✔
NTIS
Which agency requires a Medicare Attestation? -
✔✔
CMS
According to TJC rules on credentialing of telemedicine providers, the origination site can use
credentialing and privileging information from the distant site if what three requirements are met? -
✔✔
Distant site is TJC accredited, The provider has privileges at the distant site, The originating site has
evidence of an internal review
Individuals providing information to professional review bodies regarding the competence or conduct of
a physician are protected from liability except -
✔✔
when the information provided is false and the
person providing the information knew it was false
When preparing for a committee meeting, who would an MSP most likely meet with to coordinate the
agenda and meeting packet? -
✔✔
Committee Chairperson
NPDB -
Peer review protection does not apply in which state? -
✔✔
Phillippines
LEGAL - ANTICOMPETITIVE PEER REVIEW
Led to the development of HCQIA -
✔✔
Patrick v Burget, US Supreme Court 1988
LEGAL -NEGLIGENT CREDENTIALING
Plaintiff underwent cosmetic surgery with poor outcomes. Patient learned of other complaints against
doctor and hospital, therefore sued for negligent credentialing -
✔✔
Garland Community vs Rose
