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CCS CPT Coding Lesson 3 Assessment

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CCS CPT Coding Lesson 3 Assessment Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - According to TJC, who may amend the medical staff bylaws? - Failure to ...

CCS CPT Coding Lesson 3 Assessment Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - According to TJC, who may amend the medical staff bylaws? - Failure to meet the established qualifications and criteria for appointment should be reported to whom? NCQA requires the MCO to obtain a minimum of how may years of work history? According to the NCQA what policy must an organization have in place to obtain approval to enter into a delegated agreement? How often does the OIG report to the NPDB? - When must hospitals query the NPDB? - NCQA requires verifications must be less than how many days old? What is the verification time limit on malpractice history according to the NCQA? - Time limited credential must be verified by the CVO with how may days prior to submission to the client? - According the AAAHC, for initial appointments, in addition to licensure and education, what verification is required? licensure, Medicaid/ Medicare sanctions and malpractice history? - Who is required to query the NPDB? - Is disciplinary action taken against the license of a dentist reportable to the NPDB? - Under HCQIA a hospital failure to report an adverse privilege action lasting longer than 30 days may cause the organization to lose HCQIA immunity for how many years? - According to NCQA, verification of Medicare/Medicaid sanctions can be queried by any of what sources? - According to NCQA, how often must an organization conduct an audit of the credentialing process delegated to another organization? - How far back does TJC require evaluation of malpractice history? - According to TJC, what source may be used to evaluate malpractice history? - Is an internet verification from a website not contracted by the primary source that attests to the accuracy and timeliness of the information considered a complete verification by NCQA? - What accreditation bodies require privileges to be distributed to essential department personnel? - TJC and NCQA do not require criminal background checks. - Is a payment made by an insurance company reportable to the NPDB?

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