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? - ✔✔Yes According to TJC, who may amend the medica ... l staff bylaws? - ✔✔Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? - ✔✔The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? - ✔✔Five years According to the NCQA what policy must an organization have in place to obtain approval to enter into a delegated agreement? - ✔✔Credentialing policies How often does the OIG report to the NPDB? - ✔✔Monthly When must hospitals query the NPDB? - ✔✔Initial appointment, granting of privileges, every two years.NCQA requires verifications must be less than how many days old? - ✔✔180 days What is the verification time limit on malpractice history according to the NCQA? - ✔✔180 days Time limited credential must be verified by the CVO with how may days prior to submission to the client? - ✔✔120 days According the AAAHC, for initial appointments, in addition to licensure and education, what verification is required? - ✔✔Experience and hospital affiliations.What accreditation body states "The NPDB is an acceptable source for sanctions or limitations on licensure, Medicaid/ Medicare sanctions and malpractice history? - ✔✔NCQA Who is required to query the NPDB? - ✔✔Hospitals Is disciplinary action taken against the license of a dentist reportable to the NPDB? - ✔✔Yes [Show More]

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