This class was created by Brainscape user Jessica Flemmer. Visit their profile to learn more about the creator.

Decks in this class (25)

Staff Categories (#2)
Active staff,
Associate provisional staff,
Consulting staff
12  cards
Qualifications for Membership (#2)
External criteria,
Internal criteria
2  cards
Hospital Medical Staff Membership/ Appointment (#2)
Cops on hospital ms membership appt,
Tjc on hospital ms membership appt,
Hfap on hospital ms membership appt
4  cards
Provider Panels/ Networks (#2)
What is a provider panel network,
Ncqa on provider networks,
Urac on provider networks
4  cards
The Application Process (#1)
Pre application form,
Review of application,
Gaps
11  cards
Verification of Credentials (#1)
Internal verification,
Centralized verification,
Tjc on delegated credentialing
8  cards
Primary Source
Tjc on psv,
Ncqa on psv,
Hfap on psv
6  cards
Designated Equivalent Sources for PSV
What are designated equivalent so...,
What is npdb,
What is hipdb
11  cards
PSV of Credentials (#1)
Do demographics need psv,
Education,
Training
17  cards
Clinical Privileges (#2)
What are clinical privileges,
Methods for delineating clinic pr...,
Clinical privileges
9  cards
Practitioner Initial Appointment Profiles (#2)
Profile
1  cards
Follow Up Clairfication (#2)
Follow up
1  cards
Approval Process (#2)
Approval process
1  cards
Expedited Appointment
Expedited credentialing,
Provisional credentialing
2  cards
Notification of Decision (#4)
Notification of decision
1  cards
Due Process (#1)
What is due process,
What is an appeal,
What is a hearing
7  cards
Peer Review & Performance Improvement (#2)
Who is a peer,
Hospital pr process,
Mco pr process
3  cards
Recredentialing/ Reappointment/ Reappraisal (#1)
What is recredentialing,
What is reappointment reappraisal,
Reappointment standards
3  cards
Who gets credentialed? (#2)
Hospital,
Ncqa,
Urac
3  cards
Bylaws, Policies, Procedures, Rules & Regulations (#3)
Rules regulations,
Policies procedures,
Mcos
3  cards
Practitioner Office Site Visits (#3)
Ncqa
1  cards
Operations & Meeting Management (#4)
Management information system mis,
Credentials chart audits,
Release of information responding...
13  cards
Case Law
Darling vs charleston memorial co...,
Johnson vs misericordia community...,
Elam vs college park hospital
18  cards
Why use telemedicine?
Why use telemedicine,
Standards on telemedicine
2  cards
Confidentiality
Ncqa on confidentiality,
Confidentiality
2  cards

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cpcs exam

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