Are you a medical staff office whiz or are you working your way into the profession? Take our 10-question quiz and discover where you rank!

(Answers and score key far below)

 

1. A credentials verification organization’s (CVO’s) primary function is to:

A. monitor monthly sanction files for its clients

B. primary source verify licenses

C. perform credentialing activities outlined in the agreement

D. review applications for completeness

 

2. A payer/provider enrollment challenge many healthcare organizations face is:

A. failure to use e-signature technology

B. a lack of commercial payers

C. collecting data

D. varying payer requirements

 

3. A reason to consider integrating payer/provider enrollment with credentialing is to:

A. eliminate unnecessary resources

B. reduce the volume of incomplete applications

C. collect practitioner data only once

D. support accreditation

 

4. Which verification source(s) is/are approved by The Joint Commission for medical education for initial appointment?

A. Verification of board certification by applicable specialty board

B. AMA Physician Masterfile or the AOA Physician Data Base for all United States and Puerto Rico medical school education

C. Educational Commission for Foreign Medical Graduates (ECFMG) for United States and Puerto Rico medical school education

D. ABMS

 

5. The Conditions of Participation were created and are maintained by what organization? 

A. TJC

B. DNV GL

C. CMS

D. NCQA

 

6. Which organizations require ongoing professional performance evaluation of privileged practitioners?

A. TJC and DNV GL

B. CMS and TJC

C. DNV GL and CMS

D. HFAP and TJC

 

7. Which organization does not have requirements for privileging practitioners?

A. TJC

B. NCQA

C. DNV GL

D. HFAP

 

8. Which of the following is not a challenge associated with medical staff bylaws?

A. Limited resource for addressing today’s challenges

B. Source of conflicts

C. Inflexible tool in the face of accelerating change

D. Too many credentialed practitioners

 

9. Can employed practitioners serve in medical staff leadership positions?

Yes

No

 

10. Depending on the state, current licensure for physician assistants allows for:

A. practice only with a supervisory agreement

B. practice with a supervisory or collaborative agreement

C. practice through a supervisory, collaborative agreement and independent practice

D. independent practice

 

Score key

0-3 CORRECT ANSWERS: Keep studying!

4-6 CORRECT ANSWERS: You’re on your way.

7-9 CORRECT ANSWERS: You’re well rounded in credentialing, privileging & PE.

10 CORRECT ANSWERS: You’re a pro. Ever consider being a mentor?

 

ANSWERS: 

1. A credentials verification organization’s (CVO’s) primary function is to:

C. perform credentialing activities outlined in the agreement

2. A payer/provider enrollment challenge many healthcare organizations face is:

D. varying payer requirements

3. A reason to consider integrating provider enrollment with credentialing is to:

C. collect practitioner data only once

4. Which verification source(s) is/are approved by The Joint Commission for medical education for initial appointment?

B. AMA Physician Masterfile or the AOA Physician Data Base for all United States and Puerto Rico medical school education

5. The Conditions of Participation were created and are maintained by what organization? 

C. CMS

6. Which organizations require ongoing professional performance evaluation of privileged practitioners?

D. HFAP and TJC

7. Which organization does not have requirements for privileging practitioners?

B. NCQA

8. Which of the following is not a challenge associated with the bylaws?

D. Too many credentialed practitioners

9. Can employed practitioners serve in medical staff leadership positions?

Yes

10. Depending on the state, current licensure for physician assistants allows for:

B. practice with a supervisory or collaborative agreement

 

Thanks for taking the quiz!

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