Clinical Privileging and Competency Evaluation (FPPE/OPPE) Flashcards
7 cards from real CPCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Privileging and Competency Evaluation (FPPE/OPPE) flashcards as text
A physician applies for privileges in a department where no peers in that specialty currently practice. How should the hospital evaluate clinical competency?
Answer: Use external peer reviewers with appropriate specialty expertise
When internal peer reviewers are unavailable, hospitals should obtain evaluation from external reviewers with the appropriate specialty expertise.
Which of the following BEST defines 'proctoring' in the context of FPPE?
Answer: Direct or retrospective observation of a practitioner's clinical performance by a qualified peer
Proctoring involves a qualified peer directly or retrospectively observing and evaluating a practitioner's actual clinical performance.
A hospitalist group contracts with a hospital. The hospital is responsible for credentialing the hospitalists. Which statement is TRUE?
Answer: The hospital must independently credential each hospitalist regardless of group affiliation
Each practitioner who provides care in the hospital must be individually credentialed by the hospital, regardless of employment or contract arrangements.
Under OPPE, which of the following represents a 'behavior' indicator that may be tracked alongside clinical performance metrics?
Answer: Adherence to the medical staff code of conduct
Behavioral indicators such as code of conduct adherence, collegial conduct, and adherence to hospital policies are legitimate OPPE data elements.
A credentials specialist discovers that a practitioner did not disclose a prior malpractice settlement on their application. What is the MOST serious concern?
Answer: The omission may constitute falsification, warranting denial or revocation of privileges
Falsification or material omission on a credentialing application is grounds for denial, revocation, or non-renewal of privileges.
Which of the following scenarios would MOST likely require an expedited credentialing review?
Answer: A locum tenens physician needed within 48 hours to cover a critical staffing gap
Urgent patient care needs, such as imminent locum coverage gaps, trigger expedited credentialing processes with streamlined but complete verification.
When a practitioner's privileges are voluntarily relinquished while under investigation, what MUST the hospital do?
Answer: Report the resignation to the NPDB because it occurred during an active investigation
NPDB reporting is required when a practitioner surrenders privileges while under investigation or to avoid an investigation.