Primary Source Verification (PSV) Standards and Procedures Flashcards
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Read the first 7 Primary Source Verification (PSV) Standards and Procedures flashcards as text
Which database is an acceptable primary source for verifying a physician's board certification according to The Joint Commission?
Answer: The applicable American Board of Medical Specialties (ABMS) member board
ABMS member boards are the issuing authorities for specialty board certifications and are therefore the recognized primary source for verification.
How frequently must Primary Source Verification be conducted for medical staff reappointment under typical Joint Commission standards?
Answer: At least every two years, coinciding with each reappointment cycle
TJC standards require credentials to be re-verified through primary sources at each reappointment, which must occur at least every two years.
The Federation of State Medical Boards (FSMB) Physician Data Center is an acceptable primary source for verifying which type of credential?
Answer: State medical licensure across multiple states
The FSMB Physician Data Center aggregates licensure data from member state boards, making it an acceptable source for verifying state medical licenses.
When verifying completion of graduate medical education (residency), what is the correct primary source?
Answer: The graduate medical education (GME) office of the institution where training was completed
The GME office of the training institution is the issuing authority for residency completion records and therefore serves as the primary source.
Which of the following is NOT considered Primary Source Verification?
Answer: Reviewing a photocopy of a diploma submitted by the applicant
A document submitted by the applicant is a secondary source; PSV requires confirmation from the original issuing entity, not from the applicant.
What is the role of CAQH ProView in the Primary Source Verification process?
Answer: It provides a centralized practitioner-self-reported repository that facilitates data collection, but PSV must still be obtained from issuing sources
CAQH ProView centralizes practitioner-supplied data and streamlines the application process, but the practitioner data is self-reported and does not replace PSV from actual issuing sources.
Under NCQA standards, how often must a Credentials Verification Organization (CVO) be recertified to maintain its recognized status?
Answer: Every three years
NCQA CVO certification is valid for three years, after which organizations must undergo a full recertification review to maintain their recognized status.