Clinical Privileging 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 flashcards as text
Which document serves as the primary basis for delineating a provider's clinical privileges at a hospital?
Answer: The medical staff bylaws
Medical staff bylaws define the framework, criteria, and processes by which clinical privileges are granted, modified, or denied.
A physician applies for laparoscopic cholecystectomy privileges but has only performed open cholecystectomies. What is the MOST appropriate next step?
Answer: Require proctoring or supervision for a defined number of cases
When a provider lacks demonstrated competency in a specific procedure, requiring supervised proctoring ensures patient safety before granting independent privileges.
Under FPPE, how long is a focused evaluation period typically conducted for a newly privileged provider?
Answer: For a minimum of six months or a defined case volume
FPPE for new providers typically runs for an initial period—commonly six months or a set number of cases—before transitioning to OPPE.
Which of the following best describes 'telemedicine privileges' in the context of clinical privileging?
Answer: Privileges granted by the originating site mirroring those of the distant site hospital
CMS and accreditation standards allow an originating site to grant telemedicine privileges based on the credentialing and privileging performed by the distant site, provided an agreement exists.
A department chair recommends denial of privileges for a cardiologist based solely on competitive business concerns. What principle does this violate?
Answer: Economic credentialing prohibitions under state law and accreditation standards
Using economic or competitive factors rather than competency and patient safety as the basis for privileging decisions constitutes improper economic credentialing.
What is the purpose of a 'privilege card' or 'delineation of privileges' form?
Answer: To list the specific procedures and clinical activities a provider is authorized to perform
A privilege card or delineation of privileges form specifies exactly which procedures and clinical activities the medical staff has authorized a provider to perform at the facility.
When a provider's clinical privileges are voluntarily relinquished while under investigation, what reporting obligation typically applies?
Answer: The resignation must be reported to the National Practitioner Data Bank
Under HCQIA, voluntary relinquishment of privileges while under investigation or in return for not conducting an investigation must be reported to the NPDB.