Certified Provider Credentialing Specialist (CPCS) Practice Exam

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What is the verification time limit on malpractice history according to the NCQA?

90 days

120 days

180 days

The verification time limit on malpractice history according to the National Committee for Quality Assurance (NCQA) is set at 180 days. This timeframe is established to ensure that the information used during the credentialing process is current and relevant, allowing for appropriate assessment of a provider's malpractice history. Keeping the verification period at 180 days balances the need for thorough due diligence with the practicalities of verifying large amounts of provider data. It means that any malpractice claims or actions within this time frame must be disclosed and verified to ensure patient safety and quality care. This standard helps organizations maintain a level of ongoing monitoring while also recognizing that not all incidents from the past are indicative of a provider's current practice or competency.

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Two years

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