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Free CPMSM Practice Questions

10 free, exam-style Certified Professional Medical Services Management (CPMSM) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CPMSM practice test to study every exam domain.

Question 1

An applicant graduated from a medical school located outside the United States. When performing primary source verification of the practitioner's medical education, which source does The Joint Commission recognize as a designated equivalent source?

  1. The American Medical Association (AMA) Physician Masterfile listing
  2. The Educational Commission for Foreign Medical Graduates (ECFMG)
  3. The Federation of State Medical Boards (FSMB) disciplinary database
  4. The American Board of Medical Specialties (ABMS)
Show answer & explanation

Correct answer: B - The Educational Commission for Foreign Medical Graduates (ECFMG)

Question 2

A physician with 25 years of practice and current board certification is granted a newly requested clinical privilege. Regarding Focused Professional Practice Evaluation (FPPE), the medical services professional should:

  1. Document that FPPE is waived because the physician is board certified
  2. Apply the practitioner's existing OPPE data in place of FPPE
  3. Initiate FPPE for the newly requested privilege
  4. Defer FPPE until the first reappointment cycle after the privilege is granted
Show answer & explanation

Correct answer: C - Initiate FPPE for the newly requested privilege

Question 3

Temporary privileges to fulfill an important patient care need may appropriately be granted when:

  1. A complete, clean application is pending and the required verifications, including an NPDB query, are in place
  2. The department is short-staffed and needs immediate clinical coverage to maintain its normal patient care services
  3. The practitioner is board certified and has requested the privileges
  4. The governing body has not yet scheduled its next meeting
Show answer & explanation

Correct answer: A - A complete, clean application is pending and the required verifications, including an NPDB query, are in place

Question 4

A health plan delegates credentialing activities to a hospital under a written delegation agreement. Which statement about accountability is correct?

  1. The hospital assumes sole legal accountability for all credentialing decisions once the agreement is signed
  2. Accountability is shared only if the delegate is an NCQA-certified CVO
  3. Neither party is accountable for decisions made during the delegation period
  4. The health plan retains ultimate accountability and must provide ongoing oversight of the delegate
Show answer & explanation

Correct answer: D - The health plan retains ultimate accountability and must provide ongoing oversight of the delegate

Question 5

A professional review action restricts a practitioner's clinical privileges for 45 days. With respect to the National Practitioner Data Bank (NPDB), this action is:

  1. Not reportable, because the restriction is temporary rather than permanent
  2. Reportable, because it adversely affects clinical privileges for more than 30 days
  3. Reportable only if the practitioner later resigns or is terminated
  4. Not reportable, because restrictions are handled solely through state licensing boards
Show answer & explanation

Correct answer: B - Reportable, because it adversely affects clinical privileges for more than 30 days

Question 6

Under the Health Care Quality Improvement Act (HCQIA), a professional review action must meet several standards to qualify for immunity. All of the following are required standards EXCEPT:

  1. A reasonable belief that the action furthers quality health care
  2. A reasonable effort to obtain the facts of the matter
  3. Advance approval of the action by the state medical board
  4. Adequate notice and fair hearing procedures for the practitioner
Show answer & explanation

Correct answer: C - Advance approval of the action by the state medical board

Question 7

The term "recredentialing," performed at least every 36 months with no grace period, is used by which organization?

  1. NCQA
  2. The Joint Commission
  3. CMS (Conditions of Participation)
  4. DNV
Show answer & explanation

Correct answer: A - NCQA

Question 8

The medical staff votes to adopt an amendment to the medical staff bylaws. The amendment becomes effective when:

  1. The medical staff completes and certifies its vote
  2. The chief of staff and department chairs sign the amendment
  3. The medical executive committee forwards its recommendation
  4. The governing body reviews and approves the amendment
Show answer & explanation

Correct answer: D - The governing body reviews and approves the amendment

Question 9

A medical services professional finds that a practitioner's license expiration date is recorded differently in the credentialing database than in the enrollment system. The PRIMARY concern this raises is:

  1. The added cost of maintaining two separate credentialing software systems and their annual licenses
  2. Data integrity - the accuracy and consistency of the practitioner record across systems
  3. The practitioner's contracted reimbursement rate with payers
  4. Whether the enrollment system vendor offers technical support
Show answer & explanation

Correct answer: B - Data integrity - the accuracy and consistency of the practitioner record across systems

Question 10

An external organization requests verification of a practitioner's affiliation dates and clinical privileges. What MOST appropriately governs the medical services professional's response?

  1. The verbal assurances and stated needs of the requesting organization as described by its representative at the time of the inquiry
  2. The individual judgment of the staff member who happens to receive the request
  3. Organizational policy on releasing practitioner information, including authorization and confidentiality requirements
  4. Whether the practitioner is currently in good standing on the medical staff
Show answer & explanation

Correct answer: C - Organizational policy on releasing practitioner information, including authorization and confidentiality requirements

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