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CPCS Exam Content Outline

The CPCS exam addresses the following content. Candidates are required to demonstrate proficiency by answering exam questions that evaluate their knowledge of facts, concepts and processes required to complete the tasks described below. Additional information is available in the Candidate Handbook.

Credentialing and Privileging – Conduct, participate in and maintain credentialing and privileging (41%)

  • Determine applicant’s eligibility for membership/participation to ensure compliance with accreditation and regulatory standards.
  • Analyze application and supporting documents for completeness according to accreditation and regulatory standards, and inform the practitioner of the application status, including the need for any additional information.
  • Perform initial or reappointment/re-credentialing for eligible practitioners to ensure compliance with accreditation and regulatory standards
  • Compile, evaluate, and present the practitioner-specific data collected and assembled during the verification process for review by one or more decision-making bodies to ensure compliance with accreditation and regulatory standards.
  • Process requests for privileges to ensure compliance with accreditation and regulatory standards.

Primary Source Verification – Conduct, participate in, and maintain primary source verification (26%)

  • Obtain and evaluate information from primary sources to ensure compliance with accreditation and regulatory standards in order to validate the accuracy of applications for one or more decision-making bodies
  • Recognize, investigate, and validate discrepancies and adverse information obtained from the application, primary source verifications, or other sources to ensure that review and approval bodies have the information needed to make informed credentialing decisions.
  • Verify and document expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards.
  • Provide a response to queries from other entities to assist them in completing their credentialing process.

Compliance – Comply with accreditation and regulatory standards (23%)

  • Participate in the development, implementation, and ongoing assessment of bylaws, rules and regulations, and polices and procedures to ensure continuous compliance with accreditation and regulatory standards.
  • Conduct and participate in audits of delegated credentialing entities to ensure compliance with accreditation and regulatory standards.
  • Obtain and evaluate practitioner sanctions, complaints, and adverse data to ensure compliance with accreditation and regulatory standards.
  • Conduct a review of practitioner’s site to ensure compliance with accreditation and regulatory standards.

Operations – Support departmental operations (10%)

  • Inform practitioners and stakeholders, in a timely manner, of credentialing decisions using letters, reports, and system updates.
  • Perform and coordinate meeting logistics, documentation preparation, and follow-up consistent with assigned duties for practitioner-related activities.
  • Update the practitioner database continuously and consistently to ensure that accurate and current information is available to all stakeholders.