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 (61%)
- Analyze an initial application and supporting documentation for completeness and eligibility and then notify the practitioner of the application status.
- Analyze a reappointment/recredentialing application and supporting documentation for completeness and eligibility and then notify the practitioner of the application status.
- Process an initial or reappointment/recredentialing application by using primary or designated equivalent sources.
- Collect, verify, analyze, and deliver practitioner-specific data obtained during the credentialing process to provide the information necessary to make decisions
- Process practitioner requests for privileges by obtaining documentation of competency.
Ongoing Monitoring (27%)
- Monitor and evaluate practitioner sanctions, complaints, and adverse information between credentialing cycles.
- Assist in maintenance of recurring expirables by using primary or designated equivalent sources between credentialing cycles.
- Coordinate and monitor professional practice evaluation documentation on an ongoing basis.
Supporting Departmental Operations (12%)
- Participate in internal and external audits of practitioner files and operational documents.
- Facilitate credentialing and privileging functions and meeting management.
CPCS® is registered in the U.S. Patent and Trademark Office as a service mark of National Association Medical Staff Services.