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 (60%)
- Analyze an initial application and supporting documentation for completeness and eligibility according to accreditation standards and federal regulations, and then notify the practitioner of the application status.
- Analyze a reappointment/recredentialing application and supporting documentation for completeness and eligibility according to accreditation standards and federal regulations, and then notify the practitioner of the application status.
- Process an initial or reappointment/recredentialing application by using primary, secondary, or recognized equivalent sources to maintain compliance with accreditation standards and federal regulations.
- Collect, verify, analyze, and deliver practitioner-specific data obtained during the credentialing process for the reviewing and approval bodies to have the information necessary to make decisions in compliance with accreditation standards and federal regulations.
- Process practitioner requests for privileges by obtaining documentation of competency in compliance with accreditation standards and federal regulations.
Ongoing Monitoring (22%)
- Monitor and evaluate practitioner sanctions, complaints, and adverse information between credentialing cycles to maintain compliance with accreditation standards and federal regulations.
- Verify and document expirables by using primary, secondary, and recognized equivalent sources to maintain compliance with accreditation standards and federal regulations.
Supporting Departmental Operations (18%)
- Participate in internal and external audits of practitioner files and operational documents (e.g., policies, procedures, monitoring logs) to maintain compliance with accreditation standards and federal regulations.
- Support credentialing functions and meeting documentation to maintain compliance with accreditation standards and federal regulations
CPCS® is registered in the U.S. Patent and Trademark Office as a service mark of National Association Medical Staff Services.