Certified Provider Credentialing Specialist (CPCS) 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Under which circumstance must a license be verified according to TJC?

Only upon expiration

During initial appointment and reappointment

Only when a complaint is made

Both A and B

Verification of a license is crucial for maintaining the quality and safety of healthcare services, which is why The Joint Commission (TJC) has specific requirements regarding the verification process. A license must be verified during both the initial appointment and reappointment phases of a provider's credentialing process. Initial appointment verification ensures that a provider has the necessary qualifications and legal permissions to practice before they start working in a healthcare setting. Reappointment verification is equally important as it confirms that the provider continues to meet regulatory and organizational standards necessary to maintain their privileges.

When licenses are only verified upon expiration, as well as in response to a complaint, the organization risks allowing non-compliant or unqualified professionals to practice, which could compromise patient safety and care quality. By requiring license verification at both initial and reappointment stages, TJC helps to ensure that healthcare organizations continually assess the competency and qualifications of their healthcare providers, thereby upholding high standards in the delivery of care.

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