Certified Provider Credentialing Specialist Showdown 2026 – Master the CPCS with Confidence!

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Under HCQIA, for how many years may a hospital lose immunity if it fails to report an adverse privilege action lasting longer than 30 days?

1 year

2 years

3 years

The correct information regarding the immunity provisions under the Health Care Quality Improvement Act (HCQIA) stipulates that a hospital may lose its immunity from damages if it fails to report an adverse privilege action that lasts longer than 30 days. Specifically, this loss of immunity can last for up to three years. This is significant because HCQIA was designed to encourage hospitals and other health care entities to engage in peer review and report adverse actions without fear of liability, thus promoting quality care and patient safety.

Immunity allows hospitals to protect themselves when participating in peer reviews and making credentialing decisions. However, the law requires that relevant actions be reported within a set timeframe to maintain this immunity. If a hospital fails to report an adverse action exceeding 30 days, it is held accountable, and the three-year period reflects the seriousness of not adhering to these reporting requirements, emphasizing the importance of maintaining transparency in health care delivery.

Understanding this timeline is crucial for providers and administrators involved in credentialing and quality assurance processes within healthcare organizations.

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4 years

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