Provider Enrollment
a year ago
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10 QuestionsShow answers
  • Question 1
    30 seconds
    Q.

    I am opening a group practice with four members. How do I submit the applications for the members to ensure consistency in effective dates?

    answer choices

    Submit the 855B to enroll the group. Once the group has been enrolled, submit the 855R to reassign benefits for the group members

    Submit the 855B and all of the 855R applications at the same time

    Submit the 855B and one of the 855R applications because a group has to have at least one member

  • Question 2
    30 seconds
    Q.

    How can I check the status of my application using self-service tools instead of calling NGS? Select all that apply.

    answer choices

    PECOS web portal

    Call the Interactive Voice Response system

    Use the Provider Enrollment Status Inquiry Tool on NGSMedicare.com

  • Question 3
    30 seconds
    Q.

    Providers/Suppliers are required to report a change of ownership or control within how many calendar days of when the change occurred?

    answer choices

    30 calendar days

    45 calendar days

    90 calendar days

    120 calendar days

  • Question 4
    30 seconds
    Q.

    What roles in Section 6 qualify an individual for the Authorized Official role? Select all that apply.

    answer choices

    Director

    Officer

    Owner

    W-2 Managing Employee

  • Question 5
    30 seconds
    Q.

    What is the correct application to submit for a Physician Assistant joining a group practice?

    answer choices

    855B

    855I

    855O

    855R

  • Question 6
    30 seconds
    Q.

    How long is a standard development period when additional information is required to process your application?

    answer choices

    10 days

    30 days

    45 days

    60 days

  • Question 7
    30 seconds
    Q.

    What is the web address that shows when a provider is due for revalidation?

    answer choices

    CMS.gov/revalidation

    Data.CMS.gov/revalidation

    NGSMedicare.com/revalidation

    PECOS.CMS.hhs.gov/revalidation

  • Question 8
    30 seconds
    Q.

    When an organization is reported in Section 5 with ownership/managing control interest, what supporting document should be included with the application?

    answer choices

    An organizational structure diagram/flowchart identifying all of the entities listed in Section 5 and their relationships with the provider and each other.

    No additional documentation is required.

  • Question 9
    30 seconds
    Q.

    Select the appropriate definition of a non-participating provider:

    answer choices

    Does not participate in/is not enrolled in Medicare and does not file claims to Medicare

    Is enrolled with Medicare but does not agree to accept assignment for all covered services

    Has a private contract with all Medicare patients for self-pay

    Does not have a restriction on what they can bill a patient for covered services

  • Question 10
    30 seconds
    Q.

    When a clinic/group practice is participating, all members of the group are also participating when the services are provided through the group practice.

    answer choices

    True

    False

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