Font size
WorksheetsProvider Enrollment
Total questions: 10
Worksheet time: 5mins
I am opening a group practice with four members. How do I submit the applications for the members to ensure consistency in effective dates?
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
How can I check the status of my application using self-service tools instead of calling NGS? Select all that apply.
PECOS web portal
Call the Interactive Voice Response system
Use the Provider Enrollment Status Inquiry Tool on NGSMedicare.com
Providers/Suppliers are required to report a change of ownership or control within how many calendar days of when the change occurred?
30 calendar days
45 calendar days
90 calendar days
120 calendar days
What roles in Section 6 qualify an individual for the Authorized Official role? Select all that apply.
Director
Officer
Owner
W-2 Managing Employee
What is the correct application to submit for a Physician Assistant joining a group practice?
855B
855I
855O
855R
How long is a standard development period when additional information is required to process your application?
10 days
30 days
45 days
60 days
What is the web address that shows when a provider is due for revalidation?
CMS.gov/revalidation
Data.CMS.gov/revalidation
NGSMedicare.com/revalidation
PECOS.CMS.hhs.gov/revalidation
When an organization is reported in Section 5 with ownership/managing control interest, what supporting document should be included with the application?
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.
Select the appropriate definition of a non-participating provider:
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
When a clinic/group practice is participating, all members of the group are also participating when the services are provided through the group practice.
True
False
