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Provider Enrollment Revalidation (Part 1)

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

1. CMS requires Part A and Part B providers (including FQHC, Home Health and Hospice) to revalidate every _____.

a)

4 years

b)

5 years

c)

10 years

2.

2. Providers that enroll solely to order and refer and providers that opt out of Medicare will not need to revalidate.

a)

True

b)

False

3.

When using the Data.CMS.gov/revalidation tool I can find the revalidation due date for which type of providers?

a)

Part A

b)

Part B

c)

Federal Qualified Heath Centers (FQHC)

d)

Home Health & Hospice

e)

All of these

4.

If updated information is needed on an enrollment, should you submit a change of information application if you already revalidated and received the approval letter?

a)

Yes

b)

No

5.

The revalidation notice is sent to the correspondence address and special payment address Medicare currently has on file for that provider, in what color envelope?

a)

Yellow

b)

Blue

c)

Purple

d)

White

6.

What could happen if enrollments are not revalidated timely?

a)

a. Possible hold on your Medicare payment

b)

b. Deactivation of your Medicare billing privileges

c)

c. Enrollment will not be affected in anyway

d)

d. Both a and b

7.

Who should pay the application fee when revalidating?

a)

Clinic/groups practices

b)

Part A facilities and certain Part B suppliers

c)

Individual physicians or nonphysician practitioners

d)

All of these

8.

Which method cannot be use when revalidating enrollment information?

a)

CMS-855 paper application

b)

Internet based PECOS

c)

Cover letter informing information is accurate

9.

How can the requested Medicare enrollment, initiate the revalidation action needed? (select all that apply)

a)

Submit appropriate CMS-855 form

b)

Submit appropriate application through the internet based Provider Enrollment Chain & Ownership System (PECOS)

c)

Submit a CMS-855R

d)

Submit a CMS- 460

10.

What is the earliest time period, prior to the determined due date on the Medicare Revalidation List Tool, can the revalidation application be submitted?

a)

1 year

b)

6 months

c)

7 months

d)

2 months