How often are revalidations required? - Due every 5 years , When will the provider receive the revalidation letter? - 90 days in advance , What is a Rebuttal? - Process that allows providers who's been deactivated the opportunity to provide reason why they shouldn't., How long is the Rebuttal process? - Rebuttals are processed within 30 calendar days of the date of receipt., When must a rebuttal be submitted? - 20 calendar days from the date of the deactivation notice., A participating provider do not bill patients upfront for services except for their what? - Deductibles, When is open enrollment? - mid-November-December 31st , What Form do you use if you want to participate with Medicare? - CMS460 , Opt out is for a period of what? - 2 years , When should the general information category be used? - when somoeone is calling for another mac address, fax, phone number, or web address. , What is the processing time of a paper application ? - 65 calendar days , what is the processing time of a pecos applicaiton? - 50 Calendar days , The NPI have to be shown where in iflow if not the caller did pass disclosure? - Sidebar , The caller does not have to be a contact person for the application status. True or False? - True Caller still have to pass disclosure , What screen would you use if you want to know if the provider is par or non par ? - Provider Eligibility , What option code is for a billing group ? - Option code 1 , What is option code 4? - individual performing providers only , What is A/R 52 ? - Providers who are participating in Diabetes Self-management program. , When will a AR 60 be place on a provider account?? - When remits has been returned, undeliverable mail due to the address not being valid., What is the reason for a Ar46 and ar31 to be place on a account? - Deactivation for non billing of claims in a 12 month period, failure to revalidate, or voluntary termination., Where do the provider go to get the clia certified - State Agency ,
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