CHCS Provider Enrollment & Privileging 2

Question 1

A physician group wants a newly hired physician to bill Medicare under the group's TIN. Which CMS form reassigns the physician's Medicare benefits to the group?

Accepted Answer

CMS-855R

Answer

The CMS-855R reassigns an individual practitioner's right to receive Medicare payments to a group or organization.

Question 2

Which CMS enrollment form does a clinic or group practice use to enroll as a supplier organization?

Accepted Answer

CMS-855B

Answer

Clinics, group practices and certain other suppliers enroll with the CMS-855B.

Question 3

A physician has no plans to bill Medicare but must order lab tests for Medicare patients. Which form lets them enroll only to order and refer?

Accepted Answer

CMS-855O

Answer

The CMS-855O enrolls practitioners solely to order, certify or refer Medicare items and services.

Question 4

Which form does a provider submit to receive Medicare payments by electronic funds transfer?

Accepted Answer

CMS-588

Answer

The CMS-588 is the Medicare EFT authorization agreement.

Question 5

After a Medicare Administrative Contractor approves a physician's enrollment, which Medicare-specific identifier does it issue?

Accepted Answer

PTAN

Answer

The MAC issues a Provider Transaction Access Number (PTAN) when it approves Medicare enrollment.

CHCS - Certified Healthcare Credentialing Specialist Practice Test

CHCS - Certified Healthcare Credentialing Specialist Practice Test

CHCS Provider Enrollment & Privileging 2