Credentialing
WHAT ARE THE 2 CREDENTIALING GUIDELINES PMG FOLLOW?
NCQA AND HRSA
Who is the Behavioral Health vendor for Cigna?
Evernorth
WHICH EXISITING CLIENT HAS BEEN SIGNED WITH PMG THE LONGEST?
STERLING HEALTH CENTER
WHICH EMPLOYEE (NOT IN LEADERSHIP) HAS BEEN WITH PMG THE LONGEST?
WHAT SPORT DO THE HARLEM GLOBETROTTERS PLAY?
BASKETBALL
HOW LONG IS A ONE TIME NPDB QUERY VALID FOR?
THIS PROVIDER TYPE IS MOST LIKELY TO BE ENROLLED IN MEDICARE AS AN ORDERING, CERTIFYING, REFERRING PROVIDER
DENTIST
WHICH STATE DOES PMG HAVE THE MOST CLIENTS IN?
TEXAS (6)
WHO WAS THE FIRST PERSON HIRED WITH THE CREDENTIALING SPECIALIST TITLE BY PMG?
JAMIE
WHAT MOVIE IS KNOWN FOR THE FAMOUS QUOTE "YO ADRIAN!"
ROCKY
NAME 3 CREDENTIALING GOVERNING BODIES
TJC, DNV, AAAHC, NCQA, URAC, HFAP, MEDICARE COPS
THIS DOCUMENT SHOULD BE SUBMITTED NEARLY 100% OF THE TIME WHEN SUBMITTING AN ENROLLMENT APPLICATION
W-9 FORM
WHICH CLIENTS ARE NOT FQHC'S? (HINT THERE ARE 6)
PLANNED PARENTHOOD, RIPH, SCHULYER COUNTY, SAFE HEALTH, HERITAGE, NORTH CENTRAL HEALTH DISTRICT
WHAT ARE THE NAMES OF THE 3 PARTNERS?
ROB RICH AND RAY
IN WHAT BOOK SERIES DOES 'NEVILLE LONGBOTTOM' APPEAR?
HARRY POTTER
WHAT VERIFICATIONS DOES PMG COMPLETE FOR A FAMILY NURSE PRACTITONER?
NPDB, STATE LICENSES, EDUCATION, BOARDS, DEA, SAM, OIG
WHAT IS THE TIMEFRAME MOST PAYERS WILL NOT ALLOW A SUBMITTED ENROLLMENT APPLICATION?
NO SOONER THAN 60 DAYS PRIOR TO A PROVIDERS START DATE OR RE-VALIDATION DATE
WHAT CLIENT ONLY RECEIVES CREDENTIALING (NO ENROLLMENT) SERVICES FROM PMG?
COMMUNITY HEALTH CENTER OF RICHMOND
WHICH PMG EMPLOYEE LIVES THE FURTHEST FROM RHODE ISLAND?
JANETTE-ARIZONA
WHAT PAINTER REPORTEDLY CUT OFF HIS OWN EAR?
VAN GOUGH
HOW OFTEN DOES RE-CREDENTIALING NEED TO BE COMPLETED ACCORDING TO FTCA?
2 YEARS
WHAT IS THE PRIORITY ORDER IN WHICH PAYER ENROLLMENT SUBMISSIONS SHOULD BE FOLLOWED?
MEDICAID, MEDICARE, MCO PLANS, COMMERCIAL PAYERS
AS OF TODAY HOW MANY CLIENTS DOES PMG HAVE?
71
WHICH PMG EMPLOYEE HAS THE MOST CHILDREN?
KATIE - 5
WHICH PRESIDENT IS FEATURED ON THE 2 DOLLAR BILL?
THOMAS JEFFERSON