PE Finalization / Pepsi Doc
Datasheet Unity / Specialty Guide
855I / 855R Processing
855B Doc
Part A (SNF & Part A Web Doc)
100
NOTIFICATION LETTERS

What are the first processing steps that should be taken before sending any finalized notification letter of completion when your application is in 55-100 status?

100

SPEC LICENSE GUIDE

 What accreditation is a Clinic/group required to have for an MNT/RD to bill for codes G0108 or G0109? 

100

855I - SUPPORTING DOCUMENTS

If a DEA copy is attached to the application but not listed in the DEA section of the application should it be entered into PECOS?

100

EFT (ELECTRONIC FUNDS TRANSFER)

How Many EFT agreements are allowed per Enrollment record

100

PART A - PENDING EXPECTATIONS

What day should an 855A SNF application go into clock stoppage if waiting on SNF attachment?

200

MANUAL NOTIFICATION LETTER

You are required to resend your notification as a part of your MQA corrections. What template is downloaded and completed from sharepoint to complete this task in outlook?

200

 SPEC LICENSE GUIDE

What state is Anesthesiology Assistance specialty valid?

200

855R - SKELETON ENROLLMENT

When Completing a Skeleton 855R enrollment, what address is used for the correspondence address?

200

MANAGING EMPLOYEE

Can a contracted managing employee be a AO with no other relationship or title?

200
PART A - SUPPORTING DOCUMENTS

For an 855A SNF application, do you need an organizational chart for section 6?

300

RFI 

How long after an RFI is sent must you call the contact, AO, or DO on the application?

300

DATASHEET DOC

Which option code should be selected on an 855R datasheet when a provider is reassigning to a Sole Proprietor?

300

855I - DEACTIVATION

When should you terminate an 855O enrollment when completing an 855I/R combo

300

GROUP ADDED NEW LOCATION WITH NEW RC CODE

When an established group adds a location that results in a new PTAN, what additional step is needed in regard to the group members?

300

PART A - ATTACHMENTS

How long do 855A SNF applications stay in clock stoppage for the SNF Attachment?

400

ATTACHING IN ONBASE

How would you attach a manual letter behind the application, while keeping it editable?

400

CALL LOG

What Items must be added to a summary of Conversations?

400

SOLE OWNER

Will all the applications ( 855R/855B) be transferred to the 855I rep before any of the applications are attached?

400

PROVIDERS THAT REQUIRE A FEE

Does an Ambulatory Surgery Center (ASC) require a fee for a change application not adding a new practice location?

500

SITE VISITS

What is the timeframe when determining whether a site visit needs to be ordered for a location listed on your application? If the site visit is ordered and becomes overdue what is the clock stoppage reason, we use?

500

855R VALIDATIONS

What validations if any could be marked on a 855R data sheet

500

DEA

Can you reject an application if there was an RFI for an DEA but no response after 30 days?

500

SITE VISITS 

Are PT/OT groups required to have a Site visit for initial and change applications?