Exam Preview for 35585: Marrying a Private Practice: Partnering wit

Marrying a Private Practice: Partnering with Insurance Companies, Buying Groups, and Audiology Management Groups

Please note: exam questions are subject to change.

1. Audiologists are mandatory __________ providers: Medicare Medicaid Blue Cross/Blue Shield Kaiser Permanente
2. An audiology practice will need what type of information to enroll in insurance? Employer Identification Number/Social Security Number Location Address National Provider Identifier All of the above
3. A National Provider Identifier is needed for: The group/practice Each insurance Each provider The group/practice and each provider.
4. When enrolling in multiple third party payers, what credentialing database may be helpful? National Provider Identifier (NPI) Merit-based Incentive Payment System (MIPS) Council for Affordable Quality Healthcare (CAQH) Electronic Medical/Health Records (EM/HR)
5. What practice information is needed to decide if a third party payer’s reimbursement will benefit the practice? Owner’s salary Break-even rate Hourly rate Cost of Goods (COGs)
6. Audiology buying groups can aid in: Reducing the price of COGs Insurance credentialing Marketing Insurance verification
7. Audiology management groups can aid in: Reducing the price of COGs Insurance credentialing Marketing All of the above
8. A third party payer contract should include: A fee schedule Guaranteed number of patients Waivers and Upgrade contracts Policy and Procedure manuals
9. Third Party Administrators (TPAs/3Pas) are: Required Optional Branches of Medicare Obsolete
10. If a third party payer’s network is closed, what steps can you take to enroll? Reach out to their CEO for assistance Pay them a large sum Contact them every quarter Give up and not be enrolled