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

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