1) What is an for AR 52 ?  a) Do not forward payment. b) 1 Year Re-enrollment bar c) Provider has opted to not receive any HPSA or PSA bonus payments d) CRD provider – Med B e) Participating in Diabetes Self-Management Program f) Vendor offset 2) What AR code is (Hold Payment Due to Non-Response to Revalidation Request. a) 101 b) 54 c) 102 d) 97 e) 52 f) 53 3) What type of Applicaiton would a provider do to remove an AR 60? a) New Enrollee  b) reactivating c) voluntarily terminating d) order and certify.  e) reporting a change f) revalidations  4) Why would an AR code 31 have added to the provider profile?  a) Out-of-state provider b) Provider recertification ( licenses Update )/ End date . c) Provider Investigation. d) Suspend/retired/Assigned by PECOS when enrollment status is voluntary withdraw and the provider is end dated. (CAN BE DEACTIVATED DUE TO NON-BILLING) e) Suspend – pay Medicare non-assigned f) 3 Year Re-enrollment bar 5) When you see this AR code the provider needs to update the Licenses. a) 46 b) 52 c) 50 d) 53 e) 102 f) 103 6)  Option code 1 is for who ?  a) Performing physician b) physician and non-physician practitioners c) Physician and non- physician practitioners d) non-physician practitioners e) This is used for groups. 7) If a Group has option code 1 what should the rendering provider option code be ? a) 2 b) 1 c) 4 d) 3 e) 6 f) 9 8) If the rendering provider has option code 4 , What's the groups option code?  a) 2 b) 8 c) 4 d) 6 e) 5 f) 1 9) What option code should provider thats enrolled as a sole proprietorship who are billing independently?  a) 8 b) 7 c) 6 d) 1 e) 2 f) 9 10) How long will it take for the option code to reflect the update in the system? ?  a) 3-5 b) 2 weeks c) 36 hours d) 24-48 hours e) 72 hours f) 1 month 11) What option code will a sole proprietor and his employee have ?  a) 8/9 b) 3/4 c) 1/2 d) 6/4 e) 7/9 f) 2/4 12) What Option code would an individual sole owner with no resignments have?  a) 3 b) 6 c) 1 d) 8 e) 9 f) 4

Option codes and AR codes

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