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PV Policy 1 of 6 Review Questions

Across
Most provider types require a state license or ______certification.
A Certified Nurse _______ is licensed by the state board of nursing and certified through the American Midwifery Certification Board.
Not any ______ may be used to verify a license.
Usually a Certified Diabetic Educator is also a ____, dietician, pharmacist, or social worker.
Group psychiatric therapy charges on a HCFA 1500 should be processed under the _______ record and not the group record.
Birthing Centers are added as a _____.
Acupuncturists are ______ a covered provider.
If no _________ is received from the provider, add as a non-covered provider.
Provider_______does not require licensure to be updated every year.
A Heart Catheterization lab must meet the plan _____ by having a state license or Medicare certification.
If the ____ 1500 is received without a practitioner review the CPT codes for group therapy charges and process using the Day Treatment record.
A Day Treatment Program is an ________ treatment program for mental conditions and substance abuse.
Make a call to the _______ if unable to locate license on website or if the state website is showing it to be expired.
If charges are for facility fees, the BLCT must be licensed as an ________ Surgery Center.
The range of ______ codes that you see on a UB2 for Day Treatment Program is 900-919.
_______ for psychological testing or lab services that are billed by the Day Treatment Programs are covered.
Licenses that are active and clear are considered to be ______.
Down
A Certified Nurse Midwife must be licensed as a Nurse Midwife or licensed as a RN or CNP and have certification from the American _________ Certification Board.
A Birth _____ is a non-covered provider.
Halfway Houses are ___ covered under the plan.
_____ is entered for a Cardiac Rehabilitation Center if it is licensed as an Ambulatory Surgery Center. If not registered as an ASC, add the provider as a covered CRCT.
Birthing Centers meet the definition of a covered provider if ________ by the National Association of Childbearing Center, or within the confines of a covered hospital.
The license must say Nurse Midwife or the provider may have ___ licenses, one as a nurse and an additional license/certification as a midwife.
Midwives are _______ non-discrimination providers.
Local blood banks and the American Red Cross are examples of a ________.
Board Certified _______ Analyst provide treatment for the treatment of autism.
The provider's license must be verified if the provider is not in the system or the ____ verified date has expired.
A provider is covered in Virginia, Maryland, and District of Columbia if the _____ is for one of these states.
All ______ do not license Surgical Technicians or First Assistants.