Oregon Insurance Panel Credentialing Guide for Therapists in Private Practice

Check what you learned

10 questions from this lesson. Answers are checked as you go; nothing is recorded.

1. 1 / 10

   Which two types of NPIs are required for a therapist with an LLC in Oregon?

   AType 2 onlyBType 1 onlyCType 1 and Type 2DNone of the above
   Hint

   Look at the NPI section for LLCs

2. 2 / 10

   What is the minimum malpractice coverage most Oregon payers require?

   A$2,000,000 per occurrence / $4,000,000 aggregateB$1,000,000 per occurrence / $3,000,000 aggregateC$500,000 per occurrence / $1,500,000 aggregateD$750,000 per occurrence / $2,250,000 aggregate
   Hint

   Check the malpractice insurance paragraph

3. 3 / 10

   Which profile is described as the single most important step for credentialing?

   AW-9BOregon Practitioner Credentialing ApplicationCDriver's licenseDCAQH ProView Profile
   Hint

   Read the CAQH section

4. 4 / 10

   What must be uploaded to CAQH ProView?

   AOnly W-9 and CVBState license, malpractice cert, W-9, CV, OPCA, attestationsCOnly OPCADOnly state license and malpractice cert
   Hint

   See the CAQH upload list

5. 5 / 10

   How often must a CAQH profile be re‑attested?

   AEvery 90 daysBEvery 30 daysCEvery 60 daysDEvery 120 days
   Hint

   Look for the re‑attestation interval

6. 6 / 10

   What is the primary purpose of the Oregon Practitioner Credentialing Application (OPCA)?

   ATo serve only for Medicaid enrollmentBTo be used only by large health systemsCTo replace CAQH entirelyDTo provide a standardized form for most Oregon payers
   Hint

   Read the OPCA description

7. 7 / 10

   Which forms does a solo therapist billing under an LLC file to enroll with the Oregon Health Authority?

   AOHA 3972BOHA 3975COHA 3974DAll of the above
   Hint

   Check the enrollment forms list

8. 8 / 10

   What is the maximum time Oregon law allows insurers to approve a complete application?

   A180 daysB60 daysC120 daysD90 days
   Hint

   Find the ORS 743B.454 reference

9. 9 / 10

   Which payer is described as having a closed integrated system that does not credential community therapists?

   AModa HealthBPacificSourceCKaiser Permanente NorthwestDRegence
   Hint

   Look for the closed system note

10. 10 / 10

    What is the first step in enrolling with Oregon Health Plan (OHP)?

    ASubmit a W-9BEnroll with the State (OHA)CIdentify CCOsDSubmit OPCA
    Hint

    Read the Step 1 description