HomeBilling Page

VGMU Billing Courses

For a printable version of this page, CLICK HERE

BILL100 – Introduction to CMS and Medicare

Description: This course offers an introduction to the Medicare program and the Centers for Medicare and Medicaid Services (CMS).

Author: Tamra Maxfield

BILL101 – Intake Process Prior to Delivery

Description: This course introduces the biller to the intake process. It offers suggestions to help make the process more efficient and effective to reduce delays and denials.

Author: Tamra Maxfield

BILL102 – Documentation Prior to Claim Submission

Description: This course highlights Medicare documentation requirements prior to claims submission. It is important to understand which type of order is required prior to delivery: Preliminary/Dispensing Order (can be verbal or written) or Detailed Written Order Prior to Delivery.

Author: Tamra Maxfield

BILL103 – Orders, CMNs and DIFs

Description: This course introduces the various types of orders required by Medicare: Preliminary/Dispensing Order, Written Order Prior to Delivery (WOPD), Detailed Written Order (DWO), Certificate of Medical Necessity (CMN) and DME MAC Information Form (DIF). You will learn how to know when you use which type of order, how to correctly complete orders, and who is authorized to order durable medical equipment.

Author: Tamra Maxfield

BILL104 – Claims Filing and Processing Claims

Description: This course will guide you through the information required prior to submitting a claim and the correct ways to submit a claim. You will also learn the different types of claims.

Author: Tamra Maxfield

BILL105 – Frequently Ordered DME

Description: This course will address Medicare coverage for several frequently ordered durable medical equipment products. This course will also explain the process of billing Medicare for capped rental items and inexpensive and routinely purchased items.

Author: Tamra Maxfield

BILL106 - Advanced Beneficiary Notice (ABN)

Description: This course explains the Advanced Beneficiary Notice (ABN), its purpose and how to use it appropriately.

Author: Peggy Walker, RN

BILL107 – Oxygen: Documentation and Billing

Description: Oxygen reimbursement is one of the most complicated of all the Medicare policies. This course is designed to assist billers and patient service personnel in understanding Medicare oxygen reimbursement.

Authors: Andrea Stark and Peggy Walker, RN

BILL108 - PAP - Beneficiaries with OSA: Documentation and Billing

Description: This course introduces positive airway pressure (PAP) devices, and discusses proper billing procedures for reimbursement from Medicare and other third party payors who follow the same criteria.

Author: Peggy Walker, RN

BILL109 - Manual Wheelchairs: Documentation and Billing

Description: Since 2005, the Centers for Medicare and Medicaid Services (CMS) has made several changes to the reimbursement requirements for manual and power wheelchairs, POVs (scooters), canes and walkers, collectively referred to as mobility assistive equipment (MAE). This course explains the changes related to manual wheelchairs.

Author: Peggy Walker, RN

BILL110 – Power Mobility Devices: Understanding the Process

Description: Since 2005, the Centers for Medicare and Medicaid Services (CMS) has implemented several changes to the reimbursement requirements for manual and power wheelchairs, POVs (scooters), canes and walkers, collectively referred to as mobility assistive equipment (MAE). This course will explain the changes related to power wheelchairs and POVs, collectively referred to as power mobility devices, or PMDs.

Author: Peggy Walker, RN

BILL111 - Billing for Repairs/Replacements

Description: This course will help you become familiar with the process of billing for repairs to home medical equipment (HME).

Author: Peggy Walker, RN

BILL112 - Advanced Determination of Medicare Benefits (ADMC)

Description: The Advanced Determination of Medicare Coverage (ADMC) is a process by which your local Medicare carrier will provide you and the beneficiary with a coverage decision prior to delivery of an item. This course describes the ADMC process.

Author: Peggy Walker, RN

BILL113 - Hospital Beds: Documentation and Billing

Description: This course explains how to bill Medicare for all types of hospital beds and accessories and what documentation is required.

Author: Sudi Freeland

BILL114 - Glucose Monitors and Supplies: Documentation and Billing

Description: This course will help you become familiar with the documentation required to bill Medicare for blood glucose monitors and testing supplies.

Author: Sudi Freeland

BILL115 - Urological Supplies: Documentation and Billing

Description: This course will help you become familiar with the process of billing Medicare for all types of urological supplies.

Author: Sudi Freeland

BILL116 - Ostomy Supplies: Documentation and Billing

Description: This course will help you become familiar with the documentation, coding, modifiers and billing requirements in order to bill Medicare for ostomy supplies.

Author: Sudi Freeland

BILL117 - External Breast Prosthesis: Documentation and Billing

Description: This course addresses the billing and coverage of external breast prosthesis for women who have had a mastectomy.

Author: Peggy Walker, RN

BILL118 - Understanding the Medicare Supplier Standards

Description: This course provides explanation of the current standards that a durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) supplier must meet to receive and maintain a Medicare Supplier Number and to submit claims to and receive payment from Medicare.

Authors: Mark Higley and Alan Morris

BILL119 - Medicare Supplier Number: How to Apply and Reapply

Description: This course is designed to assist the learner in navigating the Medicare DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) enrollment process to obtain a new supplier number and update an existing number.

Author: Erica Rochelle

BILL120 – Introduction to Patient Receivable Management

Description: This course provides an overview of patient billing and collection. The course is geared toward billing managers and customer service/intake employees.

Authors: Lisa Bargmann and Lisa Cusick

BILL121 - Medicare Appeals Process

Description: This course explains the structural and procedural changes that have been made to the process that Medicare beneficiaries can use to appeal claim denial and the steps that need to be followed in the appeals process.

Author: Wayne van Halem