Description: This course offers an introduction to the Medicare program and the Centers for Medicare and Medicaid Services (CMS).
Author: Tamra Maxfield
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.
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.
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.
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.
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.
Description: This course explains the Advanced Beneficiary Notice (ABN), its purpose and how to use it appropriately.
Author: Peggy Walker, RN
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
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.
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.
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.
Description: This course will help you become familiar with the process of billing for repairs to home medical equipment (HME).
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.
Description: This course explains how to bill Medicare for all types of hospital beds and accessories and what documentation is required.
Author: Sudi Freeland
Description: This course will help you become familiar with the documentation required to bill Medicare for blood glucose monitors and testing supplies.
Description: This course will help you become familiar with the process of billing Medicare for all types of urological supplies.
Description: This course will help you become familiar with the documentation, coding, modifiers and billing requirements in order to bill Medicare for ostomy supplies.
Description: This course addresses the billing and coverage of external breast prosthesis for women who have had a mastectomy.
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
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
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
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
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