Medicare Part B: Reimbursement Guidelines
Get answers to your most pressing Medicare questions
Find out why you should never appeal a Medicare claim before
reviewing Medicare’s National Correct Coding Policy.
5 Reasons to Attend
- This class provides an interactive environment
where participants will get answers to Medicare reimbursement questions and
learn from faculty and peers.
- Get the latest information on documentation
guidelines for E&M services, and CMS’s Correct Coding Policy.
- Receive tips on how to work with the CMS and
Medicaid regional offices and tools for improved handling of Medicare claims.
- This class may satisfy a compliance training
component, as recommended by the Office of the Inspector General.
- Billing staff that are up-to-speed on current
Medicare billing requirements help improve your office’s bottom line.
Billing errors and denials cost providers millions of
dollars each year in lost income and productivity.
This class will cover all the statutory obligations, rights,
roles and responsibilities of the Medicare provider. Participants will return
to the office with new knowledge and skills aimed at improving Medicare claim
- Understanding Medicare’s Correct Coding
Initiative for correct use of comprehensive and mutually-exclusive codes
- RBRVS and your Medicare fee schedule
- How to get a list of all non-covered services.
- Advance Beneficiary Notice guidelines
- What "assignment” means under Medicare law
- Determining whether Medicare is primary or
- The dangers of fragmenting, bundling and
- Preventive vs. problem-oriented services
- Differences between PAR, non-PAR and opting out
- Caring for the indigent Medicare patient
- Improve understanding of audit triggers
- Stark laws and the dangers of courtesy discounts
- Your rights during a carrier audit
- How to avoid billing for services that are not
- Proper documentation for medical necessity
- Uncovering the Medicare appeals process and
- Your rights in making sure you receive a fair
- The role of the administrative law judge in
Who Should Attend
This class is designed for physicians, coding and billing
staff, and compliance officers seeking a detailed overview of the Medicare
The content covered in this course assumes a basic to
inter-mediate understanding of Medicare Part B billing principles.
What to Bring
A course manual will be provided to each participant. No
additional reference books are needed for this class.