Search results for: 'MEDICARE FRAUD'

This course focuses on check forgery and credit card fraud.

Small businesses nationwide are increasingly falling victim to fraud and forgery from outside as well as inside the business. This course focuses on negotiable instruments.

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

The Advance 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.

Essentially Women and VGM Education offer a bundle of courses commonly required by various accreditation bodies to be completed by staff on an annual basis. Courses cover HIPAA requirements, proper precautions to take against bloodborne pathogens, preventing Medicare fraud, recognizing and ethically responding to workplace discrimination, and developing emergency action plans.

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.

This course focuses on embezzlement.

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.

This guide offers quick access to Medicare’s coverage rules, reimbursement criteria, and documentation needs across multiple categories of home medical equipment, including commodes, patient lifts, mobility aids, oxygen therapy, PAP/RAD devices, and more. This can be downloaded to help educate referral sources.

NOTE: Unit price includes shipping to a single location.  Please allow 7-10 business days to process your order.

The health care administrator will increase their knowledge of corporate compliance and their responsibility to report fraud, waste, and abuse. In health care facilities, all employees are expected to follow certain standards of behavior. These standards should influence the way patient care, daily business, interaction with others, and everyday decisions are accomplished. This course includes information to assist the administrator in developing the facility’s compliance program.The National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) has approved the above named program for continuing education credit.

The participant will enhance their understanding of compliance issues in healthcare.

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.

This course is designed to assist billers and patient service personnel in understanding Medicare oxygen reimbursement.

Essentially Women and VGM Education offer a bundle of courses that cover the basics of billing and reimbursement for post-mastectomy providers. Courses contain billing basics, claims filing and processing claims, advanced beneficiary notice, external breast prosthesis documentation and billing, understanding the medicare supplier standards, introduction to patient receivable management, and medicare appeals process.

This course will address Medicare coverage for nebulizer equipment and supplies.

This course explains how to bill Medicare fee-for-service (FFS) for all types of pressure-reducing support surfaces and provide the documentation necessary to submit a clean claim. Before taking this course, you should complete the courses: BILL100 – Introduction to CMS and Medicare, BILL105 – Frequently Ordered DME, and BILL106 – Advance Beneficiary Notice (ABN).

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

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

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

This course is the recorded audio and slides presented by Heather Trumm and Ronda Buhrmester at the Heartland Conference 2019. Topics covered: cleaning and debriding wounds, dressing categories, and Medicare requirements.

This course is the recorded audio and slides presented by Heather Trumm and Ronda Buhrmester at the Heartland Conference 2019. Topics covered: definitions, reasons why therapeutic support is important, product explanations, and Medicare overview.

This course is the recorded audio and slides presented by Heather Trumm and Ronda Buhrmester.  Topics covered: Definition of negative pressure wound therapy, components of a system, physiological benefits, mechanisms of action and Medicare requirements.

This course explains how to bill Medicare for manual wheelchairs and what documentation is required.

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

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 Standard Written Order Prior to Delivery.