Search results for: 'medicare fraud and abuse'

This course discusses the care of individuals with dementia and is intended to meet the Center for Medicare and Medicaid Services (CMS) requirements for dementia training. Topics covered include communication, behavior management, abuse prevention, and dementia. All staff working in the long-term care setting will increase their knowledge and skills in caring for people diagnosed with Alzheimer’s disease and other types of dementia.

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.

This course focuses on check forgery and credit card fraud.

This course provides tips on identifying elder abuse, and explains how you can report your suspicions.

This course provides tips on identifying child abuse, and explains how you report your suspicions.

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.

The purpose of this course is to enhance the knowledge of the health care professional in defining, assessing, identifying, increasing awareness, reporting, and caring for older adults who may be suffering from abuse or neglect, whether in a private home or a residential setting.

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.

This course focuses on embezzlement.

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 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.

In this course intended for nursing and management staff in the long-term care setting you will learn what is social media, what privacy rights residents have related to social media, and types of possible criminal abuse via social media. You will study what the August 5, 2016 Centers for Medicare and Medicaid Services (CMS) memo mandated that nursing homes do in regards to social media, including creating and implementing policies, training staff, and responding and reporting allegations of abuse. In June 2016, the American Health Care Association/National Center for Assisted Living (AHCA/NCAL) gave written guidance to members about what these policies may encompass, which will be discussed.

This course is intended for all employees in the long-term care setting. You will learn what is social media, what privacy rights residents have related to social media, and types of possible criminal abuse via social media. You will study what the August 5, 2016 Centers for Medicare and Medicaid Services (CMS) memo mandated that nursing homes do in regards to social media. In June 2016, the American Health Care Association/National Center for Assisted Living (AHCA/NCAL) gave written guidance to members about what these policies may encompass, which will be discussed.

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.

This course will help the health care worker understand and implement appropriate interventions for aggressive behaviors.

Intended Audience: Location managers, billing managers, marketing/sales managers, regional managers, and other designated managers and supervisors. Use of the term supervisors will be used throughout this training as a generic term to include all in the intended audience.

Objectives

Upon completion of this course, the participant will be able to:
1. Identify ways to recognize evidence of employee alcohol and other drug abuse.
2. Identify how to document employee alcohol and other drug abuse problems.
3. Identify how to conduct appropriate investigations related to substance abuse.
4. Identify how to validate and confront employees with substance abuse problems.
5. Identify ways to effectuate the basic requirements for drug testing.

Health care personnel will enhance their understanding of elder abuse and requirements of the Elder Justice Act.

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

To provide information in accordance with Iowa law that a supervisor needs to develop and/or implement a substance abuse prevention program, including drug and/or alcohol testing, in the workplace setting.

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.

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.