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

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

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.