Search results for: 'DME Fraud waste abuse'

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 contains two articles: one comparing active and passive technologies in sharps safety and the other describing the role of an infection control practitioner (ICP) in managing pharmaceutical waste.

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

This course focuses on check forgery and credit card fraud.

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.

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.

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 focuses on embezzlement.

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.

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 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 provides an overview of the urinary system including a discussion of the major disorders that can affect it.

The purpose of this course is to provide education to health care employees who are involved in the care of persons with behavioral health disorders. Following this course, you will be able to identify the prevalence of mental illness in the United States, define and possess knowledge of mental illness and substance-related and addictive disorders, and determine what is involved with an interdisciplinary approach to care. This course will address the psychosocial needs of individuals with behavioral health issues and conclude which elements contribute to achieving the highest standard of care for such individuals. It also addresses substance abuse related to opioid use for pain management. 

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.

Health care personnel will increase their understanding of the safeguards used to protect themselves and others against the health hazards which can result from exposure to blood and certain body fluids containing bloodborne pathogens.

This course covers the topic of business ethics. Ethics is a challenging topic in the workplace because not every problem has a single correct solution. This course is intended to give you guidelines and get you thinking about ethical decisions in business.

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

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 guide details clinical and reimbursement criteria, Medicare’s documentation expectations, and billing codes to help ensure proper coverage for wound-related durable medical equipment (DME), including surgical dressings, support surfaces, hospital beds, and negative pressure wound therapy (NPWT). 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 addresses the billing and coverage of external breast prosthesis for individuals who have had a mastectomy.