Search results for: 'medicare and medicaid'

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 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.

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 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 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.

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 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 will address Medicare coverage for nebulizer equipment and supplies.

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 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 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 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.

This course explains how to bill Medicare for power wheelchairs and scooters (POVs), collectively referred to as power mobility devices (PMDs), and what documentation is required.

This course explains how to bill Medicare for all types of hospital beds and accessories and what documentation is required.

VGM has developed a Policies and Procedures Manual that is specifically designed for compliance with the imposition of quality standards and accreditation requirements of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA).

Sales tax applied where applicable.

This course introduces the biller to the intake process. It offers suggestions to help make the process more efficient and effective to reduce delays and denials.

This bundle of 4 courses is the recorded audio and slides presented by Heather Trumm and Ronda Buhrmester at the Heartland Conference 2019. Included in your Wound Care 101 education is an optional 30-minute meeting with Ronda Buhrmester and Heather Trumm to discuss any additional wound care questions. Contact Heather at [email protected] to schedule a meeting. 

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.