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.

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.

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 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 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 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.

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 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 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.

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.

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.

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 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.

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.