HME

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

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 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 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 will guide you through the information required prior to submitting a claim and the correct ways to submit a claim. You will also learn the different types of claims.

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 explains the Advance Beneficiary Notice (ABN), its purpose and how to use it appropriately.

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

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

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 process of billing Medicare for all types of urological supplies.

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

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 provides an overview of patient billing and collection. The course is written for billing managers and customer service/intake employees.

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 an overview of ICD-10-CM coding by focusing on the classification structures and the rationale behind the ICD-10 code system. Throughout this course, ICD-10-CM is shortened to ICD-10. You may find the long and short versions of the coding system used interchangeably; both terms are referring to the same coding system. This course is not intended to replace the need for in-depth training based on job functions and the knowledge of ICD-10 coding that is required to meet job requirements. This course is not intended to be a training curriculum for the purposes of becoming an ICD-10 coder.

Continuing Education: VGM Education is authorized by IACET to offer 0.1 CEUs for this program.

This course will address Medicare coverage for nebulizer equipment and supplies.