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Welcome session |
The welcome session kicks off on day one of Medicare Speaks Virtual Conference 2023. We will offer an overview of the event and provide tips for participating. Target audience: All Medicare Speaks Virtual Conference attendees |
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Nurse practitioners: Enrolling, ordering, certifying, and incident-to (B) |
Are you graduating from a nurse practitioner program with plans to enroll as a Medicare provider? In this class, you’ll learn what is required to enroll in Medicare, the requirements for ordering or certifying services, and the incident-to provision. Target audience: Nurse Practitioners, Advanced Registered Nurse Practitioners, Advanced Practice Registered Nurses |
Reopening vs appeal: What’s the difference? (B) |
Denied claims cause delays in your cash flow and additional work for your staff to research, correct, and resubmit your claims. We’ll review the difference between what is a reopening versus what’s an appeal. We’ll explain the reopening and appeals process, review top rejections and denials, and share ways you can avoid common errors. Target audience: Part B providers and their billing staff |
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E/M services: Split or shared visits (B) |
With recent evaluation and management (E/M) guideline updates, identifying when and how split or shared visits for Medicare patients may occur can be challenging. Additionally, new terms and modifiers now apply when determining how to properly document and code these types of visits. We'll breakdown the guidelines for billing split or shared visits, explain how they relate to critical care and global surgery, and address scenarios where the guidelines may apply. Target audience: Facility-based Part B practitioners providing E/M services, their billing and coding staff |
SPOT registration and most used features (A/B) |
Want to simplify your daily administration tasks in the Medicare program? SPOT is YOUR solution. In this class, you’ll learn how to register for our SPOT provider portal and about popular features available to make your life easier such as eligibility, correcting claims, appeals, and secure documentation. Target audience: Current and new SPOT users |
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Outpatient hospital claim documentation (A) |
Is your outpatient institutional claim satisfying the documentation requirements during a Medicare medical review? This class focuses on how to correct and prevent common Part A claim errors, as well as improve your medical documentation. Target audience: Part A facility’s billing and coding staff, medical review departments, and nurse reviewers |
Telehealth services (B) |
The expansion of unique provisions enacted during the COVID-19 pandemic for telehealth services increased access to care for Medicare beneficiaries. We’ll help you determine what services you can provide via telehealth as a healthcare provider, technical requirements to be met, and the supporting documentation needed to properly code telehealth services and ensure compliance with Medicare guidelines. Target audience: Part B providers and their billing staff |
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Medicare integrity and claim review programs (A/B) |
Medicare contractors have the responsibility to prevent improper payments. You’ll learn about the various contractors that can review your claims, the types of reviews performed, services currently under review, common errors identified in medical documentation, and how you can use this information to be proactive in preventing claim denials. Target audience: All provider types, office staff, billers, coders, and compliance officers |
SPOT PC-ACE and claim submission via SPOT |
Tired of completing the paper claim form CMS-1500 and waiting a month to be reimbursed? Save money by using our free billing software and SPOT to submit your claims electronically and get reimbursed quicker. Target audience: Part B providers and their billing staff |
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Cure your billing issues with our top website tools (A/B) |
Conquer your day-to-day Medicare billing challenges by navigating through our favorite First Coast and CMS website resources. Join us to learn ways to find claim billing information and how to use interactive tools that will help you save time and reduce stress. Target audience: Part B providers and their billing staff |
Skilled nursing facility consolidated billing (A/B) |
A skilled nursing facility (SNF) stay involves Part A and B coverage with consolidated billing. Through review of Medicare’s guidelines, we'll identify the services included and excluded for Part A reimbursement, coverage and payment guidelines for Part B, and tools available to help resolve any coverage gaps. Target audience: Part A facility’s billing and coding staff, medical review departments, and nurse reviewers, providers involved in patient care, office staff, billers, and coders |
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E/M Interactive Worksheet: Verify your E/M code selection (B) |
First Coast's E/M Interactive Worksheet is a tool that can help verify your code selection. Whether applying the 2023 updates for E/M services or needing to access the 1995 or 1997 E/M guidelines, our worksheet will work for you. This class will demonstrate how to use this tool and how, with proper documentation, you can validate your E/M code selection. Target audience: Part B providers and their billing staff |
Ordering and billing laboratory services (B) |
Medicare outlines requirements for laboratory services to be potentially covered. These guidelines include enrollment for the ordering provider, documentation to support the order, and claim elements to reflect the services that were ordered and billed. If your practice or organization orders laboratory services for patients or receives the orders to perform the services, you won’t want to miss this class. Target audience: Part B providers who order or bill laboratory services |