On-demand learning: Specialty services

Title Line of business Description Format Duration Service Links
StayConnected: Understanding Psychotherapy for Patients in Crisis Part B Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. Patients in high distress with life-threatening, complex problems requiring immediate attention are eligible for psychotherapy for crisis services. Through urgent assessment and mental status examination, these services can help reduce a patient’s mental health crisis (including substance use disorder) to help determine an appropriate plan of care. This webinar will provide an overview of these crucial services and offer valuable resources. Webinar Self-paced Psychotherapy

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Medicare Part A Payment System: Inpatient Prospective Payment System (IPPS) Part A The Social Security Act sets forth a system of payment for the operating costs of acute care hospital inpatient stays under Medicare Part A based on prospectively set rates. This payment system is referred to as the inpatient prospective payment system (IPPS). Join this webinar to learn the ins and outs of the IPPS including the factors that make up the IPPS and how the IPPS rate is determined.

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Medicare Covered Dermatology Services Part A and Part B Medicare may cover dermatology services when reasonable and necessary for the prevention, diagnosis and treatment of certain skin conditions. Join this session to review the Medicare guidelines for dermatology services. This session will provide an overview of the Medicare coverage policies, how to find them and what to do if one does not exist for dermatology services. This session will highlight the medical policy, documentation and billing requirements for Mohs Micrographic Surgery (MMS). We will conclude with a review of the billing guidelines for evaluation and management services when provided on the same day as dermatology services within a global surgical period. 

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Self-paced Dermatology

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Coverage and Billing of Part A Drugs and Biologicals Part A Medicare will consider payment for drugs and biologicals after administration of the appropriate dosage for the patient’s condition. Errors related to drug dosage reporting and coverage requirements are top reasons contributing to incorrect claim billing and loss of revenue. This webinar will provide coverage and billing guidelines for drugs and biologicals for Part A services. We will review topics such as purposeful documentation requirements, reporting the correct units, and the proper use of the JW and JZ modifiers. Webinar Self-Paced Drugs and Biologicals

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Understanding the Fundamentals of Ambulance Services Part A and Part B This webinar is designed for Part A providers and Part B suppliers who provide Ground Ambulance Transportation services to Medicare beneficiaries. We will review the ambulance coverage requirements, trip record documentation guidelines and Physician’s Certification Statement (PCS) requirements for ambulance transport services to Medicare beneficiaries. Webinar Self-paced Ambulance services

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Modifier of the Month: Surgical Modifiers AS, 80, 81, 82, 62, and 66 Part B The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. This webinar will explore billing guidelines when an assistant-at-surgery, co-surgeon, or a team of surgeons perform a surgical procedure and require the reporting of surgical modifiers AS, 80, 81, 82, 62 or 66. During this event, we will review when to use these modifiers, explore the influence of these modifiers on Medicare reimbursement and present approaches to avoid frequent billing errors. Webinar Self-paced Surgical modifier

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Coverage and Billing of Part B Drugs and Biologicals Part B This session will provide coverage and billing guidelines for drugs and biologicals for Part B services. We will review topics such as documentation requirements and the correct reporting of units. The highlight of this webinar will be reviewing the proper use of the JW modifier and the JZ modifier. Webinar Self-paced Drugs and Biologicals

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Critical Access and Small Rural Hospitals: Coverting to Rural Emergency Hospitals Part A This webinar is designed for Critical Access Hospitals (CAHs) and small rural hospitals that are in the process of transitioning or planning to transition to a Rural Emergency Hospital (REH). We will provide an overview of the requirements for enrolling as an REH, offer essential billing guidance for outpatient services, and explore the reimbursement strategies associated with REH providers. Webinar Self-paced CAHs and Small Rural Hospitals

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Podiatry Services: Debridement of Nails Part B This webinar will  review billing guidelines, coverage limitations, and purposeful documentation requirements regarding debridement of nail(s) services. We will examine common errors and billing concerns identified by the Comprehensive Error Rate Testing (CERT) program and outline resources and best practices to avoid these findings. Webinar Self-paced Podiatry

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Medicare Navigator Medicare Secondary Payer (MSP): Part B Billing Scenarios Part B The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer.   Our next event in the series will review Part B MSP billing scenarios including conditional payment, tertiary payer, benefits exhausted, obligated to accept, worker's compensation Medicare set-aside-arrangements and overpayments. Webinar Self-paced MSP

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Rural Health Clinic (RHC) Essentials: The Latest Changes in Reimbursement, Regulations, and Billing Practices Part A From new policies to updated billing requirements, this session will provide Rural Health Clinics (RHCs) with the knowledge to ensure a smooth transition with new updates and requirements. Join us for this informative webinar as we break down the most important changes FQHCs need to be aware of to stay compliant with Medicare requirements. Webinar Self-paced RHC

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Federally Qualified Health Center (FQHC) Essentials: The Latest Changes in Reimbursement, Regulations, and Billing Practices Part A From new policies to updated billing requirements, this session will provide Federally Qualified Health Centers (FQHCs), with the knowledge to ensure a smooth transition with new updates and requirements. Join us for this informative webinar as we break down the most important changes FQHCs need to be aware of to stay compliant with Medicare requirements. Webinar Self-paced FQHC

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Medicare Navigator Medicare Secondary Payer (MSP): Part A Billing Scenarios Part A The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our next event in the series will review Part A MSP billing scenarios including when other payers have partially or fully paid or denied the claim. We will also address tertiary and conditional payment situations and identify various informative resources. Webinar Self-paced MSP

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Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and Billing Part A Inpatient rehabilitation facilities (IRFs) are reimbursed under the IRF Prospective Payment System (PPS). During this webinar, we will provide a brief overview of IRF coverage.   We will highlight IRF PPS, compliance criteria and information about IRF billing requirements. Webinar Self-paced IRF PPS

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StayConnected: Lifestyle Intervention with the Medicare Diabetes Prevention Program (MDPP) Part B Stay connected with Medicare's various health equity initiatives supporting "whole person health care" by attending this workshop series.  Our first webinar in the series will provide an overview of the Medicare Diabetes Prevention Program (MDPP), including provider qualifications, enrollment requirements, billing guidelines and recent program updates. Join us as we explore the lifestyle interventional goals of the MDPP and how it intends to reduce the risks associated with type 2 diabetes. Webinar Self-paced MDPP

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Reviewing the Basics of Infusion and Hydration Services in an Outpatient Setting Part A Infusion, hydration, and injection services follow coding guidelines specific to orders placed and often time-based CPT codes. This presentation will provide an overview of infusion and hydration therapy services including basic billing guidelines, review of coding hierarchy, and time requirements. We will also review documentation requirements to assist with correct code assignment and potential audits. Webinar Self-paced Infusion and Hydration

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Investigational Device Exemption (IDE) Studies and Clinical Trials Part A and Part B Medicare covers use of investigational, non-experimental devices under Investigational Device Exemptions (IDEs) when reasonable and necessary for diagnosis and treatment of an injury or illness or to improve the functioning of a malformed body member. IDEs allow devices for use in clinical studies to collect data required to support the pre-approval process for clinical trials and submission to the Food and Drug Administration (FDA). Under an agreement with the FDA, certain devices could be viewed as "reasonable and necessary" by Medicare and treatment covered if applicable Medicare coverage requirements are met. Through this course, we'll explore how to research IDEs and clinical trials by discussing the background of these programs, indication and limitations of coverage and categories of classes of IDEs. Webinar Self-paced IDEs

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StayConnected: Facet Joint Interventions for Pain Management Part B Stay connected with Medicare covered pain intervention options by attending our Pain Management workshop series. This webinar will provide an overview of Medicare guidelines pertaining to facet joint interventions, addressing coverage criteria, eligible indications, restrictions, provider qualifications, billing practices, as well as essential documentation requirements. Additionally, we will emphasize the necessity of prior authorization for these services when administered in a hospital outpatient department setting. Webinar Self-paced Pain Management

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Understanding Therapy and Rehabilitation Services Part A and Part B This event is designed for Part A outpatient facilities and Part B private practice providers who provide physical, occupational and speech language therapy services. We will discuss the basic coverage and documentation guidelines, therapy limitations and correct unit reporting. Webinar Self-paced Therapy 

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StayConnected: Trigger Point and Epidural Joint Injections for Pain Management Part B Stay connected with the Medicare covered pain intervention options by attending our Pain Management workshop series. This session aims to present a comprehensive overview of trigger point injections and epidural steroid injections as interventions for pain management. We will examine the coverage guidelines, applicable indications, limitations, provider qualifications, utilization protocols, and essential documentation requirements associated with these injections. Additionally, we will share insights regarding medical review findings and offer guidance on best practices to mitigate potential issues. Webinar Self-paced Pain Management

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Introduction to the Outpatient Prospective Payment System Part A The outpatient prospective payment system (OPPS) is a payment methodology that applies to all hospital outpatient departments and partial hospitalization services furnished by Community Mental Health Centers (CMHC). We will provide a background of the OPPS  ambulatory payment classification group (APC). Our experts will share where to find the addendums associated to the the OPPS final rule,  the payment window for services related to inpatient series. Additionally, we will share information about billing for certain facilities such as the CMHC. Webinar Self-paced OPPS

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Inpatient Rehabilitation Facility (IRF) Coverage Requirements Part A This webinar will review the coverage and documentation requirements for inpatient rehabilitation facility (IRF) services.  We will examine common errors identified by the Office of the Inspector General (OIG), Comprehensive Error Rate Testing (CERT) program and recent medical review activities and outline resources and best practices to improve compliance with Medicare program requirements for IRF services. Webinar Self-paced IRF

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Opioid Treatment Program Coverage and Billing Requirements Part A and Part B  The United States is in the midst of a national opioid crisis with substantial health, economic, and societal costs. During this webinar, we'll provide an overview of opioid treatment programs, discuss enrollment and explore the 2025 key changes to coverage and billing.  Webinar Self-paced OTP

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Medicare Navigator Medicare Secondary Payer (MSP): Identifying the Primary Insurer Part A and Part B  The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our next event outlines approaches to screening patients to obtain insurance coverage information and to validate that information. We will also explore the role of the MSP Contractor and identify resources for patient eligibility and MSP-related questions. Webinar Self-paced MSP

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Telehealth: Where We are Now Part A and Part B  Telehealth is ever changing in the Medicare environment. In this webinar, we will define the Medicare requirements for telehealth services and how the latest changes are structured in 2025.  Webinar Self-paced Telehealth

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Rural Health Clinic (RHC) Essentials: Medicare Enrollment, Reimbursement, and Billing Part A In this comprehensive webinar, we will provide the critical aspects of managing Rural Health Clinics (RHCs) focusing on Medicare enrollment, reimbursement processes, and billing best practices. This session will provide valuable information to promote compliance, support financial performance and operational efficiency.

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Home Infusion Therapy (HIT) Services and Enrollment Requirements Part B This webinar will review the Centers for Medicare & Medicaid Services (CMS) billing requirements for home infusion therapy (HIT) services. This service benefit is for HIT suppliers who enroll and bill the Part B Medicare Administrative Contractors (MACs). The Medicare HIT services benefit covers the professional services, nursing services, patient training and education, remote monitoring, and monitoring services for the provision of home infusion drugs furnished by a qualified HIT supplier.

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Federally Qualified Health Center (FQHC) Essentials: Medicare Enrollment, Reimbursement, and Billing Part A In this comprehensive webinar, we will provide the critical aspects of managing Federally Qualified Health Centers (FQHCs), focusing on Medicare enrollment, reimbursement processes, and billing best practices. This session will provide valuable information to promote compliance, support financial performance and operational efficiency.

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Self-paced FQHCs

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Critical Access Hospital (CAH) Billing and Reimbursement: Method I & II, Specialty Services, and Claim Error Resolution Part A This essential webinar offers an in-depth look at the operations, billing, and reimbursement strategies fundamental to the success of Critical Access Hospitals (CAHs). From understanding the differences between Method I and Method II reimbursement to managing specialty services and resolving common claim submission errors, we’ll provide essential information to promote continued compliance with Medicare requirements. Webinar Self-paced CAH

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StayConnected: Substance Use Disorders and Treatment Part B Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. The Centers for Medicare & Medicaid Services (CMS) continues to combat the opioid epidemic through the promotion of safe and responsible pain management options. This webinar will provide valuable guidance regarding treatment options for opioid use disorders (OUD) and substance use disorders (SUD), preventive and screening services, and opioid treatment programs (OTPs). Webinar Self-paced OUD/SUD/OTP

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StayConnected: Psychotherapy for Patients in Crisis Part B Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. Patients in high distress with life-threatening, complex problems requiring immediate attention are eligible for psychotherapy for crisis services. Through urgent assessment and mental status examination, these services can help reduce a patient’s mental health crisis (including substance use disorder) to help determine an appropriate plan of care. This webinar will provide an overview of these crucial services and offer valuable resources. Webinar Self-paced Psychotherapy

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StayConnected: Psychiatric Services Part B Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. This webinar will provide an overview of psychiatric services including diagnostic evaluations, psychological and neuropsychological testing, psychotherapy, family and group therapy and behavioral health integration (BHI) services. We'll identify who can provide these services, explore medical necessity and documentation requirements, and review recently identified improper payment errors while highlighting best practices to avoid them. Webinar Self-paced Psychiatric 

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StayConnected: Behavioral Health Services Part B Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. This webinar will review three important Medicare-covered behavioral health services that may improve patient outcomes: behavioral health integration (BHI), psychotherapy for crisis, and opioid use disorder (SUD) screening and treatment. We will outline billing and coverage requirements for these service types as well as review recent updates addressed with the 2025 Final Rule. Webinar Self-paced Behavioral Health

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Medicare Navigator Medicare Secondary Payer (MSP): Fundamentals Part A and Part B The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our first webinar of the series will provide an overview of the MSP provisions and define various types of common coverage situations. Webinar Self-paced MSP

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Compliant Billing for Laboratory Services Part B Laboratory services are one of the most frequently audited by a variety of program integrity contractors. Join us as we review laboratory service ordering requirements, documentation to support the order, Clinical Laboratory Improvements Amendment (CLIA), and resources to help mitigate improper payment errors. Webinar Self-paced Laboratory

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Medicare Coverage for Dental Services Part A and Part B Medicare provides coverage for dental services inextricably linked to other covered medical services. We will outline the provider enrollment process, claim submission guidelines, coverage and documentation requirements and various resources. Dentists and other medical professionals rendering and referring dental services to Medicare patients are encouraged to attend Webinar Self-paced Dental

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Opioid Use Disorder (OUD) Screening and Treatment Part B The United States is in the midst of a national opioid crisis with substantial health, economic, and societal costs. Opioid and substance use disorders (OUDs/SUDs) continue to be a vital issue in our society. During this webinar, we'll provide valuable information and guidance regarding OUD and SUD treatment services, screening, brief intervention, and referral to treatment (SBIRT), preventive screening for alcohol misuse, and opioid treatment programs (OTPs). Webinar Self-paced OUD/SUD

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Intensive Outpatient Program (IOP) Coverage and Billing Requirements Part A and Part B Since 2024, Medicare coverage and payment for intensive outpatient program (IOP) services are available for individuals with mental health conditions (including substance use disorders). This course will provide an overview of IOP service coverage criteria and review IOP billing guidelines for services furnished in approved settings. We will review documentation requirements and provide helpful resources related to IOP coverage and billing. Webinar Self-paced IOP

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Medicare Billing Requirements for Ambulatory Surgical Centers (ASCs) Part B Our webinar will review the 2025 ASC updates and provide an overview of the ASC payment system.  Learn how to review the addendums and explore proper indicators to determine coverage and payment. We’ll walk through the proper billing tips to ensure accurate submission of your claims. Webinar Self-paced ASC

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Understanding the January 2025 Outpatient Prospective Payment System Part A Start the year off with an overview of Outpatient Prospective Payment System (OPPS). We will review in detail each update or change implemented with the 2025 OPPS release.  To promote success for 2025 we will also highlight valuable resources that will assist with staying up to date with each quarterly OPPS update. Webinar Self-Paced OPPS

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Rural Health Clinics (RHC) 2025 Medicare Updates    Part A This course is a review of the most recent 2025 Medicare updates for Chronic Care Management (CCM), distant site Telemedicine services after the Public Health Emergency (PHE) and more for Rural Health Clinics (RHC). Webinar Self-paced RHCs

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Federally Qualified Health Centers (FQHC) 2025 Medicare Updates    Part A This course is a review of the most recent 2025 Medicare updates for Chronic Care Management (CCM), distant site Telemedicine services after the Public Health Emergency (PHE) and more for Federally Qualified Health Centers (FQHC). Webinar Self-paced FQHCs

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Overview of Medicare Coverage and Guidelines for Ophthalmology Services Part A and Part B This webinar will provide an overview of the Medicare benefit category related to vision services. We will review ophthalmology services and discuss related National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and related Internet Only Manual (IOM) guidelines. We will conclude with on overview of Medicare resources to assist with navigating to and identifying beneficial resources and self-help tools. Webinar Self-paced Ophthalmology

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Cardiology Non-Emergent Outpatient Stress Testing Part B This session will examine the noninvasive testing in the outpatient setting to assess for coronary artery disease (CAD) and left ventricular (LV) dysfunction by utilizing conventional exercise stress testing without imaging or by utilizing exercise or pharmacologic stress testing with imaging. We will review coverage, reasonable and necessary indications, limitations and provider qualifications for this procedure. Webinar Self-paced Cardiology

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StayConnected:Acupuncture and Chronic Pain Management and Treatment Services Part B Stay connected with the Medicare Pain Management Series. Medicare covers a variety of chronic pain management (CPM) interventions and treatments in support of promoting non-opioid pharmacological patient care. During this webinar, we will highlight Medicare coverage of acupuncture for chronic lower back pain and review chronic pain management (CPM) multimodal pain care. Webinar Self-paced Acupuncture and Chronic Pain

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Chiropractic Services: A Review of Billing, Coverage, Documentation Requirements and Improper Payment Part B This webinar will provide valuable information on billing, coverage, purposeful documentation guidelines and improper payment errors for Chiropractic services. We'll examine improper payment errors identified by the Comprehensive Error Rate Testing (CERT) Program and the importance of responding to documentation requests. We will conclude by sharing valuable resources and references. Webinar Self-paced Chiropractic

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Enrolling as an Opioid Treatment Program Provider in Medicare Part A and Part B The Medicare program started covering opioid use disorder treatment services in January 2020. Watch to learn the requirements for enrolling as an OTP. Video 00:07:31 Medicare incentives / new programs

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How to Bill Medicare as an Opioid Treatment Program Provider Part A and Part B The Medicare program started covering opioid use disorder treatment services in January 2020. Watch to learn the requirements for billing OTP services. Video 00:06:41 Medicare incentives / new programs

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Billing and documenting ambulance services (Spanish) Part B Are you experiencing denials of ambulance services from Medicare? If so, this video will assist you when billing and documenting ambulance services

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00:9:17 Ambulance

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Billing and documenting ambulance services Part A and Part B Are you experiencing denials of ambulance services from Medicare? If so, this video will assist you when billing and documenting ambulance services. Video 00:06:45 Ambulance

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Ordering and billing drug assays for your Medicare patients Part B With the national focus on treating opioid use disorders, urine drug testing claims are common audit topics in Medicare claim review programs. This video helps you understand proper coverage for your patient services and how you can support the medical necessity of these services with your documentation. Video 00:05:51 Laboratory services

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Psychiatric and psychotherapy services Part B If you provide psychiatric and psychotherapy services to Medicare beneficiaries, are you familiar with the requirements for documenting the medical records? In this video, you'll learn the guidelines available to help you in the process. Video 00:06:06 Mental health

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