On-demand learning: Medical review & prior authorizations

July 28, 2025

Title	Line of business	Description	Format	Duration	Links
Quarter 2 2025 - Insider's Guide to Mitigating Comprehensive Error Rate Testing (CERT) Part A Errors	Part A	The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review Part A inpatient rehabilitation facility (IRF) improper payment errors and share resources aimed at mitigating these errors.	Webinar	Self-Paced	View recording Take survey
Medicare Navigator Coverage and Policy: Understanding Local Coverage Determinations	Part A and Part B	The Medicare Navigator Coverage and Policy series is designed to support providers with searching, locating and understanding Medicare coverage requirements. This webinar will provide an overview of local coverage determinations (LCD) and billing and coding articles and how they aid in determining reasonable and necessary criteria and billing requirements for a variety of services.	Webinar	Self-paced	View recording Take survey
Insider's Guide to Mitigating Comprehensive Error Rate Testing (CERT) Errors	Part A	The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review the most frequent Part A improper payment errors, including inpatient hospital services and claims categorized under diagnosis-related group (DRG) coding. We will conclude with resources aimed at mitigating CERT errors.	Webinar	Self-paced	View recording Take survey
Insider's Guide to Mitigating Comprehensive Error Rate Testing (CERT) Errors	Part B	The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review the most frequent Part A improper payment errors, including inpatient hospital services and claims categorized under diagnosis-related group (DRG) coding. We will conclude with resources aimed at mitigating CERT errors.	Webinar	Self-paced	View recording Take survey
Local Coverage Determination (LCD) Additions and Revisions	Part A and Part B	This course will include new, revised and proposed local coverage determinations and billing and coding articles. We will review cervical fusion, biomarkers for oncology, cardiac rhythm device evaluation, immune globulin, pharmacogenomics testing and more.	Webinar	Self-paced	View recording Take survey
Local Coverage Determinations (LCDs) Additions and Revisions	Part A and Part B	This course will include new, revised, proposed and retired local coverage determinations and billing and coding articles. We will review allergy testing, diagnostic colonoscopy, electroretinography, genetic testing for lynch syndrome, peripheral nerve blocks and more.	Webinar	Self-paced	View recording Take survey
Medicare Education Spotlight: The Comprehensive Error Rate Testing (CERT) Program	Part A and Part B	Improper payment rates identified by the Comprehensive Error Rate Testing (CERT) program are used by CMS to calculate the national and MAC improper payment rate. During this education spotlight webinar, we’ll outline the CERT review process, current topics under review, and discuss the importance of responding to documentation requests.	Webinar	Self-paced	View recording Take survey
Local Coverage Determinations (LCDs) Additions and Revisions	Part A and Part B	This course will include new, revised, proposed and retired local coverage determinations and local coverage articles. The session will review transesophageal echocardiography, major joint replacement, independent diagnostic testing facilities, polysomnography and sleep testing, self-administered drug exclusion list and more.	Webinar	Self-paced	View recording Take survey
MAC Medical Review Best Practices – Updating your contacts information	Part B	Recently, it has come to Medicare Administrator Contractor’s (MAC) attention that providers are receiving “non-documentation” denials during the medical review process. We are excited to share some tips on how you can best prepare to respond to additional documentation requests (ADRs) for a review of your records and prevent unnecessary denials.	Video	0:9:34	View video Take survey
Medicare Exemption: Prior Authorization of certain hospital outpatient department (HOPD) services	Part A	This video is a question-and-answer session facilitated by the Medicare Administrative Contract (MAC) Prior Authorization Collaboration Workgroup to ensure consistency in educational efforts regarding the prior authorization for certain hospital outpatient services (HOPD) exemption process.	Video	0:07:40	View video Take survey