On-demand learning: Specialty services
| Title | Line of business | Description | Format | Duration | Service | Links |
|---|---|---|---|---|---|---|
| Care Management Services: Implementing Advanced Primary Care Management (APCM) Guidelines | Part B | The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services. The third webinar of the four-part series will review Medicare’s guidelines for the essential elements of advanced primary care management (APCM). We will identify billing requirements and resources to assist in locating more information about these services. | Webinar | Self-paced | APCM |
|
| Cruising through the Comprehensive Error Rate Testing (CERT) Program Process | Part B | The Comprehensive Error Rate Testing (CERT) program supports Medicare program integrity efforts by conducting claim and documentation reviews to determine nationwide improper payment rates for a variety of claim types and services. This webinar will support a successful route through a CERT review by establishing proactive audit preparations, streamlining internal processes with organizational readiness and improving decision making using informational resources and self-service tools. | Webinar | Self-paced | CERT |
|
| Care Management Services: Integrating Chronic and Other Care Management Services into Patient Care | Part B | The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services. The first webinar of this four-part series will review chronic care management (CCM) and principal care management (PCM) services, which support patients with chronic conditions. We will define each service, outline patient and provider eligibility and review billing and coverage requirements. | Webinar | Self-paced | CCM |
|
| Critical Access Hospital (CAH) Method I and II Billing and Reimbursement Overview | Part A | This 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 billing and reimbursement to managing specialty services. CAH resources will be identified throughout the presentation. | Webinar | Self-paced | CAH |
|
| Remote Patient Monitoring (RPM) Requirements | Part B | During this webinar, we’ll explore the topics of remote therapeutic services and remote physiological monitoring. We will outline providers eligible to offer these services, essential insights into billing practices, criteria for what is considered reasonable and necessary, ensuring compliance and purposeful documentation requirements. | Webinar | Self-paced | RPM |
|
| Behavioral Health: Discovering Medicare-Covered Services | Part B | Stay connected with Medicare-covered behavioral health care by attending our Behavioral Health workshop series. The first webinar of this four-part series will explore behavioral health services, including behavioral health integration (BHI), psychotherapy for crisis, and opioid use disorder (OUD) screening and treatment. We will review coverage and billing requirements and identify 2026 Final Rule updates for these services. | Webinar | Self-paced | Behavioral health |
|
| Ambulance Essentials: Coverage, Documentation and Prior Authorization Requirements | Part A and Part B | This webinar is designed for providers and suppliers who provide ground ambulance transportation. We will review coverage, documentation requirements for the trip record and the Physician’s Certification Statement (PCS), we will also provide an overview of the Repetitive Scheduled Non-Emergent Ambulance Transports (RSNAT) Prior Authorization Requirements for Part B suppliers. | Webinar | Self-paced | Ambulance |
|
| Cracking Medicare Chiropractic Services: A Review of Billing, Coverage and Documentation Requirements | Part B | This webinar will provide valuable information on billing, coverage, purposeful documentation guidelines and improper payment errors for Chiropractic services. 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 B chiropractic services errors. We will share resources aimed at proactively avoiding these errors. | Webinar | Self-paced | Chiropractic |
|
| Rural Health Clinic (RHCs) Medicare Basics, Billing and Reimbursement | Part A | In webinar will provide the overview of Rural Health Clinic (RHC) services, focusing on reimbursement processes and billing best practices. This session will provide valuable information to promote compliance, support financial performance and operational efficiency. | Webinar | Self-paced | RHC |
|
| Federally Qualified Health Center (FQHC) Basics, Billing and Reimbursement | Part A | This webinar will provide an overview of Federally Qualified Health Center (FQHC) services, focusing on reimbursement processes and billing best practices. This session will provide valuable information to promote compliance, support financial performance and operational efficiency. |
Webinar | Self-paced | FQHC |
|
| Introduction to Global Surgery | Part B | During this webinar, you'll discover the basics of the global surgery concept and what’s included within the global surgical period. We'll guide you through the global package reimbursement, covering surgical types and split global surgical packages and payment rules between 2 or more providers. | Webinar | Self-paced | Global Surgery |
|
| Foundations of Compliance: Establishing a Compliance Program | Part A and Part B | The Medicare Navigator Foundations of Compliance workshop series supports Medicare compliance, accurate billing and documentation standards. Protecting the Medicare trust fund is the responsibility of everyone involved in the Medicare program, including providers and suppliers. Help prevent fraud, waste and abuse by establishing a proactive compliance program focused on improper payment prevention. Establishing a Compliance Program is the first of four webinars in the series focused on defining the fundamental elements of a successful compliance program, identifying options to correct claim errors, and review critical resources for implementation guidance. | Webinar | Self-paced | Compliance |
|
| Intensive Outpatient Program (IOP) Coverage and Billing Requirements | Part A and Part B | Medicare coverage and payment for intensive outpatient program (IOP) services are available for individuals with mental health conditions (including substance use disorders) since 2024. 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 |
|
| Critical Access Hospital (CAH): Method II Enrollment Reassignment Overview | Part A | This webinar will highlight the critical role of reassignment for critical access hospitals (CAHs) operating under Method II. We’ll dive into the essential requirements for enrollment reassignments involving physicians and non-practitioner providers, ensuring compliance and accuracy. Additionally, the webinar will cover the mandatory reporting of provider segments for Method II practitioners—a key step in preventing future claim denials. Join us to gain practical insights and best practices to streamline reassignment processes and safeguard reimbursement. | Webinar | Self-paced | CAH |
|
| Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Essentials: The Latest Changes in Reimbursement, Regulations, and Billing Practices | Part A | This session will provide Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), with 2026 policy, reimbursement and billing updates. Join us for this informative webinar as we break down the most important changes for FQHCs and RHCs need to be aware of to stay compliant with Medicare requirements. |
Webinar | Self-paced | FQHC |
|
| Medicare Part B Telehealth: Where We are Now | Part B | Telehealth is an effective health care delivery tool allowing for expanded access to reasonable and necessary services within the Medicare beneficiary community. Telehealth is also ever changing in the Medicare environment. In this webinar, we will identify Medicare-approved telehealth eligible services and provider types, define requirements for telehealth services and review the latest changes and flexibilities structured for Part B in 2026. | Webinar | Self-paced | Telehealth |
|
| Medicare Part A Telehealth: Where We are Now | Part A | Telehealth is an effective health care delivery tool allowing for expanded access to reasonable and necessary services within the Medicare beneficiary community. Telehealth is also ever changing in the Medicare environment. In this webinar, we will identify Medicare-approved telehealth eligible services and provider types, define requirements for telehealth services and review the latest changes and flexibilities structured for Part A in 2026. | Webinar | Self-paced | Telehealth |
|
| 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 improper payment errors identified by the Office of the Inspector General (OIG), Comprehensive Error Rate Testing (CERT) program and medical review activities including Targeted Probe and Educate (TPE) and the IRF Review Choice Demonstration (RCD). We will outline resources and best practices to improve compliance with Medicare program requirements for IRF services. | Webinar | Self-paced | IRF |
|
| Skilled Nursing Facility (SNF) 5-Claim Probe and Educate and Understanding the Patient Driven Payment Model (PDPM) | Part A | In this webinar we will review the Skilled Nursing Facility (SNF) 5-Claim Probe and Educate initiative and how it relates to the Patient Driven Payment Model (PDPM). PDPM determines the Medicare Part A reimbursement rate in the SNF setting. We will explore the components of PDPM. We will review SNF Prospective Payment System (PPS) resources and self-service tools available. | Webinar | Self-paced | SNF |
|
| Skilled Nursing Facility (SNF) Billing Guidance | Part A | Join this skilled nursing facility (SNF) webinar to learn the billing requirements for SNF claims. We will review the components for SNF billing situations such as change in level of care, no-pay claims, benefit exhaust, SNF readmissions, leave of absence, and demand billing. We will provide valuable SNF resources and self-service tools available. | Webinar | Self-paced | SNF |
|
| Partial Hospitalization Program Billing and Coverage Requirements | Part A | This webinar will review how the Partial Hospitalization Program (PHP) is structured and the distinctions between other programs related to mental health. We will review the type of care that should be rendered for patients that met the criteria to receive PHP services. We will outline the specific guidelines, requirements and billing related to PHP. |
Webinar | Self-paced | PHP |
|
| Skilled Nursing Facility (SNF) Benefit and Coverage Requirements | Part A | Join this webinar to learn about skilled nursing facility (SNF) coverage requirements including the SNF benefit period. We'll include information on the three-day qualifying hospital stay requirement and medical documentation requirements. We'll also provide some valuable resources to comply with Medicare’s guidelines. | Webinar | Self-paced | SNF |
|
| 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 |
|
| 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 |
|
| 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 |
|
| 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 |
Video
|
00:9:17 | Ambulance |
|
| 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 |
|
| 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 |
|
| 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 |
|