On-demand learning: Specialty services
| Title | Line of business | Description | Format | Duration | Service | Links |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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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 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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. |
Webinar |
Self-paced | IPPS |
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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. |
Webinar
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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 | |
| 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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| 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 |
Video
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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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