LOD - Basics of billing and appealing

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Home ► online learning ► LOD - Basics of billing and appealing

Last Modified: 5/16/2025 Location: FL, PR, USVI Business: Part A, Part B

Learning On Demand – Basics of billing and appealing

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Title	Line of Business	Description	Format	Duration	Links
Modifier of the Month: Surgical modifiers 54, 55, 56, 58, 78 and 79	Part B	The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. During this webinar, we will review the global surgery concept and provide an overview of modifier use to reflect procedures within the global surgery period. We will examine operative and surgical modifiers 54, 55, 56, 58, 78, and 79, including when to use them and explore the influence of these modifiers on Medicare reimbursement.	Webinar	Self-paced	View recording Take survey
Medicare Navigator Part B Claims: Billing Compliance	Part B	The Medicare Navigator Part B Claims series supports providers billing on the CMS-1500 claim form (or electronic equivalent) with navigating the billing basics to performing post payment claim correction activities. CMS developed the National Correct Coding Initiative (NCCI) program to promote national correct coding of Medicare Part B claims. This webinar will review the NCCI , which includes the procedure-to-procedure (PTP) editing, modifiers, add-on codes (AOCs), and medically unlikely edits (MUEs) editing.	Webinar	Self-paced	View recording Take survey
Medicare Navigator Fee Schedules: Identify Part B Reimbursement Rates	Part B	This three-part Medicare Navigator webinar series is designed to provide a thorough examination of various Medicare fee schedules and how to effectively use them. We will begin this series by demonstrating how to successfully navigate the Novitas and First Coast provider websites to locate fee schedules and outline how to determine which fee schedule to use.	Webinar	Self-paced	View recording Take survey
Medicare Part A Updates – April 2025	Part A	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventive service reminders.	Webinar	Self-paced	View recording Take survey
Medicare Part B Updates – April 2025	Part B	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventive service reminders.	Webinar	Self-paced	View recording Take survey
Modifier of the Month: Global Surgery Evaluation and Management (E/M) Modifiers 24, 25, FT and 57	Part B	The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. During this webinar, we will review the global surgery concept and the applicability of using modifiers to reflect services occurring during the global surgery period. We will examine modifiers 24, 25, 57 and FT, including when to use them and explore the influence of these modifiers on Medicare reimbursement.	Webinar	Self-paced	View recording Take survey
Modifier of the Month: Modifiers 59 vs. XE, XS, XP and XU	Part B	The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. For non-evaluation and management services, modifiers 59 and X(E,S,U,P) are used to identify distinct procedures or services not normally reported together when performed on the same day. During this webinar, we will define each modifier, explore common scenarios for use and review applicable supporting documentation requirements.	Webinar	Self-paced	View recording Take survey
Defining Place of Service Codes	Part B	This course will emphasize the importance of accurate reporting of place of service (POS) codes on your claims to ensure appropriate Medicare reimbursement. We will define the most commonly used POS codes, identify resources to assist in determining the correct code to use and lastly provide options for how to correct claims when an incorrect POS code is reported.	Webinar	Self-paced	View recording Take survey
Medicare Part B Updates - January 2025	Part B	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventive service reminders.	Webinar	Self-paced	View recording Take survey
Medicare Part A Updates - January 2025	Part A	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventive service reminders.	Webinar	Self-paced	View recording Take survey
Credit Balance Reporting and Submission Errors	Part A	Begin the year with our credit balance reporting course that will highlight all the fundamentals when completing the report each quarter. We will discuss how to complete and submit the report, report requirements, and important due dates to assist your facility in meeting reporting requirements.	Webinar	Self-paced	View recording Take survey
Medicare Part A Updates – October 2024	Part A	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventative service reminders.	Webinar	Self-paced	View recording Take survey
Medicare Part B Updates – October 2024	Part B	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventative service reminders.	Webinar	Self-paced	View recording Take survey
Modifier of the Month: Repeat Procedures: 76, 77 and 91	Part B	Claims for repeat services can deny as duplicate claims if submitted without differentiating the services with proper modifiers. We'll provide guidance on submitting claims with modifiers 76, 77 and 91 to demonstrate repeat services and required supporting documentation.	Webinar	Self-paced	View recording Take survey
Medicare Part A Updates – July 2024	Part A	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventative service reminders.	Webinar	Self-paced	View recording Take survey
Modifier of the Month: 50 Versus Anatomical Modifiers	Part B	When submitting claims for procedures performed unilaterally or bilaterally during the same operative session, the proper modifier(s) should be applied to your claim lines. This course will demonstrate how to differentiate between using anatomical modifiers or modifier 50. We'll review appropriate use of these modifiers using relative claims and appeals examples.	Webinar	Self-paced	View recording Take survey
Medicare Part B Updates - July 2024	Part B	This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventative service reminders.	Webinar	Self-paced	View recording Take survey
Modifiers of the Month: 22, 52 and 53	Part B	Claims for increased procedural services, reduced services and discontinued procedures should have supporting documentation to avoid claim denials and future appeals. With this course, we'll provide guidance on properly submitting claims with documentation when applying modifiers 22, 52 and 53.	Webinar	Self-paced	View recording Take survey
Understanding the PWK Segment	Part A and Part B	Description: The paperwork segment of an electronic claim submission is commonly known as PWK. The PWK process allows you to utilize the cost-effective electronic data interchange technology and if you choose to submit paper documentation at the time of the claim submission. This video will give you a brief demonstration about the PWK segment.	Video	0:03:50	View video Take survey
Electronic transactions in the Medicare program (Spanish)	Part A and Part B	View this video for more information about the electronic transactions, your requirements for billing electronically, and the free software available for you.	Video	0:09:10	View video Take survey
Electronic transactions in the Medicare program	Part A and Part B	View this video for more information about the electronic transactions, your requirements for billing electronically, and the free software available for you.	Video	0:06:56	View video Take survey
Documenting and billing Medicare orders and referrals (Spanish)	Part B	Learn about enrollment and documentation requirements for providers ordering or referring services and claim requirements for providers performing and billing for services.	Video	0:08:10	View video Take survey
Documenting and billing Medicare orders and referrals	Part B	Learn about enrollment and documentation requirements for providers ordering or referring services and claim requirements for providers performing and billing for services.	Video	0:05:38	View video Take survey
Identifying if your Medicare claim Is eligible for an appeal	Part A and Part B	Before submitting an appeal on a Medicare claim, you first want to make sure that a claim determination, or decision, was made of either paid or denied. We often see providers incorrectly appealing a claim returned to provider for correction. This video covers how you can identify when a claim is eligible for an appeal.	Video	00:02:51	View video Take survey
Understanding the Medicare overpayment process	Part A and Part B	This video will help you understand the overpayment process, your responsibilities to pay the money back money, and what to do if you disagree with an overpayment decision.	Video	00:10:47	View video Take survey

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