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Last Modified: 4/25/2024 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
CEUs
Part B
The Office of Inspector General (OIG) released a report indicating Medicare improperly paid physicians for co-surgery and assistant-at-surgery services were billed without the appropriate payment modifiers. Medicare makes a reduced payment to physicians who work together to perform a surgical procedure on the same patient during the same operative session. This course will explore the co-surgeon and surgical assistance modifiers (62, AS, 80, 82), and review the documentation requirements and various scenarios when these modifiers should be used
Webinar
Self-paced
0
Part A and Part B
The second course in our Medicare secondary payer (MSP) series navigates how to identify the primary payer. We will explore the role of the MSP Contractor. We will examine the MSP resources and self-service tools available.
Webinar
Self-paced
0
Part A and Part B
This first course in our Medicare secondary payer (MSP) series provides the definition and purpose of the MSP program. We will review the MSP provisions including Group Health Plans (GHPs) and Non-group Health Plans (NGHPs). We will explore MSP resources and self-service tools available.
Webinar
Self-paced
0
Part A and Part B
Stay connected with the Medicare Coverage workshop series. This course is designed to provide an overview of Local Coverage Determination (LCD) policies and Local Coverage Articles (LCA) and how they aid in determining medical necessity, billing compliance and documentation requirements. We will demonstrate how to use LCDs and LCAs for various billing scenarios and identify key resources.
Webinar
Self-paced
0
Part A
Learn about documenting outpatient hospital services accurately and completely.
Webinar
Self-paced
0
Part A and Part B
Learn billing guidance for drugs and biologicals.
Webinar
Self-paced
0
Part B
Learn about the different Medicare secondary payer (MSP) billing options for Medicare Part B.
Webinar
Self-paced
0
Part A
Learn about Medicare secondary payer (MSP) billing options for Medicare Part A.
Webinar
Self-paced
0
Part B
Learn about avoiding duplicate claim denials by using the proper modifiers for your claims. We'll provide an overview of modifiers 59, 76, XE, XP, XS, and XU and their proper usage.
Webinar
Self-paced
0
Part A and Part B
Learn about the PWK (paperwork) segment of the X12N version 5010 which allows submission of supporting documentation with an initial 837 electronic claim.
Webinar
Self-paced
0
Part A and Part B
Learn about gathering information in relation to Medicare as the secondary payer.
Webinar
Self-paced
0
Part A and Part B
Learn about NCCI and billing claims correctly.
Webinar
Self-paced
0
Part B
Learn about issuing the advanced beneficiary notice (ABN) correctly.
Webinar
Self-paced
0
Part A and Part B
Learn about Medicare as a secondary payer (MSP) and the fundamentals of these cost-saving provisions.
Webinar
Self-paced
0
Part A and Part B
Learn about Medicare as a secondary payer (MSP) and the fundamentals of these cost-saving provisions.
Webinar
Self-paced
0
Part A
Learn about how you can save time and money by avoiding common Part A billing errors.
Webinar
Self-paced
0
Part A and Part B
Learn about the basics of Medicare secondary payer (MSP).
Webinar
Self-paced
0
Part B
Learn about how you can save time and money by avoiding common Part B billing errors.
Webinar
Self-paced
0
Part A
Learn about how you can save time and money by avoiding common Part A billing errors.
Webinar
Self-paced
0
Part B
Learn about the most common Part B denials and how to prevent them.
Webinar
Self-paced
0
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
0
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
..video icon
0:09:10
0
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
..video icon
0:06:56
0
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
..video icon
0:08:10
0
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
..video icon
0:05:38
0
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
..video icon
00:02:51
0
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
..video icon
00:10:47
0
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.