Session

Topic

1. Medicare Basics

• What is Medicare?

• How to become a supplier

• NPI vs. PTAN (legacy number)

• Assignment pros and cons

• Why participate?

2.  Filing Claims

• How to complete the claim form

• Electronic billing

• Where do I file my claim?

• Timely filing deadlines

3.  When Medicare Isn't Primary

• Medicare as secondary payor

• Coordination of benefits

4.  Administrative Documentation

• Date of service problems

• Patient signature requirements

• Prescription requirements

• Rules on delivery slips

5.  Hospital and SNF Billing

• Hospital billing issues

• SNF billing issues

• Using the two day rule

6.  EOBs and ABNs

• What the Explanation of Benefits tells you

• Using the Advance Beneficiary Notice (ABN)

• Where do I go for help?

• Using HCPCS codes and modifiers

• Base vs. addition codes

• Code selection

• Using A codes vs. L codes

• Modifiers

• Billing rules for shoes

• Returned/refused devices

• Discharging a patient

• Patient complaints

• Handling Medicare refund requests