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Home > Curriculum > Medicare Part B Reimbursement Guidelines

Medicare Part B: Reimbursement Guidelines
Don’t miss this eye-opening and interactive discussion on how to secure complete and accurate Medicare reimbursement.


This course may be used to fulfill a voluntary compliance program’s training component, as recommended by the Office of the Inspector General.

  • This important primer course takes participants through the statutory obligations, rights, roles and responsibilities of the Medicare provider.
  • Receive tips on how to work with the CMS and Medicaid regional offices.
  • More than 25,000 medical office staff across the country have benefited from this class.

Course Agenda:

  • Understanding Medicare’s Correct Coding Initiative
  • RBRVS and your Medicare fee schedule
  • How to get a list of all non-covered services
  • Advance Beneficiary Notice guidelines
  • Proper use of the GA modifier for successful payment
  • What “assignment” means under Medicare law
  • Determining whether Medicare is primary or secondary payer
  • Improve understanding of audit triggers
  • The dangers of fragmenting, bundling, unbundling
  • Correct use of comprehensive and mutually exclusive codes
  • Preventive vs. problem-oriented services
  • Differences between PAR, non-PAR and opting out of Medicare
  • Caring for the indigent Medicare patient
  • Stark laws and the dangers of courtesy discounts and kickbacks
  • Your rights during a carrier audit
  • Billing for services that are not medically necessary
  • Proper documentation for medical necessity
  • Uncovering the Medicare appeals process and review
  • Your rights in making sure you receive a fair hearing
  • Interacting with an administrative law judge

Classroom Presentation:

Physicians and coding staff will get answers to their most pressing Medicare questions. Get tips such as: why you should never appeal a Medicare claim before reviewing Medicare’s National Correct Coding Policy. Plus, receive the latest information on documentation guidelines for E&M services, and CMS’s Correct Coding Policy.

Who Should Attend:

Designed for physicians, coding and billing staff, and compliance officers seeking a detailed overview of the Medicare reimbursement system.

Course Materials:

A course manual will be provided to each participant. No additional materials are required for this course.

Schedule as of 7/4/2008

CityStateDateRegister
Map it!FAYETTEVILLE*  NC7/10/2008
Map it!COLLEGE STATION*  TX7/15/2008
Map it!WESLACO  TX8/15/2008
Map it!LAREDO  TX8/22/2008
Map it!DALLAS*  TX10/21/2008
Map it!MEDFORD  OR10/23/2008
Map it!HARLINGEN  TX11/7/2008
Map it!DOVER  DE11/13/2008
Map it!SAN ANTONIO  TX12/3/2008
* Indicates more information

CEUs:
3PMI CEU(s)
3AAPC CEU(s)


Certified Medical Coder (CMC) Certified Medical Insurance Specialist (CMIS) Certified Medical Office Manager (CMOM)

More than 12,722 PMI Certifications have been earned to date.

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