Online Training Course

Prod ID: 461
Understand the Signing of the Medicare Contract

Navigating the rules in healthcare has always been complex. Physicians and other healthcare providers should be making informed decisions about their contractual relationships with the Medicare program. Has your healthcare provider ever analyzed what he or she is signing when entering into a contract with Medicare?

CEUs

1

Length

58 min

Price

$119.00


Have you ever completed and signed a Medicare Enrollment application form on behalf of your physician? Presenter Maxine Collins has and says: "At the time, I did not fully comprehend all the content in the paperwork." Often there is an urgency to complete the application quickly in an effort to get the provider enrolled. The form is lengthy and some fields may be difficult to answer if you are not fully versed in contractual language.

While there is more than one type of Medicare Enrollment Application, most share common language and provisions. In this session, practice management expert, Maxine Collins, will review some of the most important terms found in form CMS-855B - Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers. This is the application commonly completed by healthcare practices seeking to enroll in the Medicare program and receive a Medicare billing number.

When you sign the application, you are attesting to having read all of the requirements and understanding them and you are agreeing to adhere to all applicable Federal and state requirements. This is a major commitment and warrants a thorough review of the details to which you are attesting. Be sure you know the requirements listed in the Certification Statement which are officially binding and could potentially place the provider in a position to be denied entry to or revoked from the Medicare program if they are not met. Understand the additional requirements for Medicare Enrollment for Authorized Officials.

Ms. Collins focuses on a few key sections of the Medicare Contract - Certification Statement, Final Adverse Legal Actions and the time period it can impact, Exclusion from the Medicare program and penalties for falsifying information on the application. These important details are addressed:

  • Why you should read the "small print"
  • Titles and acronyms used in the Enrollment Application, i.e., Authorized Official
  • What does Final Adverse Legal Actions mean?
  • What is an "Exclusion" and is your organization checking this?
  • OIG enforcement activities and potential penalties

Maxine Collins

MBA, CPA, CMC, CMIS, CMOM


Maxine has more than thirty years of experience in medical practice management, adult education and general business. She has taught courses at various levels, including teaching business communications and accounting at Midwestern State University in Texas. Maxine has extensive experience teaching administrative and clinical personnel essential medical office skills such as medical terminology, coding, reimbursement, OSHA, and HIPAA compliance. She is adept at personnel management, government rules and regulations, accounting and budgeting. Additionally, her experience with practice marketing and development make her a knowledgeable and much sought-after practice management resource.

Maxine has served as an administrator of a multi-specialty clinic, where she was responsible for all clinic operations including medical records, billing and collections, OSHA, HIPAA and Medicare compliance, and all accounting operations. She also has experience in medical practice consulting, and has successfully launched multiple practices.

Maxine holds a MBA in business from Midwestern State University. She is also a Certified Public Accountant and holds three PMI credentials.

The instructor imparts valuable know how and important details to help you successfully enroll providers and avoid placing them in a position to later be denied entry to or revoked from the Medicare program.
No prerequesites required.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

"Great information to help with provider onboarding."

"Excellent content. Informative session."

"Very good information!"

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