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Confident Clinician

Last updated April 23, 2022

The Medicare Clinician Bundle

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120 students
The Medicare Clinician Bundle

Overview

Part 1: Learner Objectives

At the end of this course, the learner will be able to:

  1. Differentiate among Medicare Part A, B and C
  2. Determine their MAC and locality
  3. Discuss Medicare Part B deductible, threshold and 80%/20%
  4. Discuss covered services
  5. Generate a list of resources for reference and assistance

Do you want to see Medicare patients but are overwhelmed by the idea? Every private practice clinician started somewhere with insurance, and Medicare is a great place for you to begin. Regardless of experience, any speech-language pathologist can become a Medicare Part B participating provider. Our Medicare Part 1 video will provide an overview of what it means to be a Part B participating provider. This overview includes everything you might need to know prior to beginning the Medicare credentialing process. Start your future today!

Part 2: Learner Objectives

At the end of this course, the learner will be able to:

  1. Make an informed decision to be “par-” or “non-par-”
  2. Obtain an NPI type I and NPI type II (if applicable)
  3. Define PTAN
  4. Have the necessary resources to successfully credential with Medicare

If you’ve made the decision to become a Medicare provider and don’t know how to begin, you’re perfect for our Medicare Part 2 video. Have no fear, Part 2 will cover how to apply and items you’ll need to apply. You won’t be alone as you navigate the credentialing process. We are here every step of the way. Arm yourself with the knowledge you need to expedite the process of becoming a Medicare provider.

Part 3: Learner Objectives

At the end of this course, the learner will be able to:

  1. Document medical necessity and the skills of a therapist
  2. Justify reasonable and necessary intervention based on the patient’s individual condition/function
  3. Comply with the Medicare-specific criteria for:
    • Initial Evaluation
    • Plan of Care
    • Daily Treatment Notes
    • 10th Visit Progress Reports
    • Discharge Summary
  4. Devise a plan to keep track of plan of care certifications

Discover the information we wish we knew from Day 1 when taking Medicare clients including resource links for every question that might arise. This course covers documentation requirements, all parts needed to include in an evaluation, re-evaluation requirements, plan of care requirements, views of example evaluations, treatment notes, progress reports, and discharge summary specifics.

Course handouts include beginner definitions and easy-to-understand instructions with a 1-page quick reference guide, evaluation checklist, re-evaluation checklist, plan of care checklist, progress report checklist, and a discharge summary checklist.

Part 4: Learner Objectives

At the end of this course, the learner will be able to:

  1. The learner will determine how to set their practice fee schedule per CPT code.

  2. The learner can make informed decisions of how they will submit claims to Medicare.

  3. The learner will understand claim submission guidelines.

  4. The learner can correctly complete a CMS 1500 with appropriate coding

  5. The learner can go to the source to determine NCCI edits

You’ve got your PTAN! Congratulations! Now what? This course covers how to set your practice fee schedule per CPT code, options to submit claims to Medicare, and a step-by-step tutorial on how to complete a CMS 1500 claim form. Modifiers GN, KX, 59 and telehealth 95 are covered. Course handouts provide a quick reference guide for important claim submission information.

Part 5: Learner Objectives

At the end of this course, the learner will be able to:

  1. Discuss what is a Medicare Advantage Plan
  2. Distinguish between a Medicare Advantage Plan and Medicare Part B
  3. Understand how to work with Medicare Advantage Plans
  4. Answering frequently asked questions

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