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Confident Clinician

Last updated April 11, 2022

The Medicare Clinician Part 4

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6 students
The Medicare Clinician 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.


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