Understanding The Medicare Appeals Process And The Medicare Manual For Rehabilitation Services

Course: #4262Level: Intermediate1.5 Hour 92 Reviews

This course is an introduction to the Medicare Appeal process for part B therapy services. The learner will be presented with case studies to better understand both Medicare requirements and reasons for denial. Also in this presentation, the learner will understand how to defend denied cases up to the Administrative Law Judge level.

Preview Exam
unlimited ceu access $99/year Join Now

Learning Outcomes

  • checkmarkAfter this course, participants will be able to describe the Medicare appeals process.
  • checkmarkAfter this course, participants will be able to define RACs, MACs, QICs, ALJs.
  • checkmarkAfter this course, participants will be able to apply strategies to therapy documentation that will meet Medicare requirements per the Medicare Manual in Chapter 15.


0-5 Minutes Introduction
5-30 Minutes Medicare Appeals process
30-40 Minutes Case Study #1
40-70 Minutes Medicare Benefit Policy Manual Chapter 15
70-80 Minutes Case Study #2
80-90 Minutes Summary, Q & A


92 Reviews
Sponsor Disclosure: This Course is presented by OccupationalTherapy.com.

Content Disclosure: This learning event does not focus exclusively on any specific product or service.

Course participation information

To ensure you are ready to participate, please complete our short Test Drive to prepare your computer to view the course.

Review Technical Requirements

Login and logout times will be recorded and documented.
Passing an online exam will be required to earn continuing education credit, where applicable.

Live Webinars allow presenter and participant interaction. The exam and course evaluation for these courses must be completed within 7 days of the event.

On-demand courses include texts, video and audio recordings of live webinars, and multimedia formats. The exam and course evaluation for on-demand courses must be completed within 30 days of course registration.

To participate in the course, complete the exam, and earn continuing education credit (where applicable), you must be a OccupationalTherapy.com member.

OccupationalTherapy.com is committed to providing equal opportunities in accordance with all applicable laws. If you are in need of a disability-related accommodation, please contact customerservice@occupationaltherapy.com. We will review your request and respond in a timely manner. Please note that we will require a minimum of 2 weeks to provide a reasonable accommodation for your request.

Visit our Contact us page or give us a call if you have questions.