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.
- After this course, participants will be able to describe the Medicare appeals process.
- After this course, participants will be able to define RACs, MACs, QICs, ALJs.
- After this course, participants will be able to apply strategies to therapy documentation that will meet Medicare requirements per the Medicare Manual in Chapter 15.
|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|
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
Course participation information
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