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
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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.

Agenda

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

Reviews

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.

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