OnDemand Part II Recorded July 23, 2019 - Medicare Coding and Billing

Course Summary:

This OnDemand Part II session on Medicare Coding and Billing, recorded on July 23, 2019, delves into advanced concepts and strategies essential for accurate and compliant Medicare coding and billing practices. Building upon foundational knowledge, this course provides a deeper understanding of complex coding guidelines, billing procedures, and regulatory updates relevant to Medicare. Participants will gain insights into optimizing their revenue cycle, minimizing errors, and ensuring adherence to the latest Medicare requirements. While recorded in July 2019, the fundamental principles and many of the discussed concepts remain relevant for understanding Medicare coding and billing. However, users should be aware that specific regulations and guidelines may have been updated since the recording date and should consult the most current official sources.

Target Audience:

This program is ideal for:

• Medical coders and billers seeking to enhance their expertise in Medicare.
• Healthcare administrators and practice managers responsible for revenue cycle management.
• Physicians and other healthcare providers who need a deeper understanding of Medicare coding and billing processes.
• Compliance officers in healthcare organizations.
• Individuals preparing for medical coding or billing certifications with a focus on Medicare.

Main Content:

While the specific topics covered would depend on the detailed agenda of the July 23, 2019 session, Part II of a Medicare Coding and Billing course typically includes:

• Advanced Coding Scenarios: In-depth analysis of complex coding situations and challenging case studies under Medicare guidelines.
• Specific Coding Systems (e.g., ICD-10-CM, CPT, HCPCS Level II) in the context of Medicare: Detailed application of these coding systems with a Medicare focus, including specific rules and modifiers.
• Medicare Billing Regulations and Guidelines: Comprehensive review of Medicare’s billing rules, claim submission processes, and common billing errors to avoid.
• Medicare Advantage Plans and Other Medicare Programs: Understanding the coding and billing nuances associated with different Medicare programs.
• Appeals and Denials Management: Strategies for effectively managing Medicare claim denials and navigating the appeals process.
• Compliance and Fraud Prevention in Medicare: Key considerations for ensuring compliance with Medicare regulations and preventing fraudulent activities.
• Updates and Changes in Medicare Policies (as of July 2019): Discussion of any significant policy updates or changes in Medicare coding and billing that were relevant at the time of the recording.
• Auditing and Documentation Requirements for Medicare: Best practices for documentation to support Medicare claims and prepare for audits.