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Med 309 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Standards (March 2009)
This activity is designed for physicians, physician assistants, nurses, nurse practitioners and other health care professionals, and medical administrative staff. The goal of this activity is to provide information to physicians, suppliers and health care professionals in the completion, submission and maintenance of the electronic transaction standards. This is a "How To" course. Here is an example of the many hyperlinks found in the course: Click to view---> http://www.cms.hhs.gov/­manuals/­downloads/­clm104c24.pdf on the CMS website

Med309a Understanding the Remittance Advice for Professional Providers (March 2009)                                                                                                      This activity is designed for all professional providers who bill Medicare. The term “professional provider” refers to individual (and groups of) physicians or other recognized health care practitioners and suppliers that submit claims to Carriers, Durable Medical Equipment Medicare Administrative Contractors (DME MACs), and Part B MACs. The goal of this course is to provide professional providers and their billing staff with general RA information. This course provides instructions to help you interpret the RA received from Medicare and reconcile it against submitted claims. It will give guidance on how to read Electronic Remittance Advices (ERAs) and Standard Paper Remittance Advices (SPRs), as well as information on balancing an RA. The course also provides an overview of software that Medicare provides free to providers for viewing ERAs.This is a "How To" course.  Here is an example of the many hyperlinks found in the course:  Click to view->www.cms.hhs.gov/MedicareContractingReform on the CMS website.

Med409  Outpatient Code Editor (Updated April 2009)                                                                                                                                                           The Outpatient Code Editor (OCE) course was created by the Centers for Medicare & Medicaid Services (CMS). The course is useful for physicians, healthcare professionals, and medical administrative staff, to understand the OCE utilized under the Outpatient Prospective Payment System (OPPS) and other payment systems. This course addresses the OCE in the Fiscal Intermediary Standard (or Shared) System (FISS). This is a "How To" course.  Here is an example of the many hyperlinks found in the course: Click to view---> http://www.cms.hhs.gov/Transmittals on the CMS website.

Med609 Certificate of Medical Necessity (June 2009)                                                                                                                                                             This activity is designed for physicians, physician assistants, nurses, nurse practitioners and other health care professionals, and medical administrative staff. The goal of this activity is to provide information and resources regarding the completion, submission and maintenance of the CMNs required for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). This is a "How To" course.  Here is an example of the many hyperlinks found in the course: Click to view--->http://www.cms.hhs.gov/CoverageGenInfo.

Med909 Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing Incentive Program (E-Prescribing) (September 2009)   
This activity is designed for physicians, physician assistants, nurses, nurse practitioners and other health care professionals, and medical administrative staff. The goal of this activity is to provide information to physicians, health care professionals, and medical administrative staff in the completion, submission, and maintenance of the documentation required to successfully participate in Physician Quality Reporting Initiative (PQRI) and Electronic Prescription Incentive (E-Prescribing) programs. This is a "How To" course.  Here is an example of the many hyperlinks found in the course:  Click to view----> http://www.cms.hhs.gov/PQRI/01_Overview.asp on the CMS website.

Med1009 Medicare Preventive Services Series Part 3 (October 2009)                                                                                                                                      This activity is designed for physicians, providers, suppliers, non-physician practitioners (physician assistants, nurse practitioners, clinical nurse specialists), medical administrative staff, academia (students, educators, administrators), and other fee-for-service health care professionals responsible for providing or billing for Medicare-covered preventive benefits. The goal of this activity is to educate the fee-for-service provider community about the array of preventive services and screenings covered by Medicare. These courses are part of a comprehensive provider education campaign to promote awareness and increase utilization of these benefits.

Med1009a Skilled Nursing Facility Consolidated Billing (October 2009)                                                                                                                                This course contains information about Skilled Nursing Facility Consolidated Billing. This course will be helpful to providers who require the following information: (1) General Information about Skilled Nursing Facilities, (2)  Skilled Nursing Facility Consolidated Billing, and (3) Under "arrangement agreements" between Skilled Nursing Facilities and  other providers and suppliers.

Med108 Front Office Medicare (Updated January 2008)                                                                                                                                                        This course provides essential knowledge needed for “checking in” Medicare patients.

Med708 Acute Hospital Inpatient Prospective Payment System (IPPS) (July 2008)                                                                                                               This web-based training course provides an overview of the Acute Hospital Inpatient Prospective Payment System (IPPS). It includes a basic explanation of inpatient hospital coverage, billing and payment under the prospective payment system (PPS).

Med708a CMS Form 1500 (08/05) (July 2008)                                                                                                                                                                     Upon completion of this course, the learner should be able to use the CMS Form 1500 (08/05) claim form, identify how an electronic claim works, define what unprocessable claims are, identify late filing rules, and define the requirements of filing claims on behalf of beneficiaries.

Med708b Uniform Billing (UB)-04 (July 2008)                                                                                                                                                                       The UB-04 version of the Centers for Medicare & Medicaid Services (CMS) Form 1450 (referred to as the UB-04 from this point forward) web-based training course was created by CMS. The course will be useful for health care administrators, medical coders, billing and claims processing personnel and other medical administrative staff who are responsible for submitting Medicare institutional claims for Medicare payment. This course addresses hard copy and electronic billing requirements for Medicare institutional provider (i.e., hospitals, skilled nursing facilities, end stage renal disease providers, home health agencies, hospices, and outpatient rehabilitation clinics, etc).

Med407 Medicare Fraud and Abuse (April 2007)                                                                                                                                                                   The information found in this course is helpful for physicians, medical administrators, billing staff and other health care professionals involved in providing billing for services to people with Medicare. This course provides information that will increase awareness of Medicare fraud and abuse, assist in educating your staff about correct billing practices, and help you file claims effectively.

Med507 Diagnosis Coding Using the ICD-9-CM (May 2007)                                                                                                                                                        This course will teach you how to select accurate diagnosis codes from the ICD-9-CM volumes and how to use diagnosis codes correctly on Medicare claim forms. This course will give you a better understanding of: