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Title: Advance Beneficiary Notice of Non-Coverage (ABN): Part 1
Length: 45:00
Date Recorded: 09.20.24
Course Summary:
Use of ABN, Triggering Events, General ABN Requirements, Retention and Period of Effectiveness, ABNs for Upgraded DMEPOS and Competitive Bidding, and Additional ABN Resources. |
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Title: Advance Beneficiary Notice of Non-coverage (ABN) Part 2
Length: 45:00
Date Recorded: 12.19.24
Course Summary:
Completing the ABN, Other Considerations, Electronic Issuance of ABNs, and Additional ABN Resources |
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Title: Commode Chairs
Length: 20:00
Date Recorded: 12.18.23
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Commode Chairs to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed. |
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Title: Comprehensive Error Rate Testing Program
Length: 30:00
Date Recorded: 03.22.24
Course Summary:
This course will provide suppliers with an overview of the CERT process. Information such as how to identify a CERT documentation request and the proper way to respond will be addressed. |
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Title: Continuous Passive Motion (CPM) Devices
Length: 30:00
Date Recorded: 10.26.22
Course Summary:
This course will cover Medicare Coverage, Documentation Requirements, Coding and Billing and Claim Submission. |
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Title: External Breast Prostheses
Length: 30:00
Date Recorded: 04.09.24
Course Summary:
This course will define the Medicare coverage requirements for breast prostheses, list the documentation requirements for breast prostheses, and explain coding rules for breast prostheses, including replacement items. |
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Title: Eye Prostheses
Length: 15:00
Date Recorded: 04.09.24
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Eye Prostheses to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed. |
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Title: Facial Prostheses
Length: 20:00
Date Recorded: 07.17.23
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Facial Prostheses to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed. |
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Title: HCPCS Codes and Modifiers
Length: 45:00
Date Recorded: 12.29.21
Course Summary:
This course will give suppliers a clear understanding of the DME Fee Schedule category modifiers as well as provide information on the PDAC and how specific modifiers should be used when billing claim to Medicare. |
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Title: High Frequency Chest Wall Oscillation Devices
Length: 20:00
Date Recorded: 07.19.23
Course Summary:
This course provides an overview of High Frequency Chest Wall Oscillation Devices, including an explanation of the coverage criteria, the covered HCPCS, documentation requirements and important billing reminders. |
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Title: Medicare Fee Schedules
Length: 20:00
Date Recorded: 08.03.23
Course Summary:
The course will review the Medicare fee schedule categories and explain Medicare claim payment methodologies. |
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Title: Negative Pressure Wound Therapy
Length: 30:00
Date Recorded: 04.03.24
Course Summary:
This course will review coverage criteria, necessary modifiers, billing information, a look at documentation requirements specific to NPWT, and the top reasons for NPWT denials. |
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Title: Oral Anticancer Drugs
Length: 30:00
Date Recorded: 07.17.23
Course Summary:
Suppliers taking this course will be provided with information on coverage criteria for Oral Anticancer Drugs, coding, and billing reminders. |
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Title: Orthopedic Footwear
Length: 30:00
Date Recorded: 03.07.24
Course Summary:
Suppliers taking this course will be provided with information on coverage criteria for Orthopedic Footwear, modifiers, and documentation requirements. |
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Title: Osteogenesis Stimulators
Length: 30:00
Date Recorded: 09.16.24
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill osteogenesis stimulators to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources will also be addressed. |
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Title: Ostomy Supplies
Length: 30:00
Date Recorded: 03.07.24
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Ostomy supplies to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed. |
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Title: Prior Authorization (PA) Program
Length: 30:00
Date Recorded:07.26.24
Course Summary:
This course will provide an overview of the PA program, discuss affected codes, how to submit a Prior Authorization Request (PAR), documentation, timeframes, and more. |
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Title: Refractive Lenses
Length: 30:00
Date Recorded: 04.10.23
Course Summary:
This course will give suppliers an overview Coverage Criteria, Documentation Requirements, Billing Reminders and Resources. |
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Title: Repairs, Maintenance, & Replacement
Length: 30:00
Date Recorded: 09.20.24
Course Summary:
This course will give suppliers an overview of the Medicare guidelines surrounding repair, maintenance and replacement of durable medical equipment. Including proper billing and modifier usage. |
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Title: Seat Lift Mechanisms
Length: 20:00
Date Recorded: 03.07.24
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Seat Lift Mechanisms to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed. |
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Title: Using Documentation Checklists
Length: 20:00
Date Recorded: 08.10.23
Course Summary:
How to use the documentation checklists available on cgsmedicare.com to make sure you have all the necessary information before submitting a claim. |
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Title: Ventilators
Length: 30:00
Date Recorded: 12.29.21
Course Summary:
Suppliers taking this course will be provided with information on coverage criteria, correct coding, documentation requirements, Comprehensive Error Rate (CERT), and resources. |
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Title: Walkers
Length: 20:00
Date Recorded: 04.15.24
Course Summary:
Suppliers taking this course will be provided with information on how to properly code and bill claims for Walkers to Medicare. Medical necessity coverage criteria and additional CGS and CMS resources available to suppliers will also be addressed. |
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Title: Welcome to Medicare: Segment 1: Medicare Basics
Length: 30:00
Date Recorded: 04.15.20
Course Summary:
Medicare Basics will provide suppliers with an overview of the Medicare program as well as the role of the DME MAC in the Medicare process. |
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Title: Welcome to Medicare: Segment 2: Coverage and Medical Policy
Length: 30:00
Date Recorded: 10.22.19
Course Summary:
This segment will explain the role of the National and Local Coverage Determinations in the Medicare program as well as how to locate them on the CGS and CMS websites. |
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Title: Welcome to Medicare: Segment 3: Claim Submission
Length: 30:00
Date Recorded: 04.26.23
Course Summary:
This segment will review all that is needed for proper claim submission to Medicare, including Assignment Agreements, claim filing time limits, and much more. |
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Title: Welcome to Medicare: Segment 4: Place of Service / Consolidated Billing
Length: 30:00
Date Recorded: 05.31.23
Course Summary:
This segment will outline proper place of service codes for Medicare claims as well as review the consolidated billing process. |
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Title: Welcome to Medicare: Segment 5: Understanding Upgrades
Length: 30:00
Date Recorded: 11.16.22
Course Summary:
This segment will provide step by step instructions on how to properly bill an upgrade to Medicare. Including the correct modifiers to utilize to ensure that you claims are paid accurately. |
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Title: Welcome to Medicare: Segment 6: Medicare Secondary Payer
Length: 60:00
Date Recorded: 04.26.23
Course Summary:
This segment will provide suppliers with a detailed review of Medicare Secondary Payer guidelines and practices. |
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Title: Welcome to Medicare: Segment 7: Overpayment Recovery
Length: 30:00
Date Recorded: 11.29.22
Course Summary:
This segment details the Overpayment Recovery process as well as walks suppliers through the correct OPR forms to utilize when refunding Medicare. |
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Title: Welcome to Medicare: Segment 8: Telephone and Written Inquiries
Length: 20:00
Date Recorded: 04.28.23
Course Summary:
This segment examines the CGS Customer Service program and how to submit written inquiries to CGS. |
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Title: Welcome to Medicare: Segment 9: Reopenings
Length: 20:00
Date Recorded: 04.28.23
Course Summary:
This segment provides suppliers with a look at the Reopenings process, including how to properly file a Reopening Request and examples of the types of issues the Reopening Department can address. |
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Title: Welcome to Medicare: Segment 10: The Appeals Process
Length: 45:00
Date Recorded: 07.02.24
Course Summary:
This segment will review all of the different levels of the Medicare appeals process. Including how to submit proper appeal requests to each level. |