1. Medicare Tools for Improvement
John Behn, MPA
Laurie Daigle, CPC

2. Objectives Learn how to set up Medicare Learning accounts
Review training options
Assign tasks
Establish expectations
Provide deadlines
Assess training

3. Medicare Training Medicare provides free training
Detailed, printable education on specific topics
Pre-recorded presentations and podcasts
Web-based certificate training
CEU eligible courses

4. Create an Account
Create an account

5. Medicare Learning Options
Quarterly topics
5- to 15-page tutorials
Printable PDF
Publications
Recordings of broadcasted presentations
Topics include billing, compliance, coding and regulation
Presentations
2- to 5- minute YouTube videos on various topics
Not just Medicare
Podcasts

6. Podcasts
Under 5 minutes
Not Just Medicare
MUEs and Bilateral

7. Web-Based Training Certificates
Certificate of Completion
Part A
Part B
Medical Necessity

8. Management
Recognize how federal law, regulations, and Medicare policies impact the office practices of physicians, non-physician practitioners, and suppliers
Safeguarding your medical identity
Recognize the scope of the problem of medical identity theft and strategies for mitigating it
Locate information of importance to you on the CMS website
Identify various resources provided by CMS to assist physicians, non- physician practitioners, and suppliers in effectively fulfilling Medicare requirements
Select applicable forms and resources to use for specific functions in a medical or supplier’s office

9. Physician
CMS Provider Minute: Hospital Discharge Day Management Services
CMS Provider Minute: Hospital Discharge Day Management Services Video
Transitional Care Management Services
Chronic Care Management Services Changes for 2017 (December 2016)
Enhanced Longitudinal Care Management for High Risk Patients Action Group 3
Enhanced Longitudinal Care Management for High Risk Patients Action Group 4

10. Billing Currently 47 opportunities
Mix of webinars, online training, handouts and podcasts
All products
UB and 1500
SNF Consolidate Billing
HIPAA
Recognize the administrative simplification provisions of HIPAA and who is a covered entity
Identify the electronic transaction standards required by HIPAA
Recognize the code sets adopted by HIPAA and their uses
Identify the steps involved in the Medicare EDI process
Medicare
Basics of Medicare
Medicare and Medicaid Basics
ABN and Home Health Change of Care Notice
Dual Eligible Beneficiaries Under Medicare and Medicaid
Medicare Secondary Payor

11. Coding ICD-10-CM Classification Enhancements – Annual Updates
ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Code Sets – Annual Updates
Diagnosis Coding: Using the ICD-10-CM ICD-10-CM/PCS The Next Generation of Coding
Evaluation and Management Services
How to Use The Medicare National Correct Coding Initiative (NCCI) Tools
Transitional Care Management Services
Chronic Care Management Services Changes for 2017 (December 2016)

12. Let’s Get Started

13. Step 1: Web-Based Training Link

14. Step 2: Log In for Courses

15. Step 3: Create Account

16. Select Organization

17. Nothing Works!

18. Step 4:

19. Step 5:

20. Questions

21. Thank You
Stroudwater Revenue Cycle Solutions was established to help our clients navigate through uncertain times and financial stress. Increased denials, expanding regulatory guidelines and billing complexities have combined to challenge the financial footing of all providers.
Our goal is to provide resources, advice and solutions that make sense and allow you to take action.
We focus on foundational aspects which contribute to consistent gross revenue, facilitate representative net reimbursement and mitigate compliance concerns. Stroudwater Revenue Cycle Solutions helps our clients to build processes which ensure ownership and accountability within your revenue cycle while exceeding customer demands.
Contact us to see how we can help.
Laurie Daigle, CPC
John Behn, MPA