This module provides an overview of the home health benefit and understanding what Medicare is. You will learn about Medicare Administrative Contractors (MAC’s) and their…

You will learn the terminology and many acronyms associated with Home Health along with the original structure and the different Home Health disciplines. Explore the…

Examine some of the different laws and programs governing Medicare to protect patient’s information and prevent against fraud and abuse. Registered students are to log…

This module will go over the process of billing including defining the role of the biller, provider enrollment, and using the UB04 claim form. Students…

In this module students will learn about the life cycle of the claim from the time it is submitted to the time it is paid.…

This module will discuss what is a Request for Anticipated Payment otherwise known as RAP, its purpose, what information is included on the RAP including…

Students will learn about submitting final claims for full episode and cover what’s a Partial Payment Adjustment (PPA), Low Utilization Payment Adjustment (LUPA) and Outlier…

Students will gain an understanding of the Direct Data Entry (DDE) system as well as other MAC portals. Will learn how to view eligibility through…

In this module you will learn about the common problems, issues and challenges that arise when dealing with rejected claims and as well as the…

This module will be an overview of useful information and resources that students will need to know when billing for home health. Information regarding Med…