Medicare & Medicaid Mastery: A Guide for Cranial Prosthesis Providers

Course curriculum

1. Intro to the Course!
2. Course Overview
3. Importance of Medicare and Medicaid
1. History of Medicare and Medicaid
2. Who Qualifies for Prosthetics under Medicare and Medicaid
3. What is Medicare Part B?
4. Medicaid Qualifications
1. Getting In Network Overview
2. Medicare: Being in Network
3. Medicaid: Being In Network
4. Getting in Network: Medicare and Medicaid
1. Site Visits: Medicare and Medicaid
2. Preparing for Site Visits: Medicare and Medicaid
3. HIPAA Compliance: Medicare and Medicaid
1. Submitting Claims Overview
2. Medicare Claim Submission
3. Medicaid Claim Submission
4. Reimbursements: Medicare and Medicaid
5. Claim Denials: How to Appeal
6. The Course Continues!
1. Payouts: Medicare and Medicaid
2. Fee Schedule: Medicaid
3. Fee Schedule: Medicare
4. Locating Fee Schedules: Medicare and Medicaid
5. Fee Schedule: DME Example
1. Durable Medical Equipment Act: What is it?
2. Proposed Legislation: Medicare Coverage
3. Staying Up To Date: Cranial Prosthesis Specialist in Medicare and Medicaid
4. Get Connected: Networks for Cranial Prosthesis Specialists in Medicare and Medicaid

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