Patient Access: Medicare and Medical Necessity
You will receive 2 credits (CE) upon completion of this course.
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Course Description
This course focuses on Medicare's medical necessity and Advance Beneficiary Notice (ABN) regulations and processes, as they relate to patient access functions and activities. The course answers questions such as:
· What is medical necessity, an LMRP, NCD or LCD?
· When should a facility verify that a test or procedure meets Medicare's medical necessity criteria?
· When should an ABN be obtained?
· What if the patient refuses to sign an ABN?
· Where to begin?
· Educating facility staff
· Educating the physicians and their staffs
· Informing the patients
The course initially defines the medical necessity 'alphabet soup;' CMS, FI, NCD, LMRP LCD, ABN. As the reader progresses, he or she will learn how to execute a valid ABN and the benefits of a successful Medicare medical necessity program.
2 Educational Contact Hours Approved by the HCCA for CEUs
More Information
| Language | English |
| Course Length | 2.00 hours |
| Duration of Access | Unlimited |
| Continuing Education Credits | 2 |
| Instructor | Self Paced |
| Vendor | IMA Consulting |
| Course Certification | Approved by the AAPC, HCCA, NAHAM, AAHAM and AMBA for 2 CEUs. |
| Prerequisites/Audience | None |
| Requirements/Materials Included | None |














