Medicare therapists - Billing 101 (Yes you CAN get paid!)

Everything Billing that you need to know in order to be successful, now that you are an enrolled Medicare provider (or are about to become one!)

Medicare gets a bad rap - but billing Medicare is actually easier than private insurance (in some ways). And in other ways, it's not so much that it's HARDER...but it's a different language and rules from what you're used to with commercial payers.

Today, you'll learn, in a safe and supportive environment. With lots of humor! I believe in keeping it real. There are no dumb questions here. Today, everyone is a beginner, so if you have no experience with Medicare, this event is for YOU!

We'll cover:

• Parts of Medicare
• Verifying eligibility: how do you do it? how do you interpret it?
• Does your client really have Medicare Advantage?
• What is Railroad Medicare?
• Weird statuses and acronyms: MSP, QMB, Dual-eligible...say what?
• How much do I collect from my client?
• Billing the next payer - GOOD NEWS!
• Differences between secondary and supplemental plans
• How to tell at a glance what a supplemental plan will cover. No phone calls!
• Setting up your billing system for Medicare
• Electronic data interchange (EDI) enrollment
• Common billing errors and how to avoid them
• What is that darn sequester thing?
• Can't I just hand them a superbill?
• How to read the Medicare standard paper remittance (EOB). What do all those codes mean?
• Should you enroll with your Medicare Administrative Contractor's portal?
• If you have a problem, what now? Reopenings & redeterminations.

As we go through, we'll distinguish between Original Medicare and Medicare "Advantage"

• What happens when you're out of network with Advantage?
• Do you want to be in-network?
• Benefits under Medicare Advantage
• Fees paid by Medicare Advantage
• What does Medicare Advantage pay? How is it different from Original Medicare?
• Interacting with MA payers. What's your recourse if you run into problems?

You can't afford to miss this! You signed up - you made it through Provider Enrollment - now let's be sure you get PAID!

Friday, June 14, 2024

• 10 am Pacific time
• 11 am Mountain time
• noon Central time
• 1 pm Eastern time