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Medicare University Course List

PTB-C-0003: Medicare Part B Appeals Process
Overview of the levels of appeals, what documentation is needed and where to send your appeal.

PTB-C-0006: Ambulance 101 
Covers documentation of services and coverage of ambulance services.

PTB-C-0007: Anesthesia Guidelines 
Covers documentation of services, modifiers and coverage of anesthesia services.

PTB-C-0010: Administrative Simplification Compliance Act 
Details on the ASCA provision, the limited exceptions and what to do when an ASCA request for documentation letter is received.

PTB-C-0012: Medicare Privacy & Disclosure of Beneficiary Information Beneficiary 
Overview of the requirements of the Privacy Act of 1974 and the HIPAA.

PTB-C-0017: The Ins and Outs of Incident-to Billing 
Overview of “incident to” services that are rendered in the physician office.

PTB-C-0019: Coverage of Kidney Disease Education Services 
Overview of Medicare preventive benefit and have a better understanding of the procedures and guidelines.

PTB-C-0021: PC-ACE Program 
Overview of the PC-ACE claims submission software.

PTB-C-0024: Billing for Part of the Global Surgery Package 
Overview of documenting, billing and completing the CMS-1500 claim form for billing part of the global surgery package.

PTB-C-0026: Signature and Documentation Requirements for Diagnostic and Laboratory Services 
Developed to assist Part B providers with the signature and documentation requirements for diagnostic and laboratory services.

PTB-C-0027: Drugs and Biologicals Local Coverage Determinations 
Developed to assist providers in accessing and using the Medicare coverage information available for label and off-label use of specific drugs and biologicals.

PTB-C-0029: 99211 Job Aid 
Developed to provide clarification for coding/billing and documentation evaluation and management procedure code 99211.

PTB-C-0030: Solving The Mystery of a National Coverage Determinations Versus a Local Coverage Determination 
Developed to assist providers with finding the location of NCDs and LCDs on our website and becoming familiar with the various sections of an LCD, e.g., those pertaining to documentation, medical necessity, coding, etc.

PTB-C-0031: Coding and Coverage for Drugs, Biologicals and Infusions 
Developed to assist coding, compliance and billing staff in understanding the Medicare coverage and documentation requirements, as well as coding requirements for drugs, biologicals and infusion services.

PTB-C-0035: Electronic Funds Transfer 
Developed to assist providers in enrolling in electronic funds transfer.

PTB-C-0040: JK: Understanding PWK 
Developed to assist providers with submitting additional documentation when submitting claims electronically.

PTB-C-0041: Medically Unlikely Edits for Part B Services
This CBT will cover MUEs, the effect MUEs have on your claims and the next steps needed if you receive an MUE denial.

PTB-C-0042: Basic Medicare Secondary Payer Eligibility
Developed to assist providers and staff members on the fundamentals of MSP, gathering MSP data from beneficiaries and identifying payers that are primary to Medicare using the CMS model MSP questionnaire. This CBT will also introduce the National Government Services self-service tools needed to check patient eligibility.

PTB-C-0043: Medicare Physician Fee Schedule: More Than Just Fees
In this course you will learn about the Medicare Physician Fee Schedule, MPFS payment rates, the Fee Schedule Lookup tool on our website and scenarios to apply your understanding of the content in this course.

PTB-C-0044: Understanding the Professional (Part B)  Remittance Advice
This course is designed especially to give Medicare providers a better understanding of the role of the remittance advice. During this course, you will learn about the following topics: Role and function of the RA, formats, components and standardized RA codes, and guidelines for reading the RA.

PTB-C-0045: National Correct Coding Initiative
This course is designed to assist you in learning about the NCCI. This CBT will cover the P2P edits, the effect P2Ps have on your claims and the next steps needed if you receive a CCI denial.

PTB-C-0046: Top Medicare Part B Denials and How to Avoid Them
This CBT will provide you with information, resources and tools to help you avoid or reduce unnecessary referrals, appeals and other submission errors.

PTB-C-0047: MSP Categories and Provisions
This course will give you a better understanding of the MSP provision guidelines to ensure your claims are being submitted to the Medicare Program appropriately.

PTB-C-0049: Ordering Necessary Durable Medical Equipment, Prosthetics and Supplies for your Medicare Patient
The purpose of this course is to provide education on how does Medicare Part A, Part B, Part C and Part D work with Medicare coverage of DMEPOS items.

PTB-C-0050: Podiatry Services Routine Foot Care and Debridement of Nails
This CBT will provide education on routine foot care and debridement services, LCD L33636, home visits and E/M services.

PTB-C-0051: Chiropractic Billing and Coding
The objective of this course is to review the National Government Services’ LCD and SIA. The LCD and SIA tell you everything that is required to bill these services; including the documentation guidelines. These documents are essential in the proper billing of Medicare services. After this course, you will have a better understanding of the chiropractic billing concepts and guidelines helping you to decrease your claim submission billing errors.

PTB-C-0052: PECOS ‒ Change of information and Revalidation
The purpose of this course is to gain an understanding of how to revalidate or change an existing provider’s or supplier’s enrollment information in the PECOS system. This training course is designed for individual providers or organizations who enroll in the Medicare Program to submit claims to National Government Service.

PTB-C-0053: Patient Registration Screening
The purpose of this course is to provide you with an understanding of how important the front office staff is in the success of claims being filed correctly.

PTB-C-0054: The ABC’s and D’s of Medicare
The purpose of this course is to gain an understanding of the different parts of the Medicare Program and what coverage they provide.

PTB-C-0055: Advance Beneficiary Notice of Noncoverage 
Both Medicare beneficiaries and providers have certain rights and protections related to financial liability under the FFS Medicare and the MA Programs. These financial liability and appeal rights and protections are communicated to beneficiaries through ABN notices given by providers. This course teaches you when and how to deliver an ABN notice.

PTB-C-0056: Part B Comprehensive Error Rate Testing
The purpose of this course is to provide you with information to understand the CERT program.

PTB-C-0057: The Appeals Process for Part A and B Providers
The objective of this course is to educate you on the Medicare appeals process. We want to provide you with helpful information on the entire appeals process from levels one through five and we are going to give you some helpful hints on things you can do to prevent having to appeal your claim.

About Medicare University

Who handles Medicare University?

Medicare University (MU) is created and operated by National Government Services, Inc.

What is Medicare University?

MU is an established educational program which is designed to provide a broad variety of Medicare-related training to meet the needs of Medicare health care providers and suppliers. Simply stated, we offer a variety of teleconferences, webinars, CBT courses and live seminars throughout the year to provide educational sessions on Medicare-related topics including rules and regulations.

Where can someone view the educational opportunities offered by MU?

There are two types of educational opportunities offered by MU:

  1. CBTs and 
  2. Webinars, teleconferences and live seminars/face-to-face training events 

For a current list of CBTs offered through MU, please review the MU Course List. To learn about upcoming live events, webinars and teleconferences, locate the Education mega tab located on the top navigation then select the Webinars, Teleconferences & Events button located on the right side of the page.

Who should attend MU training opportunities?

Nearly everyone employed by a Medicare health care provider or supplier would likely benefit from attending our training events. We encourage you to continually monitor the training events calendar offerings and the MU CBT program to review the wide range of available educational opportunities. MU offers beginner-level training opportunities; such as PTB-C-0001 Medicare Part B ABCs and Ds of Medicare, PTA-C-0029, PTA-C-0029 and PTA-C-0031 Fundamentals of the Medicare Program Parts 1 and 2, FQC –C-0001 Federally Qualified Health Center 101 and RHH-C-0003 Hospice Billing Basics-Level 100 CBT; which are great for new associates. Separate training events for physicians, nurses, billing staff and coders are also available. Many teleconferences and webinars are one-hour sessions and are often scheduled during lunchtime when it’s convenient for many to participate. There are opportunities to ask questions to our staff. Many people enjoy taking our MU CBT classes because they are available 24/7 and self-paced. With all the changes that occur within the Medicare Program, MU works to offer education on new topics as they arise.

What are the costs to participate in an MU training event?

All of the teleconferences, webinars, CBTs and most of our face-to-face seminars are free. The only cost is the investment of your time. While a few of the live seminars may charge a modest fee, it is usually under $100 for a one-day training event. We believe MU is the best value for a well-rounded Medicare education.

Is registration required for a live seminar, teleconference or webinar listed on the training events calendar?

Yes. After viewing the training events, select the training event (live event, teleconference or webinar) you wish to attend. Simply click the registration button and complete the requested information. Upon successful registration, a confirmation email is sent to the email address provided that includes a unique participant registration link. Each individual needs to register and use their specific link to join the session in order to receive associated credits.

Is registration required for a CBT course?

Yes. First time visitors to MU will be asked to create a profile, which includes creating a user name and password. Returning users simply enter their user name and password. There is no fee for taking any of these CBTs and all CBTs are available 24/7 for your convenience. New courses are constantly being developed. Providers and suppliers should register for the our Email Updates program in order to receive information when new CBTs are available.

Can anyone register for any training event?

Yes. When viewing the training events calendar, please remember you are only viewing live seminars, webinars and teleconferences for the line of business (i.e., Part A, Part B, FQHC, HHH) you selected when you initially entered the website. 

How long does it take to complete an MU CBT course?

On average it should take approximately one hour for each CBT course. Registrants do have the ability to suspend the CBT in the middle of the course and resume the course at a more convenient time.

How does MU rank the CBT courses?

MU offers tiered levels of education targeted to the experience level of the provider audience. Topics consist of beginner, intermediate and advanced levels where applicable. Each educational offering is assessed for the complexity of the content and assigned an identifier in alignment with the following:

100-level classes include introductory and basic information intended for provider associates less experienced in Medicare billing policy and procedures.

200-level classes are targeted for more experienced staff and focus in more depth on specific topics, including coverage and supporting documentation. These classes go beyond the published policy to examine the relevant aspects of the topic that provide more insight into the processing of particular types of claims.

300-level classes are data-driven, in-depth examinations of more detailed topics and issues. They analyze the trends and patterns in claim submission for the topic and offer discussions on how to appropriately bill.

Are there certificates or credits earned for attending MU training events?

Each seminar, teleconference, and webinar is assigned a training event number.

The information to self-report webinar attendance is emailed to you about an hour after the webinar ends. Sometimes the emails from GoToWebinar end up in an attendees spam/junk folder or get returned as undeliverable. What you need to do is put gotowebinar.com in your email software as a safe sender.

How many MUCs can I earn for each different type of training events?

Generally speaking, for each hour of a seminar, teleconference or webinar, each participant will earn one MU credit. For CBTs:

  • 100-level classes which contain introductory and basic information are worth one MUC,
  • 200-level classes which focus in more depth on specific topics, including coverage and supporting documentation, are worth two MUCs, and
  • 300-level classes which are in-depth examinations of more detailed topics and issues are worth three MUCs.

How are MUCs recorded and tracked?

All CBT courses located in MU are automatically tracked. Within MU, each user can print a transcript which lists all completed courses. However, in order for MU to track any NGS-sponsored seminars, teleconferences or webinars attended, each user must self-report their attendance within MU. To complete this process:

  • Logon to MU at https://www.MedicareUniversity.com.
  • Select the appropriate training event (teleconference, webinar or live seminar) you attended by locating AA-C-#### for the catalog ID. (Note: All selections begin with “Self-Reporting for the [name of training event]”)
  • Once you select the session you attended you will be prompted to enter the training event number you were given at the end of the NGS teleconference, webinar, or live seminar; enter this number and follow the remaining prompts

In less than one minute you will have self-reported your attendance.

When should I record my MUCs?

You have 60 days after a training event (live seminar, teleconference or webinar) has ended to logon to the MU and select the appropriate course “Self Reporting for (Name of Training Event)” and enter your training event number. We encourage you to report your attendance as soon as possible once the event has concluded. CBT MUCs are automatically recorded once you have completed the course.

What are the advantages of self-reporting my attendance at a National Government Services MU training event?

There are several good reasons to self-report attendance. One big advantage is that each user can print a report card while on MU which offers a summary of all training events—including the number of MUCs earned. You can use this report to demonstrate to your manager your efforts to continue to keep informed and educated on the many aspects of the Medicare program. Another advantage is that this report may be required by other associations or organizations as part of your ongoing educational certification requirements. A third reason for self-reporting attendance is to be awarded the NGS associate’s or bachelor’s MU certificate once you have accumulated the required MUCs.

Who do I contact regarding MU questions or concerns?

Please send emails to Medicare.University@anthem.com.

What do I do when I haven’t received my certificate of completion?

Once you have completed the self-reporting or CBT, an email will be sent to the email address on file within MU. If you did not receive an email from Medicare.University@anthem.com, please check your SPAM or junk email folder to see if by chance it was placed there. If you receive an e-mail but there is no certificate attached, most likely the email filter stripped it and you should contact your Information Technology Department before requesting another certificate. If it isn’t in the SPAM or junk email folder, then please email the Medicare.University@anthem.com mailbox.

How do I identify the courses within MU?

The courses within MU are broken down per contract and/or self-reporting. To identify the courses, look at the course ID. Course definitions are as follows:

AA-C-##### Identifies self-reporting courses; these courses should be accessed after you have attended a training event (teleconference, webinar, or live seminar) by NGS

PTA-C-#### Identifies CBTs created for the Part A community

PTB-C-#### Identifies CBTs created for the Part B community

RHH-C-#### Identifies CBTs created for the HHH community

FQC-C-#### Identifies CBTs created for the FQHC community

Note: We may add additional course IDs to MU. When these course IDs are added, information is sent via Email Update. To ensure you receive these updates, please register for our Email Updates program today.

What should I do when MU doesn’t recognize my user ID?

When MU doesn’t recognize your user ID, select the Forgot User ID or password link on the MU login home page. Make sure to enter the email address you originally entered when setting up your MU account. You will receive an email from Medicare.University@anthem.com with your user ID and password.

Can I edit my email address for MU?

After logging into MU, users can select the Edit Profile link located in the top-right corner. To receive your completion certificates your email address must be valid.

Medicare University User Guide

This guide provides information for our Medicare providers on the different options available within Medicare University

What is Medicare University? 

MU is an established educational program which is designed to provide a broad variety of Medicare-related training to meet the needs of Medicare health care providers.

National Government Services offers a variety of teleconferences, webinars, computer based training courses and face-to-face educational sessions on Medicare-related topics including rules and regulations throughout the year.

MU offers the opportunity to earn Medicare University Credits for each teleconference, webinar and face-to-face event.

Table of Contents

Register for and Complete an MU Course

Medicare University (MU) offers a variety of benefits to the provider and supplier communities. CBT courses offer providers and suppliers:

  • a one-stop shop environment for online training;
  • informative and easy to follow training courses;
  • self-paced training;
  • availability 24 hours a day, seven days a week; and
  • A variety of educational topics.

Review the MU CBT course list currently available to all providers and suppliers.

To register and complete CBT courses you must log into Medicare University. If you do not have an MU account, you can create one on the MU login page for free. If you forget your User ID or Password, select the Forgot your User ID or Password link on the MU home page.

Once you are logged into the MU system, follow the instructions below to register and complete a CBT course:

  1. Click on the Course Catalog button located in the top menu.
  2. Once this page loads, scroll down to the courses with a course ID:

    DME-C-#### for durable medical equipment courses
    PTA-C-#### for Part A courses
    PTB-C-#### for Part B courses
    RHH-C-#### for home health and hospice courses
    FQC-C-#### for federally qualified health clinic courses

    Note: The majority of the self-reporting courses will have an ID that starts with the AA-C.
  3. Once you locate a course you wish to take, click on the Details button (the grey box with an “i”) on the left side of the screen to review the course description. If this course is one you would like take, then you will need to enroll in the course. To enroll in the course just click the icon with the green plus sign.
  4. A new window will appear verifying you want to enroll in the course. Click “yes” to enroll and the course will appear in your My Courses section.
  5. Now you are registered for the course. To launch and complete a course, go to My Courses tab in the menu located at the top of the screen.
  6. Once you are back on the My Courses page you will see all of the courses you are enrolled in. To start a course, click on the icon with the yellow arrow to the left of the catalog ID.
  7. The course will then load into a new screen. Follow the on-screen instructions to complete the course.

Once you have completed these steps, an e-mail will be generated that will include a certificate of completion in PDF format. If you do not have Acrobat Reader, you can download it for free at http://www.Adobe.com.

Note: If you experience technical issues with MU CBTs, please send an email to Medicare.University@anthem.com.

Get Credit for Completed Courses

To get credit for attending MU-sponsored webinars, teleconferences, CBTs or in-person seminars held by National Government Services, you must self-report your activity in the Medicare University. If you do not have an MU account, you can create one on the MU portal login page for free. If you forgot your MU portal User ID or Password, select the Forgot your User ID or Password link on the portal home page.

Once you are signed in, follow these instructions to self-report your credit:

  1. Select the Course Catalog tab on the top of the page.
  2. Find the event you attended by entering the Catalog ID or Title in the Search fields or scrolling through the course list. All of the self-reporting courses will have an ID that starts with the AA-C.
  3. Review the Description on the right to ensure the training title and date correspond with the event for which you are self-reporting attendance.
  4. Click on the green plus sign on the left side of the screen to enroll in the course. A new window will appear verifying you want to enroll in the course. Click “yes” to enroll and the course. Now you are registered for to self-report the course. The session details will be grayed out and italicized.
  5. Go to the menu at the top of the screen and select My Courses.
  6. Identify the self-reporting course in which you just enrolled. To begin the self-reporting process, click on the icon with the yellow arrow to the left of the catalog ID. The course’s self-reporting page will open.
  7. Input your training event number/participation code and follow the on-screen instructions.

Note: The catalog ID and training event number/participation codes are uniquely assigned to each NGS training event. The training event number/participation code is sent via email to attendees following the session.

Once you have completed these steps an email will be generated and will include the event’s certificate of completion in PDF format. If you do not have Acrobat Reader, you can download it for free on the Adobe website.

Note: If you experience technical issues with MU CBTs, please send an email to Medicare.University@anthem.com.

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