• Section 1 Introduction
  • Introduction
  • Federal Government Administration
  • Fundamentals of Medicare: State Responsibilities
  • Fundamentals of Medicare: Participating Providers
  • Voluntary and Involuntary Termination of Provider Agreement
  • Disclosure of Health Insurance Information
  • Privacy Act
  • National Provider Identifier
  • Legacy Provider Numbers/Provider Transaction Access Numbers (PTANs)
  • Medicare Administrative Contractors
  • Fundamentals of Medicare: Information References
  • Acronyms
  • Fundamentals of Medicare: Glossary of Terms
• Section 2 Medicare Basics
  • The History of Medicare
  • What Is the Medicare Program and How Is It Funded?
  • Medicare Eligibility and Premiums
  • The Social Security Administration and Medicare Enrollment
  • The Medicare Card
  • Medicare Part A
  • Inpatient Hospital Care
  • Skilled Nursing Facility Inpatient Care
  • Home Health Care Benefit
  • The Hospice Benefit
  • Medicare Part B Medical Insurance
  • Fundamentals of Medicare - Medicare Program Exclusions
  • Medicare Advantage Organizations
  • Medicare Secondary Payer
  • Supplemental Insurance
  • Coordination of Benefits Trading Partners
• Section 3 Fraud and Abuse
  • Fraud and Abuse
  • Benefit Integrity
  • Fundamentals of Medicare: Program Safeguard Contractor/Zone Program Integrity Contractor
  • Office of Inspector General
  • Fraud and Abuse/Compliance Resources
  • Appeals Process
  • Comprehensive Error Rate Testing Process
• Section 4 Getting Ready to Bill Medicare
  • Registration of the Medicare Patient
  • NGSConnex
  • Common Working File
  • Fiscal Intermediary Standard System
  • Identifying Payers Primary to Medicare
  • Advance Beneficiary Notice of Noncoverage