Medicare University Course List

PTA-C-0001: Medicare Coverage Guidelines for Inpatient Psychiatric Services 
General overview of Medicare-covered inpatient psych services, going over information regarding indication of coverage and admission criteria, active treatment, certification and recertification and documentation guidelines.

PTA-C-0002: Medicare Coverage Guidelines for Outpatient Psychiatric Services 
General overview of Medicare-covered outpatient psychiatric services, going over information regarding indication of coverage, active treatment, certification and recertification and documentation guidelines.

PTA-C-0006: Outpatient Prospective Payment System 
Discussion of the use of ICD-9s, HCPCS and modifiers, the packaging of services, preventative and screening services and general billing of outpatient claims to Medicare.

PTA-C-0012: Critical Access Hospital Basic Program 
Overview is intended to provide the user with a basic overview of the CAH program.

PTA-C-0014: Rural Health Center 
Definition of an RHC, identify covered services and supplies, identify core practitioners within an RHC, understand basic coverage requirements and bill RHC claims to the Medicare administrative contractor.

PTA-C-0016: Understanding the Part A Remittance Advice 
Overview of the role and function of the RA.

PTA-C-0025: IPF PPS (Inpatient Psychiatric Facility PPS) Interrupted Stay 
Developed to assist IPF in determining interruptions of stays and how to report these interruptions to Medicare.

PTA-C-0028: End-Stage Renal Disease Eligibility/Entitlement 
Overview of the Part A ESRD providers on the eligibility and entitlement requirements for Medicare patients with ESRD, including those patients dually entitled to Medicare.

PTA-C-0029: Fundamentals of Medicare, Part 1 of 2 
Developed to assist Part A providers with an understanding of the basic concepts of the Medicare Program.

PTA-C-0031: Fundamentals of Medicare, Part 2 of 2 
Developed to assist Part A providers with an understanding of the basic concepts of the Medicare Program.

PTA-C-0032: Interrupted Stays for Inpatient Rehabilitation Facilities 
Developed to assist inpatient rehabilitation facilities in determining what interruptions of stays are and how to report these interruptions on Medicare claims.

PTA-C-0038: Comprehensive Outpatient Rehabilitation Facility Outpatient Rehabilitation Facility 
Overview of the basic concepts of the CORF and ORF benefit and claim submission requirements.

PTA-C-0045: Inpatient Psychiatric Facilities - Billing When Benefits are Exhausted
Overview of the CMS instructions, as indicated in CR 5474, on how to bill Medicare when a beneficiary’s Medicare Part A inpatient hospital benefit days exhaust.

PTA-C-0046: Hospital Issued Notices of Noncoverage for Acute Care Inpatient Hospital Facilities 
General CMS information and instructions for Part A acute care hospital providers concerning HINNs.

PTA-C-0048: Long-Term Care Hospital Three Days or Less Interrupted Stays 
Developed to assist LTCHs in determining what three-day or less interruptions of stays are and how to report these interruptions on Medicare claims, if applicable.

PTA-C-0051: MOON Notice
This course will assist you in gaining an understanding of the new CMS MOON process including when and how to issue it.

PTA-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.

PTA-C-0053: Electronic Funds Transfer
Developed to assist providers in enrolling in electronic funds transfer.

PTA-C-0054: Skilled Nursing Facility Benefits Exhaust and No-payment Claims Billing Requirements
The purpose of this course is to provide the SNF with an understanding of the CMS IOM requirements for submitting a bill to Medicare even where no benefits are payable. This session will provide the SNF with the detailed guidelines for billing Medicare in benefits exhaust and no-pay situations.

PTA-C-0055: 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.