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Medicare University Course List
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-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-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-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-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.
PTB-C-0059: Top Medicare Part B Denials
The purpose of this course is to share the most common Part B claim errors that result in denials, and to offer solutions to prevent these errors in the future.
Helpful Resources