Jurisdiction H (JH) Educational Events Calendar

Thursday, May 8, 2025

Start:

9:00 a.m.

End:

10:30 a.m.

Start:

8:00 a.m.

End:

9:30 a.m.

End Stage Renal Disease (ESRD) Services Billing and Documentation Guidance

This webinar will provide an overview of the End Stage Renal Disease (ESRD) Medicare benefit. We will review the Part A and B provider's role in compliance, including meeting purposeful documentation requirements and avoiding improper billing errors commonly identified by the Comprehensive Error Rate Testing (CERT) program and Targeted Probe and Educate (TPE) reviews.

1.5

Thursday, May 8, 2025

Start:

12:00 p.m.

End:

1:30 p.m.

Start:

11:00 a.m.

End:

12:30 p.m.

Introduction to the Outpatient Prospective Payment System

The outpatient prospective payment system (OPPS) is a payment methodology that applies to all hospital outpatient departments and partial hospitalization services furnished by Community Mental Health Centers (CMHC). We will provide a background of the OPPS ambulatory payment classification group (APC). Our experts will share where to find the addendums associated to the the OPPS final rule, the payment window for services related to inpatient series. Additionally, we will share information about billing for certain facilities such as the CMHC.

1.5

Monday, May 12, 2025

Start:

9:00 a.m.

End:

10:00 a.m.

Start:

8:00 a.m.

End:

9:00 a.m.

StayConnected: Acupuncture and Chronic Pain Management and Treatment Services

Stay connected with Medicare covered pain intervention options by attending our Pain Management workshop series. Medicare covers a variety of chronic pain management (CPM) interventions and treatments in support of promoting non-opioid pharmacological patient care. During this webinar, we will highlight Medicare coverage of acupuncture for chronic lower back pain and review chronic pain management (CPM) multimodal pain care.

1.0

Tuesday, May 13, 2025

Start:

9:00 a.m.

End:

10:30 a.m.

Start:

8:00 a.m.

End:

9:30 a.m.

Medicare Navigator Medicare Secondary Payer (MSP): Preparing and Submitting Part A Claims

The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. During this Part A webinar, we will provider an overview of MSP program provisions and outline how to prepare and bill claims on the CMS-1450(UB-04) claim form (or electronic equivalent).

1.5

Tuesday, May 13, 2025

Start:

12:00 p.m.

End:

1:30 p.m.

Start:

11:00 a.m.

End:

12:30 p.m.

StayConnected: Trigger Point and Epidural Joint Injections for Pain Management

Stay connected with the Medicare covered pain intervention options by attending our Pain Management workshop series. This session aims to present a comprehensive overview of trigger point injections and epidural steroid injections as interventions for pain management. We will examine the coverage guidelines, applicable indications, limitations, provider qualifications, utilization protocols, and essential documentation requirements associated with these injections. Additionally, we will share insights regarding medical review findings and offer guidance on best practices to mitigate potential issues.

1.5

Wednesday, May 14, 2025

Start:

9:00 a.m.

End:

10:30 a.m.

Start:

8:00 a.m.

End:

9:30 a.m.

StayConnected: Anesthesia Billing and Documentation Guidance

Stay connected with Medicare covered pain intervention options by attending our Pain Management workshop series. This event will offer a comprehensive overview of anesthesia coverage, billing practices, and essential documentation guidelines. We will examine a range of billing scenarios, anesthesia modifiers, the requirements for medical direction of concurrent cases, the calculation of time units, Monitored Anesthesia Care (MAC), as well as issues related to improper payments and documentation errors.

1.5

Wednesday, May 14, 2025

Start:

12:00 p.m.

End:

1:30 p.m.

Start:

11:00 a.m.

End:

12:30 p.m.

Medicare Navigator Medicare Secondary Payer (MSP): Preparing and Submitting Part B Claims

The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. During this Part B webinar, we will provide an overview of MSP program provisions and outline how to prepare and bill claims on the CMS-1500 claim form (or electronic equivalent).

1.5

Thursday, May 15, 2025

Start:

10:00 a.m.

End:

11:30 a.m.

Start:

9:00 a.m.

End:

10:30 a.m.

Understanding Therapy and Rehabilitation Services

This event is designed for Part A outpatient facilities and Part B private practice providers who provide physical, occupational and speech language therapy services. We will discuss the basic coverage and documentation guidelines, therapy limitations and correct unit reporting.

1.5

Thursday, May 15, 2025

Start:

12:00 p.m.

End:

1:30 p.m.

Start:

11:00 a.m.

End:

12:30 p.m.

StayConnected: Facet Joint Interventions for Pain Management

Stay connected with Medicare covered pain intervention options by attending our Pain Management workshop series. This webinar will provide an overview of Medicare guidelines pertaining to facet joint interventions, addressing coverage criteria, eligible indications, restrictions, provider qualifications, billing practices, as well as essential documentation requirements. Additionally, we will emphasize the necessity of prior authorization for these services when administered in a hospital outpatient department setting.

1.5

Tuesday, May 20, 2025

Start:

9:00 a.m.

End:

10:30 a.m.

Start:

8:00 a.m.

End:

9:30 a.m.

Investigational Device Exemption (IDE) Studies and Clinical Trials

Medicare covers use of investigational, non-experimental devices under Investigational Device Exemptions (IDEs) when reasonable and necessary for diagnosis and treatment of an injury or illness or to improve the functioning of a malformed body member. IDEs allow devices for use in clinical studies to collect data required to support the pre-approval process for clinical trials and submission to the Food and Drug Administration (FDA). Under an agreement with the FDA, certain devices could be viewed as "reasonable and necessary" by Medicare and treatment covered if applicable Medicare coverage requirements are met. Through this course, we'll explore how to research IDEs and clinical trials by discussing the background of these programs, indication and limitations of coverage and categories of classes of IDEs.

1.5

Tuesday, May 20, 2025

Start:

1:00 p.m.

End:

2:30 p.m.

Start:

12:00 p.m.

End:

1:30 p.m.

Medicare Navigator Coverage and Policy: Understanding National Coverage Determinations (NCD)

The Medicare Navigator Coverage and Policy series is designed to support providers with searching, locating and understanding Medicare coverage requirements. This webinar will provide an overview of national coverage determinations (NCD) and how they aid in determining reasonable and necessary criteria for a variety of services.

1.5

Wednesday, May 21, 2025

Start:

9:00 a.m.

End:

10:30 a.m.

Start:

8:00 a.m.

End:

9:30 a.m.

Reviewing the Basics of Infusion and Hydration Services in an Outpatient Setting

Infusion, hydration, and injection services follow coding guidelines specific to orders placed and often time-based CPT codes. This presentation will provide an overview of infusion and hydration therapy services including basic billing guidelines, review of coding hierarchy, and time requirements. We will also review documentation requirements to assist with correct code assignment and potential audits.

1.5

Wednesday, May 21, 2025

Start:

12:00 p.m.

End:

1:30 p.m.

Start:

11:00 a.m.

End:

12:30 p.m.

StayConnected: Inpatient Hospital Evaluation and Management (E/M) Services

Stay connected with Medicare Part B updates and requirements by attending the Stay connected with Medicare Part B updates and requirements by attending the Evaluation and Management (E/M) workshop series. This webinar will review Medicare coverage guidelines for inpatient hospital care services performed by physicians and nonphysician practitioners (NPP). We will highlight updated guidelines for "other" E/M visits, including combining hospital inpatient and observation care services into one E/M code family and discuss updated billing and documentation guidelines.

1.5

Thursday, May 22, 2025

Start:

9:00 a.m.

End:

10:30 a.m.

Start:

8:00 a.m.

End:

9:30 a.m.

StayConnected: Critical Care Services

Stay connected with Medicare Part B updates and requirements by attending the Evaluation and Management (E/M) workshop series. Our next event in the series will focus on critical care E/M services, including coverage, billing and documentation guidelines.

1.5

Thursday, May 22, 2025

Start:

10:30 a.m.

End:

12:00 p.m.

Start:

9:30 a.m.

End:

11:00 a.m.

Medicare Navigator Part A Claims: A Guide to Monitor Claim Status and Identify Overpayments

The Medicare Navigator Part A Claims series supports institutional providers billing on the UB-04 claim form (or electronic equivalent) with navigating the billing basics to performing post payment claim correction activities. Join this webinar to learn how to monitor the status of a claim, how to identify when you've been overpaid, and how to resolve the overpayment.

1.5

Thursday, May 22, 2025

Start:

1:00 p.m.

End:

3:00 p.m.

Start:

12:00 p.m.

End:

2:00 p.m.

National Part A/B MAC Ambulance Supplier Coalition: First Meeting

Ambulance suppliers and providers are invited to attend the first virtual National Part A and B Ambulance Provider/Supplier Coalition meeting during EMS week hosted by the MACs. The MACs will respond to pre-submitted provider questions during the event and share beneficial resources. Click here to view the full invitation and registration details.

0.0

Wednesday, May 28, 2025

Start:

10:00 a.m.

End:

11:30 a.m.

Start:

9:00 a.m.

End:

10:30 a.m.

Medicare Navigator Provider Enrollment: Preventing Common Development Reasons

The Medicare Navigator Provider Enrollment series promotes compliance with initial enrollment, record maintenance and revalidation for a variety of Medicare facility, provider and supplier types. Keeping enrollment information current is an important responsibility as a Medicare provider/supplier. Join this event to review the various enrollment applications, best practices to avoid common application errors, and when to submit documentation with an application.

1.5