Missed a live webinar? No problem! Check out the recordings of recent webinars in the list provided. The webinar list is refreshed monthly, so continue to monitor this page for additional recordings.
We do not post all webinar event recordings to the website. If you do not see the event recording on this list, please continue to monitor our event calendar (JH)(JL) to determine if we will be repeating the event live in the near future.
Jurisdiction |
Webinar title |
Webinar description |
Links |
JH JL |
02/03/2026 Wasteful and Inappropriate Service Reduction (WISeR) Model Prior Authorization Process |
CMS implemented the prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for dates of service on and after January 15, 2026, for services provided in New Jersey, Oklahoma, and Texas and billed to Novitas. The WISeR Model includes companies (referred to as participants) who will leverage expertise managing the prior authorization process using enhanced technology to ensure timely, reasonable and necessary Medicare coverage decisions for select items and services. This webinar will provide an overview of the WISeR Model and prior authorization guidelines and identify valuable resources to navigate the WISeR Model process. Join this webinar to gain a better understanding of the WISeR Model and review answers to commonly asked questions regarding prior authorizations. |
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JH JL |
01/29/2026 Medicare Part B Updates - January 2026 |
This webinar is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates including 2026 deductible and therapy cap amounts, fee schedule updates, policy updates, 2026 telehealth information, and preventive service reminders. |
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JH JL |
01/28/2026 Local Coverage Determination (LCD) Additions and Revisions |
This webinar will include new and revised local coverage determinations and local coverage articles. The session will review recent ICD-10-CM coding updates and articles addressing topics such as molecular pathology and genetic testing, arterial duplex ultrasound of the upper and lower extremities, botulinum toxins and more. We’ll also provide guidance regarding application of the FastTrack to Medicare coverage policies self-service tool. |
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JH JL |
01/28/2026 Medicare Part A Updates - January 2026 |
This event will review the most recent Medicare updates and can contain a wide variety of topics, including MAC initiatives, CMS initiatives, quarterly and annual updates to the 2026 OPPS, coinsurance and deductible updates. As well as reminders about preventive services. |
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JH JL |
01/27/2026 Streamline Medicare Billing with Electronic Claim Submission |
Still submitting Medicare Part B claims on paper? Discover how to save time and money while receiving quicker Medicare reimbursement for covered services! This informative webinar is designed for providers, billing services, and clearinghouses, and will cover how to enroll in electronic billing. We will also educate on free products from Novitas and First Coast for electronically processing claims, along with reports that provide claim status and claim processing results. Don’t hesitate—start the electronic billing journey today! |
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JH JL |
01/22/2026 StayConnected: Office and Outpatient Evaluation and Management (E/M) Services |
Stay connected with Medicare Part B by participating in the series of workshops focused on Evaluation and Management services. This webinar will cover the E/M guidelines relevant to office and outpatient services. We will identify the various patient types within this service category, discuss the 2026 guidelines for code G2211, explain the incident to requirements, and review the guidelines for prolonged services. Additionally, we will share valuable links to E/M resources throughout the session. |
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JH JL |
01/13/2026 New Prior Authoirzation (PA) Demonstration for Certain Ambulatory Surgical Center (ASC) Services |
This webinar will review the new prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services for the states of Florida, Maryland, Pennsylvania, and Texas. The service categories targeted by the demonstration are: Blepharoplasty, eyelid surgery, brow lift, and related services; Botulinum toxin injections, Panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services; Rhinoplasty and related services; and Vein ablation and related services. Under PA, the provider submits the prior authorization request (PAR) and supportive medical documentation to the MAC and receives an affirmed or non-affirmed decision prior to rendering the service. This webinar will review the PAR process, review decision timeframes, potential results and documentation guidelines. Members of our PA team will be available for questions relating to the PA demonstration. |
View recording Take survey |
JL |
01/08/2026 Wasteful and Inappropriate Service Reduction (WISeR) Model - New Jersey Providers |
Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL which includes New Jersey, Oklahoma, and Texas. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services. CMS partnered with participant Genzeon to conduct prior authorization and prepayment reviews for services provided in New Jersey to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Genzeon. |
View recording Take survey |
JH |
01/07/2026 Wasteful and Inappropriate Service Reduction (WISeR) Model - Texas Providers |
Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL which includes New Jersey, Oklahoma, and Texas. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services. CMS partnered with participant Cohere to conduct prior authorization and prepayment reviews for services provided in Texas to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Cohere. |
View recording Take survey |
JH |
01/07/2026 Wasteful and Inappropriate Service Reduction (WISeR) Model - Oklahoma Providers |
Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL which includes New Jersey, Oklahoma, and Texas. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services. CMS partnered with participant Humata Health to conduct prior authorization and prepayment reviews for services provided in Oklahoma to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Humata Health. |
View recording Take survey |
JL |
12/18/2025 Wasteful and Inappropriate Service Reduction (WISeR) Model - New Jersey Providers |
Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL for New Jersey, Oklahoma, and Texas states only. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services. CMS partnered with participant Genzeon to conduct prior authorization and prepayment reviews for services provided in New Jersey to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Genzeon. Audience: This presentation is intended for Part A and B Medicare providers rendering services in New Jersey only. |
View recording Take survey |
JH |
12/18/2025 Wasteful and Inappropriate Service Reduction (WISeR) Model - Texas Providers |
Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL for New Jersey, Oklahoma, and Texas states only. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services. CMS partnered with participant Cohere to conduct prior authorization and prepayment reviews for services provided in Texas to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Cohere. Audience: This presentation is intended for Part A and B Medicare providers rendering services in Texas only. |
View recording Take survey |
JH |
12/12/2025 Wasteful and Inappropriate Service Reduction (WISeR) Model - Oklahoma Providers |
Effective for dates of service on and after January 15, 2026, CMS is implementing the 6-year prior authorization Wasteful and Inappropriate Service Reduction (WISeR) Model for services provided in jurisdictions JH and JL for New Jersey, Oklahoma, and Texas states only. The WISeR Model, created by CMS, is partnering with organizations (referred to as participants) experienced in applying Artificial Intelligence (AI) and Machine Learning (ML), along with human clinical review, to ensure timely and reasonable and necessary Medicare coverage for select items and services. CMS partnered with participant Humata Health to conduct prior authorization and prepayment reviews for services provided in Oklahoma to eligible Part A and B Medicare beneficiaries. Join this webinar to prepare for the WISeR prior authorization process and learn more about Humata Health. Audience: This presentation is intended for Part A and B Medicare providers rendering services in Oklahoma only. |
View recording Take survey |
JH JL |
12/11/2025 StayConnected: Common E/M Questions |
Evaluation and management (E/M) codes are among the most frequently offered and billed types of service. Recent guideline updates have raised common questions among providers and billers of these services. Please join us as we address and provide answers to these common inquiries. |
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JH JL |
12/10/2025 Modifier of the Month: Modifier 50 or Anatomical Modifiers |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. Modifier 50 and anatomical modifiers provide area of the body specificity to the procedure billed. These modifiers can also be used to reflect if the procedure was unilateral or bilateral and are an important claim addition when navigating medically unlikely edits (MUEs) or other frequency limitations. During this webinar, we will define each modifier, explore common scenarios for use and review approaches to avoid common billing errors. |
View recording Take survey |
JH JL |
12/05/2025 New Prior Authorization (PA) Demonstration for Certain Ambulatory Surgical Center (ASC) Services |
This webinar will review the new prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services for the states of Florida, Maryland, Pennsylvania, and Texas. The service categories targeted by the demonstration are: Blepharoplasty, eyelid surgery, brow lift, and related services; Botulinum toxin injections, Panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services; Rhinoplasty and related services; and Vein ablation and related services. Under PA, the provider submits the prior authorization request (PAR) and supportive medical documentation to the MAC and receives an affirmed or non-affirmed decision prior to rendering the service. This webinar will review the PAR process, review decision timeframes, potential results and documentation guidelines. Members of our PA team will be available for questions relating to the PA demonstration. |
View recording Take survey |
JL JH |
10/30/2025 Part B Insiders Guide to Mitigating Comprehensive Error Rate Testing (CERT) Errors (Part B) |
The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review the most frequent Part B improper payment errors including ambulance services, chiropractic services and drugs and biologicals. We will share resources aimed at proactively avoiding these errors. |
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JL JH |
10/30/2025 Part A Insiders Guide to Mitigating Comprehensive Error Rate Testing (CERT) Errors (Part A) |
The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review Part A skilled nursing facility (SNF) improper payment errors and share resources aimed at mitigating these errors. |
View recording Take survey |
JL JH |
10/28/2025 Local Coverage Determination (LCD) Additions and Revisions (Part A/B) |
This webinar will include new and revised local coverage determinations and local coverage articles. The session will review non-invasive arterial duplex ultrasound of the upper and lower extremities, gastrointestinal pathogen panels utilizing multiplex nucleic acid amplification techniques, molecular pathology and genetic testing and more. We’ll also provide guidance regarding application of the FastTrack to Medicare coverage policies self-service tool. |
View recording Take survey |
JL JH |
10/15/2025 Medicare Navigator Medicare Secondary Payer (MSP): Preparing and Submitting Part B Claims (Part B) |
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). |
View recording Take survey |
JL JH |
10/15/2025 Medicare Navigator Medicare Secondary Payer (MSP): Preparing and Submitting Part A Claims (Part A) |
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 UB-04 claim form (or electronic equivalent). |
View recording Take survey |
JL JH |
10/7/2025 Novitasphere Portal Series: Enrollment and Patient Eligibility Features (Part A/B) |
Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. During this webinar, we will provide an overview of the necessary steps to enroll in the portal. We will also demonstrate the patient eligibility feature which displays beneficiary deductible amounts, Medicare Secondary Payer (MSP) and Medicare Advantage Plan (MAP) information, home health and hospice periods, and much more. |
View recording Take survey |
JL JH |
10/1/2025 Medicare Preventive Services: Vaccines (part A/B) |
The Preventive Services series identifies a variety of Medicare covered preventive services and provides an overview of coverage, patient eligibility, and billing requirements. Our next webinar in the series will review vaccinations, including influenza, pneumococcal, COVID-19 and hepatitis B vaccines. We will also provide an overview of roster billing. |
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JL JH |
09/23/2025 StayConnected: Enrolling in Electronic Billing (Part A/B) |
New to Medicare? Whether you are a provider, biller, coder, compliance officer or serve in some other role, let us connect you to Medicare program requirements and resources by attending our New Provider Roadmap workshop series. This webinar will highlight the benefits of billing electronically and review the various electronic billing options available. We will conclude with an overview of the necessary steps to enroll as an electronic biller. |
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JL JH |
09/17/2025 Medicare Navigator Part B Claims: Billing Requirements (Part B) |
The Medicare Navigator Part B Claims series supports providers billing on the CMS-1500 claim form (or electronic equivalent) with navigating the billing basics to performing post payment claim correction activities. This webinar will examine the Part B claims process for filing a claim, including how to submit supplemental documentation. We’ll also cover best practices in identifying code selection, Medicare coverage and self-service resources. |
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JL JH |
09/16/2025 Medicare Navigator Coverage and Policy: Understanding National Coverage Determinations (NCD) (Part A/B) |
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. |
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JL JH |
09/11/2025 StayConnected: Assessing and Managing Patient Cognitive Needs (Part B) |
The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services. Medicare patients benefit from Cognitive Assessment & Care Plan Services (CACPS). A cognitive assessment affords the provider an opportunity to more thoroughly evaluate a patient's cognitive function and develop a care plan when signs of cognitive impairment are evident. During this webinar, we will define cognitive assessment and care plan services, identify patient and provider eligibility, and review billing, coverage and documentation requirements. |
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JL JH |
09/09/2025 StayConnected: Transitioning Patient Care Coordination (Part B) |
The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services. Transitional care management (TCM) services are a critical component to bettering patient health outcomes by supporting care coordination and care continuity post facility discharge. During this webinar, we will review Medicare coverage and billing requirements for transitional care, identify types of providers who can render these services, address how to avoid common improper payment errors, and conclude with documentation guidance. |
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JL JH |
09/04/2025 Skilled Nursing Facility (SNF) 5-Claim Probe and Educate and Understanding the Patient Driven Payment Model (PDPM) (Part A) |
In this webinar we will review the Skilled Nursing Facility (SNF) 5-Claim Probe and Educate initiative and how it relates to the Patient Driven Payment Model (PDPM). PDPM determines the Medicare Part A reimbursement rate in the SNF setting. We will expolore the components of PDPM. We will review SNF Prospective Payment System (PPS) resources and self-service tools available. |
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JL JH |
09/03/2025 Skilled Nursing Facility (SNF) Billing Guidance (Part A) |
Join this skilled nursing facility (SNF) webinar to learn the billing requirements for SNF claims. We will review the components for SNF billing situations such as change in level of care, no-pay claims, benefit exhaust, SNF readmissions, leave of absence, and demand billing. We will provide valuable SNF resources and self-service tools available. |
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JL JH |
09/03/2025 Modifiers of the Month: Procedural Modifiers 22, 52 and 53 (Part B) |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. Modifiers 22, 52, and 53 are required when billing for an increased, reduced, or discontinued procedure. During this webinar, we will define each modifier, explore common scenarios for use and review applicable supporting documentation requirements. |
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JL JH |
08/28/2025 Medicare Navigator Provider Enrollment: Submitting a Sole Owner Application through the Provider Enrollment, Chain and Ownership System (PECOS) (Part A/B) |
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. During this webinar, we will review how to submit a sole owner application using the Provider Enrollment, Chain and Ownership System (PECOS). A sole owner is defined as the only owner of a Professional Association (PA), Professional Corporation (PC), or Limited Liability Company (LLC) in which the provider renders health care services to the self-owned company, and the business is legally separate from personal assets. |
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JL JH |
08/26/2025 Skilled Nursing Facility (SNF) Benefit and Coverage Requirements (Part A) |
Join this webinar to learn about skilled nursing facility (SNF) coverage requirements including the SNF benefit period. We'll include information on the three-day qualifying hospital stay requirement and medical documentation requirements. We'll also provide some valuable resources to comply with Medicare’s guidelines. |
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JL JH |
08/26/2025 Partial Hospitalization Program Billing and Coverage Requirements (Part A) |
This webinar will review how the Partial Hospitalization Program (PHP) is structured and the distinctions between other programs related to mental health. We will review the type of care that should be rendered for patients that met the criteria to receive PHP services. We will outline the specific guidelines, requirements and billing related to PHP. |
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JL JH |
08/21/2025 Preventive Services: Comprehensive Screening and Testing Part 2 |
The Medicare Navigator Part A Claims series supports institutional providers billing on the CMS-1450/UB-04 claim form (or electronic equivalent) with navigating the billing basics to performing post payment claim correction activities. This webinar will provide an overview of billing requirements for Part A acute hospital outpatient coverage services. We will address various billing scenarios including repetitive and observation services, duplicate billing, claim overlaps, the three-day payment window, and inpatient only services. |
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JL JH |
08/20/2025 Modifier of the Month: Repeat Procedures Modifiers: 76, 77 and 91 |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. Modifiers 76, 77 and 91 are used to reflect the rare circumstances when services must be repeated. During this webinar, we will review how to avoid duplicate claim denials by appending these modifiers and outline important documentation requirements. |
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JL JH |
08/19/2025 Medicare Navigator Part A Claims: A Guide to Hospital Outpatient Services |
The Preventive Services series identifies a variety of Medicare covered preventive services and provides an overview of coverage, provider and patient eligibility, and billing requirements. This session will provide an overview of several of the preventive service screenings available such as bone mass measurement, cardiovascular disease, screening pap test and more. |
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JL |
08/15/2025 Novitasphere Portal Series: Enrollment, Patient Eligibility and Appeal Status Features |
Novitasphere is our free, secure internet portal available for use by our JL providers, facilities, billing services, clearinghouses and support staff. During this webinar, we will provide an overview of the necessary steps to enroll in the portal. We will also demonstrate the patient eligibility feature which displays beneficiary deductible amounts, Medicare Secondary Payer (MSP) and Medicare Advantage Plan (MAP) information, home health and hospice periods, and much more. Our demonstration will also highlight how to use the appeals status option within the portal. |
View recording Take survey |
JL JH |
08/13/2025 StayConnected: Understanding Psychotherapy for Patients in Crisis |
Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. Patients in high distress with life-threatening, complex problems requiring immediate attention are eligible for psychotherapy for crisis services. Through urgent assessment and mental status examination, these services can help reduce a patient’s mental health crisis (including substance use disorder) to help determine an appropriate plan of care. This webinar will provide an overview of these crucial services and offer valuable resources. |
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JL JH |
08/07/2025 StayConnected: Exploring Medicare Billing for Non-Physician Practitioners (NPP) (Part B) |
Explore Medicare’s Part B billing options for non-physician practitioners by attending the series, "The Role of a Non-Physician Practitioner". This last webinar will review the types of non-physician practitioners and explore the various billing scenarios available to non-physician practitioners, including direct billing, the incident to provision, and split/shared guidelines. |
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JL JH |
08/07/2025 Medicare Navigator Fee Schedules: Utilize Other Medicare Fee Schedules for Part B Billing (Part B) |
This three-part Medicare Navigator webinar series is designed to provide a thorough examination of various Medicare fee schedules and how to effectively use them. The last webinar in the series will review the various fee schedules available to Part B providers (excluding the Medicare Physician Fee Schedule). We will define each fee schedule, identify who should use it and demonstrate how to use the schedules to bill Medicare services. |
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JL JH |
08/06/2025 StayConnected: Enrolling a Non-Physician Practitioner (NPP) into Medicare (Part B) |
Explore Medicare’s enrollment guidelines for a non-physician practitioner (NPP) by attending the series, The Role of a Non-Physician Practitioner. Enrolling the NPP is a critical first step when onboarding into a provider practice. This second webinar will provide an overview of the enrollment process including requirements and qualifications, applications and supporting documentation and methods to track processing status. |
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JL JH |
08/05/2025 StayConnected: Exploring the Medicare Requirements for Non-Physician Practitioners (NPP) (Part B) |
Explore Medicare’s guidelines for a non-physician practitioner (NPP) by attending the series, "The Role of a Non-Physician Practitioner". The first webinar of the series will highlight the various types of NPPs and define the qualifications they must meet to enroll in the Medicare program. We will conclude with a review of various billing scenarios, supervision and collaboration options. |
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JL JH |
07/31/2025 Medicare Navigator Provider Enrollment: Maintaining the Enrollment Record (Part A/B) |
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. Providers are required to keep all enrollment information on file current requiring the reporting of changes to the provider's personal information, adverse legal status and more to the Medicare Administrative Contractor (MAC) within a defined period of time. This webinar will identify the changes providers are required to report and in what timeframe, outline how those updates can be reported and review potential penalties for failing to report. |
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JL JH |
07/31/2025 Medicare Part A Payment System: Inpatient Prospective Payment System (IPPS) (Part A) |
The Social Security Act sets forth a system of payment for the operating costs of acute care hospital inpatient stays under Medicare Part A based on prospectively set rates. This payment system is referred to as the inpatient prospective payment system (IPPS). Join this webinar to learn the ins and outs of the IPPS including the factors that make up the IPPS and how the IPPS rate is determined. |
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JL JH |
07/30/2025 Medicare Covered Dermatology Services (Part A/B) |
Medicare may cover dermatology services when reasonable and necessary for the prevention, diagnosis and treatment of certain skin conditions. Join this session to review the Medicare guidelines for dermatology services. This session will provide an overview of the Medicare coverage policies, how to find them and what to do if one does not exist for dermatology services. This session will highlight the medical policy, documentation and billing requirements for Mohs Micrographic Surgery (MMS). We will conclude with a review of the billing guidelines for evaluation and management services when provided on the same day as dermatology services within a global surgical period. |
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JL JH |
07/24/2025 Quarter 2 2025 - Insider's Guide to Mitigating Comprehensive Error Rate Testing (CERT) Part A Errors (Part A) |
The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review Part A inpatient rehabilitation facility (IRF) improper payment errors and share resources aimed at mitigating these errors. |
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JL JH |
07/23/2025 Coverage and Billing of Part A Drugs and Biologicals (Part A) |
Medicare will consider payment for drugs and biologicals after administration of the appropriate dosage for the patient’s condition. Errors related to drug dosage reporting and coverage requirements are top reasons contributing to incorrect claim billing and loss of revenue. This webinar will provide coverage and billing guidelines for drugs and biologicals for Part A services. We will review topics such as purposeful documentation requirements, reporting the correct units, and the proper use of the JW and JZ modifiers. |
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JL JH |
07/17/2025 Medicare Navigator Fee Schedules: Utilize the Medicare Physician Fee Schedule (MPFS) for Part B Billing (Part B) |
This three-part Medicare Navigator webinar series is designed to provide a thorough examination of various Medicare fee schedules and how to effectively use them. The second webinar in the series spotlights the Part B Medicare Physician Fee Schedule (MPFS). We will explore and identify critical elements of the MPFS, including who should use it and how reimbursement rates are determined. Our webinar will conclude with an overview of the Medicare Physician Fee Schedule Lookup Tool and an explanation regarding how to interpret the various fields within this resource to bill Medicare services. |
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JL JH |
7/17/2025 Understanding the Fundamentals of Ambulance Services (Part A/B) |
This webinar is designed for Part A providers and Part B suppliers who provide Ground Ambulance Transportation services to Medicare beneficiaries. We will review the ambulance coverage requirements, trip record documentation guidelines and Physician’s Certification Statement (PCS) requirements for ambulance transport services to Medicare beneficiaries. |
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JL JH |
07/16/2025 Modifier of the Month: Surgical Modifiers AS, 80, 81, 82, 62, and 66 (Part B) |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. This webinar will explore billing guidelines when an assistant-at-surgery, co-surgeon, or a team of surgeons perform a surgical procedure and require the reporting of surgical modifiers AS, 80, 81, 82, 62 or 66. During this event, we will review when to use these modifiers, explore the influence of these modifiers on Medicare reimbursement and present approaches to avoid frequent billing errors. |
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JL JH |
07/16/2025 Coverage and Billing of Part B Drugs and Biologicals (Part B) |
This session will provide coverage and billing guidelines for drugs and biologicals for Part B services. We will review topics such as documentation requirements and the correct reporting of units. The highlight of this webinar will be reviewing the proper use of the JW modifier and the JZ modifier |
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JL JH |
07/14/2025 Medicare Navigator Coverage and Policy: Using Policies to Bill (Part A/B) |
The Medicare Navigator Coverage and Policy series is designed to review steps when searching, locating and reviewing Medicare guidelines. Is it challenging to identify a Medicare coverage policy concerning a particular item or service? This webinar will simplify the Medicare coverage navigation and explain what to do if a policy is not identified. We’ll illustrate the FastTrack tool to guide you through available Medicare program resources and demonstrate effective methods with billing scenarios. |
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JL JH |
07/11/2025 Novitasphere Portal Series: Part A Features and Functionality (Part A) |
Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. This webinar will conduct a demonstration of the Part A features available in Novitasphere including eligibility, claim submission, claim status, view remittance, appeal requests, and many more. |
View recording Take survey |
JL JH |
07/11/2025 Novitasphere Portal Series: Part B Features and Functionality (Part B) |
Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. This webinar will conduct a demonstration of the Part B features available in Novitasphere including eligibility, claim submission, claim status, remittance advice, appeal requests, and many more. |
View recording Take survey |
JL JH |
07/10/2025 Medicare Navigator Part B Claims: Overpayment Requirements (Part B) |
The Medicare Navigator Part B Claims series supports providers billing on the CMS-1500 claim form (or electronic equivalent) with navigating the billing basics to performing post payment claim correction activities. This webinar will examine differences between solicited and unsolicited overpayments and outline the recoupment process. We'll demonstrate how to submit voluntary refunds, request immediate offsets or extended repayment schedules, and identify self-service tools to access the repayment process. |
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JL JH |
07/09/2025 Medicare Navigator Medicare Secondary Payer (MSP): Avoiding Part B Claim Billing Errors (Part B) |
The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our last Part B MSP webinar in the series identifies common billing errors and provides approaches to prevent and correct errors when identified. |
View recording Take survey |
JL JH |
07/09/2025 Medicare Navigator Medicare Secondary Payer (MSP): Avoiding Part A Claim Billing Errors (Part A) |
The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our last Part A MSP webinar in the series identifies common billing errors and provides approaches to prevent and correct errors when identified. |
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JL JH |
07/08/2025 Medicare Navigator Part A Claims: A Guide to Preparing for Claim Submission (Part A) |
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. During this webinar, we will provide an overview of the Part A Medicare program and highlight important pre-claim submission steps, including verifying patient eligibility, billing compliance and Medicare coverage. |
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JL JH |
07/08/2025 Medicare Preventive Services: Cancer Screenings (Part A/B) |
The Preventive Services series identifies a variety of Medicare covered preventive services and provides an overview of coverage, provider and patient eligibility, and billing requirements. This webinar will review preventive cancer screenings, including cervical, colorectal, lung, pelvic and prostate cancer screenings and mammography screening. |
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JL JH |
06/10/2025 Critical Access and Small Rural Hospitals: Converting to Rural Emergency Hospitals (Part A) |
This webinar is designed for Critical Access Hospitals (CAHs) and small rural hospitals that are in the process of transitioning or planning to transition to a Rural Emergency Hospital (REH). We will provide an overview of the requirements for enrolling as an REH, offer essential billing guidance for outpatient services, and explore the reimbursement strategies associated with REH providers. |
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JL JH |
6/30/2025 Medicare Navigator Provider Enrollment: Managing Enrollment Information Electronically (Part A/B) |
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. This webinar provides the necessary information to submit an enrollment application electronically, using the internet-based Provider Enrollment, Chain and Ownership System (PECOS). PECOS tailors the application process to fit each provider's/supplier's circumstances, saves staff time and postage, and has a shorter processing time than paper applications. |
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JL JH |
06/26/2025 Podiatry Services: Debridement of Nails (Part B) |
This webinar will review billing guidelines, coverage limitations, and purposeful documentation requirements regarding debridement of nail(s) services. We will examine common errors and billing concerns identified by the Comprehensive Error Rate Testing (CERT) program and outline resources and best practices to avoid these findings. |
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JL JH |
06/23/2025 Medicare Navigator Medicare Secondary Payer (MSP): Part B Billing Scenarios (Part B) |
The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our next event in the series will review Part B MSP billing scenarios including conditional payment, tertiary payer, benefits exhausted, obligated to accept, worker's compensation Medicare set-aside-arrangements and overpayments. |
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JL JH |
06/18/2025 Rural Health Clinic (RHC) Essentials: The Latest Changes in Reimbursement, Regulations, and Billing Practices (Part A) |
From new policies to updated billing requirements, this session will provide Rural Health Clinics (RHCs) with the knowledge to ensure a smooth transition with new updates and requirements. Join us for this informative webinar as we break down the most important changes FQHCs need to be aware of to stay compliant with Medicare requirements. |
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JL JH |
06/18/2025 Federally Qualified Health Center (FQHC) Essentials: The Latest Changes in Reimbursement, Regulations, and Billing Practices (Part A) |
From new policies to updated billing requirements, this session will provide Federally Qualified Health Centers (FQHCs), with the knowledge to ensure a smooth transition with new updates and requirements. Join us for this informative webinar as we break down the most important changes FQHCs need to be aware of to stay compliant with Medicare requirements. |
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JL JH |
06/16/2025 Medicare Preventive Services: Comprehensive Screening Services Part 1 (Part A/B) |
The Preventive Services series identifies a variety of Medicare covered preventive services and provides an overview of coverage, provider and patient eligibility, and billing requirements. This session will provide an overview of many of the preventive service screenings available such as alcohol misuse, depression, hepatitis B, diabetes screening and more. |
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JL JH |
06/12/2025 Medicare Navigator Medicare Secondary Payer (MSP): Part A Billing Scenarios (Part A) |
The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our next event in the series will review Part A MSP billing scenarios including when other payers have partially or fully paid or denied the claim. We will also address tertiary and conditional payment situations and identify various informative resources. |
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JL JH |
06/12/2025 Novitasphere Portal Series: Enrollment and Eligibility Features (Part A/B) |
Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. During this webinar, we will provide an overview of the necessary steps to enroll in the portal. We will also demonstrate the patient eligibility feature which displays beneficiary deductible amounts, Medicare Secondary Payer (MSP) and Medicare Advantage Plan (MAP) information, home health and hospice periods, and much more. We will also provide an overview of the Medicare Beneficiary Identifier (MBI) Lookup tool. |
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JL JH |
06/10/2025 Medicare Navigator Coverage and Policy: Understanding Local Coverage Determinations (Part A/B) |
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 local coverage determinations (LCD) and billing and coding articles and how they aid in determining reasonable and necessary criteria and billing requirements for a variety of services. |
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JL JH |
06/05/2025 Modifier of the Month: Therapy and Rehabilitation Modifiers CO, GO, CQ, GP, GN, KX and Modifiers 59, XE, XS, XU and XP (Part B) |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. During this webinar, we will review the modifiers used for physical, occupational and speech language therapy services. Our focus will be therapy modifiers CO, GO, CQ, GP, GN, KX and modifiers 59 and X(EPSU), including defining modifiers, outlining requirements for use and reviewing applicable supporting documentation requirements. |
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JL JH |
06/03/2025 StayConnected: Teaching Physician Services (Part B) |
Stay connected with Medicare Part B updates and requirements by attending the Evaluation and Management (E/M) workshop series. Teaching physicians serve a critical role in the development of future medical professionals as they supervise interns and residents in an approved training program. During this webinar, we will define teaching physician services and teaching settings, participation requirements and qualifications, and billing and documentation guidelines. |
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JL JH |
06/03/2025 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and Billing (Part A) |
Inpatient rehabilitation facilities (IRFs) are reimbursed under the IRF Prospective Payment System (PPS). During this webinar, we will provide a brief overview of IRF coverage. We will highlight IRF PPS, compliance criteria and information about IRF billing requirements. |
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JL JH |
06/02/2025 StayConnected: Lifestyle Intervention with the Medicare Diabetes Prevention Program (MDPP) (Part B) |
Stay connected with Medicare's various health equity initiatives supporting "whole person health care" by attending this workshop series. Our first webinar in the series will provide an overview of the Medicare Diabetes Prevention Program (MDPP), including provider qualifications, enrollment requirements, billing guidelines and recent program updates. Join us as we explore the lifestyle interventional goals of the MDPP and how it intends to reduce the risks associated with type 2 diabetes. |
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JL JH |
05/28/2025 Medicare Navigator Provider Enrollment: Preventing Common Development Reasons (Part A/B) |
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. |
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JL JH |
05/22/2025 StayConnected: Critical Care Services (Part B) |
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. |
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JL JH |
05/21/2025 Reviewing the Basics of Infusion and Hydration Services in an Outpatient Setting (Part A) |
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. |
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JL JH |
05/20/2025 Investigational Device Exemption (IDE) Studies and Clinical Trials (Part A/B) |
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. |
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JL JH |
05/15/2025 StayConnected: Facet Joint Interventions for Pain Management (Part B) |
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. |
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JL JH |
05/15/2025 Understanding Therapy and Rehabilitation Services (Part A/B) |
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. |
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JL JH |
05/13/2025 StayConnected: Trigger Point and Epidural Joint Injections for Pain Management (Part B) |
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. |
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JL JH |
05/07/2025 Introduction to the Outpatient Prospective Payment System (Part A) |
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. |
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JL JH |
05/07/2025 Inpatient Rehabilitation Facility (IRF) Coverage Requirements (Part A) |
This webinar will review the coverage and documentation requirements for inpatient rehabilitation facility (IRF) services. We will examine common errors identified by the Office of the Inspector General (OIG), Comprehensive Error Rate Testing (CERT) program and recent medical review activities and outline resources and best practices to improve compliance with Medicare program requirements for IRF services. |
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JL JH |
05/07/2025 Modifier of the Month: Surgical modifiers 54, 55, 56, 58, 78 and 79 (Part B) |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. During this webinar, we will review the global surgery concept and provide an overview of modifier use to reflect procedures within the global surgery period. We will examine operative and surgical modifiers 54, 55, 56, 58, 78, and 79, including when to use them and explore the influence of these modifiers on Medicare reimbursement. |
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JL JH |
05/06/2025 StayConnected: Outpatient Hospital Care (Emergency Department and Observation) (Part B) |
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 outpatient emergency department and observation 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. |
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JL JH |
05/06/2025 Medicare Navigator Part B Claims: Billing Compliance (Part B) |
The Medicare Navigator Part B Claims series supports providers billing on the CMS-1500 claim form (or electronic equivalent) with navigating the billing basics to performing post payment claim correction activities. CMS developed the National Correct Coding Initiative (NCCI) program to promote national correct coding of Medicare Part B claims. This webinar will review the NCCI , which includes the procedure-to-procedure (PTP) editing, modifiers, add-on codes (AOCs), and medically unlikely edits (MUEs) editing. |
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JL JH |
05/01/2025 Medicare Navigator Fee Schedules: Identify Part B Reimbursement Rates (Part B) |
This three-part Medicare Navigator webinar series is designed to provide a thorough examination of various Medicare fee schedules and how to effectively use them. We will begin this series by demonstrating how to successfully navigate the Novitas and First Coast provider websites to locate fee schedules and outline how to determine which fee schedule to use. |
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JL JH |
04/30/2025 Medicare Navigator Provider Enrollment: Revalidating Medicare's Enrollment Information (Part A/B) |
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. Our next event spotlights the Medicare revalidation process, including how to identify revalidation due dates, complete and submit a revalidation application, and monitor the processing status of the application once submitted. We will conclude with an overview of the new "stay of enrollment" status for non-responsive providers. |
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JL JH |
04/29/2025 Medicare Part A Updates - April 2025 (Part A) |
This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventive service reminders. |
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JL JH |
04/24/2025 Insider's Guide to Mitigating Comprehensive Error Rate Testing (CERT) Errors (Part A) |
The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review the most frequent Part A improper payment errors, including inpatient hospital services and claims categorized under diagnosis-related group (DRG) coding. We will conclude with resources aimed at mitigating CERT errors. |
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JL JH |
04/24/2025 Insider's Guide to Mitigating Comprehensive Error Rate Testing (CERT) Errors (Part B) |
The Comprehensive Error Rate Testing (CERT) program identifies improper payment rates to determine the national and Medicare Administrative Contractor (MAC) improper payment error rates. In this webinar, we will explain the CERT review process and review the significance of responding to documentation requests. We will also review the most frequent Part A improper payment errors, including inpatient hospital services and claims categorized under diagnosis-related group (DRG) coding. We will conclude with resources aimed at mitigating CERT errors. |
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JL JH |
04/24/2025 StayConnected: Integrating Chronic and Other Care Management Services into Patient Care (Part B) |
The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services. This webinar will review chronic care management (CCM), principal care management (PCM), principal illness navigation (PIN) and community health integration (CHI) services which are intended to support patients with chronic conditions. We will define each service, outline patient and provider eligibility and review billing and coverage requirements. |
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JL JH |
04/23/2025 Local Coverage Determination (LCD) Additions and Revisions (Part A/B) |
This course will include new, revised and proposed local coverage determinations and billing and coding articles. We will review cervical fusion, biomarkers for oncology, cardiac rhythm device evaluation, immune globulin, pharmacogenomics testing and more. |
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JL JH |
04/22/2025 StayConnected: Implementing Advanced Primary Care Management (APCM) Guidelines (Part B) |
The Care Management workshop series supports providers in staying connected with Medicare-covered care coordination services. This session will review Medicare’s guidelines for a new service that reflects the essential elements of advance primary care: Advance Primary Care Management (APCM). Join us to review the guidelines and components for this new service. We will discuss billing requirements and provide resources to assist in learning more. |
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JL JH |
04/22/2025 Medicare Part B Updates - April 2025 (Part B) |
This course is a review of the most recent Medicare updates and typically contains a wide variety of topics which include, but are not limited to, MAC initiatives, CMS initiatives, quarterly and annual updates, as well as preventive service reminders. |
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JL JH |
04/16/2025 Medicare Preventive Services: Wellness Visits (Part A/B) |
The Preventive Services series identifies a variety of Medicare covered preventive services and provides an overview of coverage, patient eligibility, and billing requirements. This webinar will focus on the Medicare initial preventive physical examination (IPPE) and annual wellness visit (AWV). We will also review the social determinants of health (SDOH) risk assessment as an optional part of the AWV. Using improper payment errors identified by the Comprehensive error Rate Testing (CERT) program and medial review, we will highlight best practices to prevent these billing and documentation errors from occurring in your practice. |
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JL JH |
04/16/2025 Modifier of the Month: Global Surgery Evaluation and Management (E/M) Modifiers 24, 25, FT and 57 (Part B) |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. During this webinar, we will review the global surgery concept and the applicability of using modifiers to reflect services occurring during the global surgery period. We will examine modifiers 24, 25, 57 and FT, including when to use them and explore the influence of these modifiers on Medicare reimbursement. |
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JL JH |
04/11/2025 Opioid Treatment Program Coverage and Billing Requirements (Part A/B) |
The United States is in the midst of a national opioid crisis with substantial health, economic, and societal costs. During this webinar, we'll provide an overview of opioid treatment programs, discuss enrollment and explore the 2025 key changes to coverage and billing. |
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JL JH |
04/10/2025 StayConnected: Evaluation and Management (E/M) Services Provided During the Global Surgery Period (Part B) |
Stay connected with Medicare Part B by attending the Evaluation and Management services workshop series. This webinar will address the guidelines for evaluation and management services performed in the office and outpatient services using CPT codes 99202-99205 and 99211-99215. We will review the contributing components to determine levels of service, address separate E/M modifiers with an emphasis on E/M services during a global surgical period. We will review various online E/M resources to assist you in understanding the requirements for proper coding and billing. |
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JL JH |
04/10/2025 Medicare Navigator Medicare Secondary Payer (MSP): Identifying the Primary Insurer (Part A/B) |
The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our next event outlines approaches to screening patients to obtain insurance coverage information and to validate that information. We will also explore the role of the MSP Contractor and identify resources for patient eligibility and MSP-related questions. |
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JL JH |
04/09/2025 StayConnected: Office and Outpatient Evaluation and Management (E/M) Services (Part B) |
Stay connected with Medicare Part B updates and requirements by attending the Evaluation and Management (E/M) workshop series. Our first event will review office and outpatient E/M guidelines, including defining the services and billing requirements, reviewing prolonged services, and concluding with beneficial resources. |
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JL JH |
04/8/2025 Telehealth: Where We are Now (Part A/B) |
Telehealth is ever changing in the Medicare environment. In this webinar, we will define the Medicare requirements for telehealth services and how the latest changes are structured in 2025. |
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JL JH |
4/2/2025 Medicare Navigator Provider Enrollment: Exploring CMS-855A Skilled Nursing Facility Disclosures Attachment (Part A) |
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. Our first webinar is for skilled nursing facilities (SNF). During this webinar, we will explore the recently updated CMS-855A application and the Skilled Nursing Facility Disclosures attachment. Join us to define new requirements, outline instructions for completing the application and attachments, identify supporting documentation and review information pertaining to off-cycle SNF revalidations. |
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JL JH |
4/2/2025 Novitasphere Portal Series: Patient Eligibility and Benefit Details (Part A/B) |
Novitasphere is our free, secure internet portal available for use by our JH and JL providers, facilities, billing services, clearinghouses and support staff. During this webinar, we will demonstrate the patient eligibility feature which displays beneficiary deductible amounts, Medicare Secondary Payer (MSP) and Medicare Advantage Plan (MAP) information, home health and hospice periods, and much more. We will also provide an overview of the Medicare Beneficiary Identifier (MBI) Lookup tool. |
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JL JH |
4/1/2025 Rural Health Clinic (RHC) Essentials: Medicare Enrollment, Reimbursement, and Billing (Part A) |
In this comprehensive webinar, we will provide the critical aspects of managing Rural Health Clinics (RHCs) focusing on Medicare enrollment, reimbursement processes, and billing best practices. This session will provide valuable information to promote compliance, support financial performance and operational efficiency. |
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JL JH |
4/1/2025 Home Infusion Therapy (HIT) Services and Enrollment Requirements (Part B) |
This webinar will review the Centers for Medicare & Medicaid Services (CMS) billing requirements for home infusion therapy (HIT) services. This service benefit is for HIT suppliers who enroll and bill the Part B Medicare Administrative Contractors (MACs). The Medicare HIT services benefit covers the professional services, nursing services, patient training and education, remote monitoring, and monitoring services for the provision of home infusion drugs furnished by a qualified HIT supplier. |
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JL JH |
04/1/2025 Federally Qualified Health Center (FQHC) Essentials: Medicare Enrollment, Reimbursement, and Billing (Part A) |
In this comprehensive webinar, we will provide the critical aspects of managing Federally Qualified Health Centers (FQHCs), focusing on Medicare enrollment, reimbursement processes, and billing best practices. This session will provide valuable information to promote compliance, support financial performance and operational efficiency. |
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JL JH |
3/26/2025 Critical Access Hospital (CAH) Billing and Reimbursement: Method I & II, Specialty Services, and Claim Error Resolution (Part A) |
This essential webinar offers an in-depth look at the operations, billing, and reimbursement strategies fundamental to the success of Critical Access Hospitals (CAHs). From understanding the differences between Method I and Method II reimbursement to managing specialty services and resolving common claim submission errors, we’ll provide essential information to promote continued compliance with Medicare requirements. |
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JL JH |
3/13/2025 StayConnected: Substance Use Disorders and Treatment (Part B) |
Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. The Centers for Medicare & Medicaid Services (CMS) continues to combat the opioid epidemic through the promotion of safe and responsible pain management options. This webinar will provide valuable guidance regarding treatment options for opioid use disorders (OUD) and substance use disorders (SUD), preventive and screening services, and opioid treatment programs (OTPs). |
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JL JH |
3/12/2025 StayConnected: Psychotherapy for Patients in Crisis (Part B) |
Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. Patients in high distress with life-threatening, complex problems requiring immediate attention are eligible for psychotherapy for crisis services. Through urgent assessment and mental status examination, these services can help reduce a patient’s mental health crisis (including substance use disorder) to help determine an appropriate plan of care. This webinar will provide an overview of these crucial services and offer valuable resources. |
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JL JH |
3/12/2025 StayConnected: Psychiatric Services (Part B) |
Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. This webinar will provide an overview of psychiatric services including diagnostic evaluations, psychological and neuropsychological testing, psychotherapy, family and group therapy and behavioral health integration (BHI) services. We'll identify who can provide these services, explore medical necessity and documentation requirements, and review recently identified improper payment errors while highlighting best practices to avoid them. |
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JL JH |
3/11/2025 StayConnected: Behavioral Health Services (Part B) |
Stay connected with Medicare-covered mental health and substance use services by attending our Behavioral Health workshop series. This webinar will review three important Medicare-covered behavioral health services that may improve patient outcomes: behavioral health integration (BHI), psychotherapy for crisis, and opioid use disorder (SUD) screening and treatment. We will outline billing and coverage requirements for these service types as well as review recent updates addressed with the 2025 Final Rule. |
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JL JH |
3/6/2025 Medicare Navigator Medicare Secondary Payer (MSP): Fundamentals (Part A/B) |
The Medicare Navigator Medicare Secondary Payer (MSP) series supports providers with identifying patient eligibility and billing services to the applicable insurer. Our first webinar of the series will provide an overview of the MSP provisions and define various types of common coverage situations. |
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JL JH |
3/6/2025 Compliant Billing for Laboratory Services (Part B) |
Laboratory services are one of the most frequently audited by a variety of program integrity contractors. Join us as we review laboratory service ordering requirements, documentation to support the order, Clinical Laboratory Improvements Amendment (CLIA), and resources to help mitigate improper payment errors. |
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JL JH |
3/5/2025 Modifier of the Month: Modifiers 59 vs. XE, XS, XP and XU (Part B) |
The Modifier of the Month workshop series describes commonly used modifiers and outlines common billing scenarios for utilization. For non-evaluation and management services, modifiers 59 and X(E,S,U,P) are used to identify distinct procedures or services not normally reported together when performed on the same day. During this webinar, we will define each modifier, explore common scenarios for use and review applicable supporting documentation requirements. |
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JL JH |
3/4/2025 Medicare Coverage for Dental Services (Part A/B) |
Medicare provides coverage for dental services inextricably linked to other covered medical services. We will outline the provider enrollment process, claim submission guidelines, coverage and documentation requirements and various resources. Dentists and other medical professionals rendering and referring dental services to Medicare patients are encouraged to attend |
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