Medicare Resient amp; New Physician Training医疗居民amp；新医师培训.pptVIP

Medicare Resident New Physician Training Facilitators Guide Name of School/Hospital Date of presentation  1.5-HOUR INTRODUCTION TO MEDICARE POWERPOINT PRESENTATION Medicare Resident New Physician Training Medicare Resident New Physician Training Medicare Resident New Physician Training Medicare Resident New Physician Training Medicare Resident New Physician Training Medicare Resident New Physician Training Pre-Assessment Please complete the Pre-Assessment now The purpose of the Pre-Assessment is to determine your knowledge of the Medicare Program prior to todays session Learning Objectives  Identify Medicare’s three parts Determine who are Medicare insured beneficiaries List the two identifying numbers physicians are assigned upon acceptance into the Medicare Program Recognize the benefits of becoming a Medicare participating physician Identify two types of claims or requests for Medicare payment Describe the benefits of Electronic Data Interchange Determine when Medicare is considered the secondary payer Determine when services or supplies are considered medically necessary List the conditions that must be met under the “Incident to” Provision Describe what medical documentation facilitates Identify the three key components in selecting the levels of Evaluation and Management services Learning Objectives Identify the benefits of the medical review process Identify the four types of corrective action that Medicare may take List the five levels of the appeals process Determine when a service or item requires an Advance Beneficiary Notice Describe measures that can help protect a physician’s practice Identify a tool that ensures compliance with Medicare requirements Identify five examples of fraud Identify five examples of abuse Identify four Anti-Fraud Provisions Identify three provisions of the Health Insurance Portability and Accountability Act The Medicare Program Provides medical coverage to 95 percent of the nation’s ag