Medicare 101 for OMS

This course provides education on Medicare programs and policies that impact oral and maxillofacial surgeons and their staff. This self-paced program includes discussions about Medicare components (Parts A, B, C and D), Medicare fraud and abuse, payment policies including Medicare dental coverage expansion, appeal processes and miscellaneous Medicare-related topics. There is a saying in healthcare – “as Medicare goes, so do the other carriers.” If time is taken to thoroughly learn the Medicare program, you will better understand your commercial payers, too.

 Learning Objectives:

  1. Differentiate between Medicare Parts A, B, C and D.
  2. Identify actions prohibited by the False Claims Act (FSA), Anti-Kickback Statute and Physician Self-Referral Law (Stark Law).
  3. Explain Medicare’s enrollment options, including “opting out” of Medicare.
  4. Define the differences between fraud and abuse.
  5. Name provisions and penalties associated with Medicare fraud and abuse.
  6. Review how federal law, regulations and Medicare policies impact the oral and maxillofacial surgery practice.
  7. Discuss the general steps of the Medicare billing procedures and appeals process.
  8. Cite future alternate payment models.

For optimal viewing, Chrome or Firefox are recommended browsers.   

As a reminder, you will have six months from the date of registration to complete the course. AAOMS will allow only one 30-day extension of a registrant’s access to an online coding course upon written request up to 10 days prior to expiration of access. Once an extension is granted, access will expire upon course completion OR at the end of the 30-day extension period.

Dilaine Gloege, CDA, CPC

A certified dental assistant and certified professional coder, Dilaine Gloege founded Tidewater Dental Consulting where she educates dental teams on proper coding and billing practices through her speaking, writing and consulting. She has built a reputation for expertise in coding and insurance over her 37-year career in dentistry, including nearly seven years working with Practice Booster founder Dr. Charles Blair. This collaboration allowed her to contribute to developing essential coding and insurance resources for dental teams, including for publications such as the Insurance Solutions Newsletter and the guides “Coding with Confidence,” “Administration with Confidence” and “Medical Dental Cross Coding with Confidence.”

Disclosures: No relevant financial relationships were disclosed.

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 3.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For AAPC credit, please contact the AAOMS Coding and Reimbursement Staff at (800) 822-6637. 

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
17 Questions  |  1 attempt  |  0/17 points to pass
17 Questions  |  1 attempt  |  0/17 points to pass
Unit 1: Basic Overview
Open to view video.
Open to view video.
Unit 2: Provider Enrollment
Open to view video.
Open to view video.
Unit 3: Claims Submission
Open to view video.
Open to view video.
Unit 4: Medicare Coverage Policies
Open to view video.
Open to view video.
Unit 5: Advance Beneficiary Notice
Open to view video.
Open to view video.
Unit 6: Medicare Physician Fee Schedule
Open to view video.
Open to view video.
Unit 7: Accountable Care Organizations
Open to view video.
Open to view video.
Unit 8: Medicare Appeals Process
Open to view video.
Open to view video.
Unit 9: Medicare Fraud and Abuse
Open to view video.
Open to view video.
Conclusion
Open to download resource.
Open to download resource.
Course Quiz
17 Questions  |  Unlimited attempts  |  13/17 points to pass
17 Questions  |  Unlimited attempts  |  13/17 points to pass
Course Evaluation
11 Questions
Certificate
3.00 CDE/CME credits  |  Certificate available
3.00 CDE/CME credits  |  Certificate available