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 of Medicare components (Part A, Part B, Part C and Part D), Medicare fraud and abuse, payment policies, appeal processes, and miscellaneous other Medicare-related topics. There is a saying in healthcare – “as Medicare goes, so do the other carriers.” If you take the time to thoroughly learn the Medicare program, you will better understand your commercial payers, too.

 Learning Objectives:

  1. Differentiate between Medicare Part A, Part B, Part C and Part D.
  2. Identify actions prohibited by the False Claims Act (FCA), the Anti-Kickback Statute and the Physician Self-Referral Law (Stark Law).
  3. Explain Medicare’s enrollment options, including “opting out” of Medicare.
  4. Define fraud and abuse.
  5. Name provisions and penalties associated with Medicare fraud and abuse.
  6. Review how federal law. Regulations and Medicare polices impact the oral and maxillofacial surgery practices.
  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, your course access will expire in 60 days of registration or upon completion of the course.

Dawn Jackson, DrPH, RHIA, CCS-P, FAHIMA

Dr. Dawn Jackson is full professor and program director of the Health Services Administration program at Eastern Kentucky University. She obtained her bachelor’s degree in Health Information Management from East Carolina University, Greenville, N.C., her master’s degree in Allied Health Education from Eastern Kentucky University, Richmond, Ky., and a doctorate degree in Health Services Management from the University of Kentucky, Lexington, Ky. She also is a fellow with the American Health Information Management Association. 
Dr. Jackson’s areas of expertise include healthcare reimbursement systems, coding and billing processes, medical law and healthcare management. A certified coding specialist, she has trained physicians and their staff for more than 26 years and has presented coding courses for the American Association of Oral and Maxillofacial Surgeons for almost 23 years.

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 7.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
5/1/18 – 12/31/22
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 7.0 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
18 Questions  |  1 attempt  |  0/18 points to pass
18 Questions  |  1 attempt  |  0/18 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: Alternative Payment Models
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
18 Questions  |  Unlimited attempts  |  13/18 points to pass
18 Questions  |  Unlimited attempts  |  13/18 points to pass
Course Evaluation
11 Questions
Certificate
7.00 CDE/CME credits  |  Certificate available
7.00 CDE/CME credits  |  Certificate available