| Course Name | Description |
|---|
| DMERC - Completing the CMS-1500 | This course is a step-by-step guide to completing the CMS-1500 (12/90) claim form for suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). The course is intended for new suppliers and for those who want to review CMS-1500 claim submission procedures. |
| DMERC - So You are a New Supplier | Here is an introduction to the information you will receive and the people at Palmetto GBA you will work with as a supplier of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). |
DMERC Region C Medical Review Process
| Learn about the Region C DMERC Medical Review Process and how it focuses on problem claims that demonstrate significant risk to the Medicare program as a result of inappropriate or potentially inappropriate payments. The innovative, systematic and on-going analysis of these claim practices and other relevant data to focus intervention efforts in the most significant areas of overutilization is known as the Medical Review Process. It is a method of targeting and directing Medicare Review efforts on claims for services where there exists the greatest risk of inappropriate program payments.
Start DMERC Region C Medical Review Education Process |
| Part A - Mastering the Appeals Process | This course will teach you how to identify appealable claims and properly submit an appeal in accordance with Medicare guidelines. For Part A providers billing for Part A services. |
| Part A - Mastering the Appeals Process (B of A) | This course will teach you how to identify appealable claims and properly submit an appeal in accordance with Medicare guidelines. For Part A providers billing for Part B services. |
| Part B - Surgical Rules | This course will teach you the principles of the Medicare Part B surgical rules and billing for multiple surgical services. |
| Part B Carrier - Ohio/West Virginia Transition Test | This course will teach you the principles of the Medicare Part B surgical rules and billing for multiple surgical services. |
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