Course Provider
Learning Objectives
Summarize the Medicare program, benefit categories, and the role of the Medicare functional contractors
Locate and apply Medicare law, regulation, and subregulatory guidance for claim submission, appeal, and audit defense
Locate and identify national and local coverage determinations and explain their role in medical necessity
Understand the Advance Beneficiary Notice, its instructions, and appropriate use
Explain and summarize the definition of an FQHC
Analyze the FQHC requirements related to location, staffing, and required services
Differentiate between FQHC and non-FQHC services
Compare and contrast FQHCs and FQHC look-alikes
Identify FQHC qualifying visits and summarize the importance of accurate reporting
Examine Medicare incident-to and supervision requirements for services performed in an FQHC