3-Hour Program

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Overview

At some point in life, most Americans will qualify for either Medicare or Medicaid, or have friends or loved ones who do. Yet, few understand how the two government health care programs work. Whether you work with clients who may benefit from Medicare or Medicaid; work with health care providers, hospitals, pharmacies, or health insurance providers who are compensated by Medicare of Medicaid; or simply want to learn the basics for your own benefit, this program will give you a firm understanding of how these important government programs work. Our expert faculty will explain what each program is; how they are funded; what they cover; the application process; who qualifies; how claims are processed; and limitations on the length and amount of coverage. You will also learn how the Affordable Care Act and other recent laws are impacting Medicare and Medicaid services.

 What You Will Learn

  • What are Medicare and Medicaid?
  • Who qualifies for Medicare and Medicaid?
  • What are Medicare Parts A, B, C and D?
  • How do Medicare and Medicaid work with private health care insurance?
  • What are the responsibilities of health care providers, hospitals and pharmacies in the claims process?
  • How are claims submitted and paid under Medicare and Medicaid?
  • Are there differences in the way individual States administer Medicaid?
  • What are state and federal agencies doing to prevent and prosecute fraud and abuse?
  • What are some ongoing and future changes to Medicare and Medicaid?
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Credit Details