Course Provider
Learning Objectives
Locate key sources of Medicare authority on the Internet
Interpret Medicare guidance and apply it to the services provided
Describe how Medicare covers outpatient, inpatient, and swing bed services at CAHs
Describe limitations on coverage under the Medicare program
Explain when the beneficiary is financially responsible for services provided
Explain how Medicare pays for outpatient, inpatient, and swing bed services
Apply outpatient and inpatient status rules and regulations
Explain the definition of an RHC and the criteria for certification
Describe covered RHC services provided by physicians, physician assistants, nurse practitioners, clinical nurse midwives, clinical psychologists, and social workers, as well as services provided incident to
Explain billing requirements related to medical visits, preventive services, laboratory services, and other special services offered by RHCs