Medicare: Appeals & Penalties
Estimated Time: 5 hours
$55.00 $69.00
Earn 8 Points for Completing
UDPATED 2024: Appeals and Penalties offers learners more advanced Medicare information and skills they need to assist beneficiaries in the appeals process when coverage has been denied. You will learn more about the different types of Medicare appeals and the steps necessary for successfully navigating the appeals process. Course Type: Interactive. Worth 7.5. PDCs (SHRM) and 7 CEUs (HRCI General Credits).
Credits
7.5 PDCs
7 CEUs
Learning Objectives
- Identify when a beneficiary may start an Original Medicare appeal
- Explain the difference between Original Medicare standard and expedited appeals
- Navigate expedited appeals for ending hospital care and ending non-hospital care
- Understand the steps in the different Original Medicare appeal processes
- Identify when a beneficiary may start a Medicare Advantage appeal
- Explain the difference between Medicare Advantage standard and expedited appeals
- Navigate expedited appeals for ending hospital care and ending non-hospital care
- Understand the steps in different Medicare Advantage appeal processes
- Identify when a beneficiary may start a Part D appeal
- Explain the difference between Part D standard and expedited appeals
- Understand the steps in the Part D appeal process
- Explain Medicare late enrollment penalties
- Identify situations when a beneficiary would incur a late enrollment penalty
- Understand how beneficiaries can avoid and eliminate late enrollment penalties
- Talk about Income-Related Monthly Adjustment Amounts, or IRMAA
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SHRM: VTR is recognized by SHRM to offer SHRM-CP or SHRM-SCP professional development credits (PDCs). This program is valid for 7.5 PDCs. For more information about certification or recertification, please visit shrmcertification.org.
HRCI: VTR is a recognized provider of recertification credits. HR Certification Institute® preapproved this program for 7 credits toward aPHR™, PHR™, PHRca™, SPHR™, GPHR™, PHRi™, and SPHRi™ recertification.