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BILLING SPECIALIST
- REHAB & RESPIRATORY
There may be no more important position within an HME company than that of billing specialist. In simplest terms, no payment - no company.
Your skills and knowledge are key in making a company successful and providing for your customers.
This collection of courses offers you the foundation of training necessary to continue growing in this profession. Piece by piece and course by course, you will gain an understanding of the
industry, the reimbursement process, and customer service. Even more significantly, you will gain the knowledge that many never gain: a through understanding of the wide variety of equipment and services your
company provides to meet rehab and respiratory needs and the diseases and disabilities with which your customers deal daily.
Review the information below to get a full description of each course and the time necessary to complete.
HME 105 AN OVERVIEW OF HME AND ITS PLAYERS
Suggested Time to Complete Course & Test: 2 hours
Continuing Education Units: .2 (RESNA Accepted)
This course offers a great overview of our industry: the types of equipment we sell, the customers we respond to; the many individual players in our industry, including the physicians and therapists
who are a part of the team in responding to patient's needs.
In addition, students will gain a great understanding of the types of agencies and regulations, governmental and private, that impact HME providers, their employees and their customers.
CS 101 QUALITY CUSTOMER SERVICE
Suggested Time to Complete Course & Test: 2 hours
Continuing Education Units: .2
There is no limit to the numerous voices shouting out the critical need for quality customer service.
Yet, time after time, we see a failure in its application. This course goes beyond the abstract and offers piece by piece, step by step, information to employees seeking to provide quality customer service. The premise of this course is twofold: quality customer service is the key to success for any employee with customer service responsibility, and quality customer service is the foundation upon which an organization's success and profits are built.
HME 401 RESPECT, CONFIDENTIALITY AND PATIENT RIGHTS
Suggested Time to Complete Course & Test: 1 ¼ hours
Continuing Education Units: .1
This is an introductory course on the critical importance of respect for your patients. That respect is reflected in:
"recognizing the dignity and humanity of your customers"
"treating all of the information they provide you as confidential"
"knowing and responding to the rights and
responsibilities of both you and your customers".
Especially significant in this course are the practical pieces on practicing confidentiality every day in your workplace.
HME 410 The HIPAA Privacy Rule
Suggested Time to Complete Course & Test: 1 1/4 hours
Continuing Education Units: .1
This course describes in detail the Final HIPAA Privacy Rule, part of
the Health Insurance Portability and Accountability Act or HIPAA.
This element of the act protects the privacy of individually identifiable health information that is stored, processed or transmitted and gives individuals the right to be informed of the privacy practices of a health care provider
and to be informed of their privacy rights with respect to their protected health information. Successful completion of this course will offer the student the details he/she needs to know in order to fulfill the obligations (and opportunities) placed upon HME companies within HIPAA.
PPD105 Professionlism - The External
Suggested Time to Complete Course & Test: 1 ½ hours
Continuing Education Units: .2
This is the second of two courses on Professionalism. This piece, focuses on the external aspects of professionalism:
customer service, professional appearance, professional interaction and attitude, and business etiquette. It will confirm much of what you already know are the elements of a professional: how professionals act with customers and coworkers, how they dress and their approach in business.
HME 104 AN OVERVIEW OF REIMBURSEMENT & MANAGED CARE
Suggested Time to Complete Course & Test: 1.5 hours
Continuing Education Units: .2
Probably the most essential aspect of success for the Home Medical Equipment business is getting reimbursed for the equipment and services you provide. Our goal in this series of lessons is to
introduce you to the number of organizations that pay your company and what you have to do to get paid.
CS 106 CUSTOMER SERVICE FAST FACTS
Suggested Time to Complete Course & Test: 1 3/4 hours
Continuing Education Units: .2
This lesson is a collection of fact-filled information about customer service, with lists, important points, rules and reminders. Think of it as a Reader's Digest version: condensed stories, all
related but each about a different topic.
HME 310 BASIC DURABLE MEDICAL EQUIPMENT/HOME MEDICAL EQUIPMENT
Suggested Time to Complete Course & Test: 2.5 hours
Continuing Education Units: .3 (RESNA Accepted)
This course provides an overview of some of the most commonly provided durable medical equipment, consisting primarily of: bathroom and toileting equipment, hospital beds and supports surfaces, aids to daily living
and mobility and ambulation. In addition to descriptions of products and their application, information is given indicating the types of customers who will most likely use this equipment and other kinds of home
medical equipment the patient might require.
HME 311 REHAB EQUIPMENT
Suggested Time to Complete Course & Test: 1 ¼ hours
Continuing Education Units: .1 (RESNA Accepted)
A large population of individuals served by our industry consists of those with permanent disabilities such as spinal cord injuries or those with degenerative diseases such as MS or ALS. These folks are the
primary users of rehab equipment.
This course described this often sophisticated equipment, including manual wheelchairs, power chairs and other equipment that support the day-to-day lives of its users. This information will also provide understanding as to what other kinds of home medical equipment a patient might require.
HME 312 RESPIRATORY EQUIPMENT
Suggested Time to Complete Course & Test: 1 1/4 hour
Continuing Education Units: .1
This newly updated course provides an overview of some of the most commonly used respiratory therapy and related equipment to meet the needs of those with respiratory challenges.
The course does a thorough job of describing different oxygen therapy approach, CPAP, nebulizers, aspirators and ventilators. There is also a section on responding to infant needs with apnea monitors and phototherapy.
CS 102 TELEPHONE COURTESY & CUSTOMER SERVICE
Suggested Time to Complete Course & Test: 1 3/4 hours
Continuing Education Units: .2
Effective telephone skills are the cornerstone of quality customer service. Clarity of speech, sincerity, and courtesy are essential to your success on the phone. This lesson is for anyone who
picks up the telephone and communicates with a customer. You will learn how to improve your telephone skills, how to understand your customer's needs, and how to increase your ability to manage your customer's
perception.
PPD 102 Dealing with Conflict and Difficult People
Suggested Time to Complete Course & Test: 2 1/4 hours
Continuing Education Units: .2
This course discusses conflict in the workplace, but the heart of conflict goes to dealing with difficult people, because they tend to be at the heart of every conflict. This course utilizes your communication
skills and your ability to change your perspective, your approach to conflict and to difficult people - a positive approach to working through conflict to strengthen interpersonal relationships.
PPD 104 - Professionalism - The Internal
Suggested Time to Complete Course & Test: 1 ½ hours
Continuing Education Units: .2
This is the first of two courses on Professionalism. This course literally considers the heart of the matter, those elements of your attitude and behavior that affect your work every day: self-confidence, ethics, and
the professional approach to dealing positively with issues of diversity and persons with disabilities.
HME 408 COMPLIANCE IN THE HME INDUSTRY: MEDICARE
Suggested Time to Complete Course & Test: 2 hours
Continuing Education Units: .2
As an employee of an HME provider, it is essential that you understand the importance of compliance and how it affects billing, delivery, service, and all the elements of your company. The focus of
this course is Medicare compliance because if you can understand and meet the standards and rules of Medicare, you will most likely meet the standards and rules for any other third party payer.
The information in this course will help you identify the various agencies who influence compliance in the industry. The definitions of important terms pertaining to compliance are presented here as well as an outline of the basics of an effective compliance program. We've also included specific violations of Medicare fraud and abuse regulations and recommended ways to prevent such violations.
HME 103 UNDERSTANDING MEDICARE & MEDICAID
Suggested Time to Complete Course & Test: 1 hour
Continuing Education Units: .1 (RESNA Accepted)
Understanding Medicare and Medicaid provides basic information to aid in the comprehension of these programs and their impact on the way we do business.
HME 403 ERGONOMICS IN THE OFFICE
Suggested Time to Complete Course & Test: 1 hour
Continuing Education Units: .1
Ergonomics is the study of workplace design: the study of how a workplace and the equipment used there can best be designed for comfort, safety, efficiency and productivity. It is the
science of fitting the job to the worker. This course focuses on ergonomics in the office, especially as it relates to workstation set-up.
REM 101 - REIMBURSEMENT: ORDERS AND THE INTAKE PROCESS
Suggested Time to Complete Course & Test: 2 1/2 hours
Continuing Education Units: .3
There are two critical parts to our business. The first part is the equipment and services we provide, often necessary to sustain life, always necessary for quality of life.
The second part is being reimbursed for those services. The latter can be complex, lengthy, cumbersome and the most important element to your company's success. This course examines the intake process closely. Additionally, it addresses the assignment decision, mandatory claim submission, waiver of liability issues and payment categories. Included throughout the course are commonly used terms and their definitions.
REM 102 - REIMBURSEMENT AND DOCUMENTATION
Suggested Time to Complete Course & Test: 2 3/4 hours
Continuing Education Units: .3
This course covers the critical element of DOCUMENTATION. For Home Medical Equipment (HME) providers, documentation is the key to payment.
Keeping in mind that the foundation of reimbursement is based on a proper order intake, documentation is truly what insurance companies use to determine reimbursement. Each lesson within this course defines and makes clear the elements involved in the entire documentation process, including:
- verbal versus written orders
- certificates of medical necessity (CMNs)
- written orders prior to delivery (WOPD)
- prior authorizations/advance determination of Medicare coverage (ADMC)
- retrieval of a signed and completed medical necessity document
- managing and monitoring documentation
REM 103 - REIMBURSEMENT: BILLING AND CODING
Suggested Time to Complete Course & Test: 3 hours
Continuing Education Units: .3
As part of the operational flow, it is the billing department that takes over when the intake process is complete.
The billing department should actually provide a check and balance over the intake process, ensuring that after their job is complete, payment will be received. This course completes the steps of an efficient reimbursement process - a final quality control check
and generation of bills. Included in these final and complex steps are:
- Order confirmation/quality control process
- The billing edit review
- Pricing
- Billing of select payer types - coding
- Monitoring and management of the billing process
REM 104 -REIMBURSEMENT: ACCOUNTS RECEIVABLE MANAGEMENT AND COLLECTIONS
Suggested Time to Complete Course & Test: 2 ¾ hours
Continuing Education Units: .3
The last step in a chain of events that leads to payment is the topic of this course, Accounts Receivable (A/R) Management and Collections. This is the most analytical and perhaps the most
challenging of all the steps. Welcome to the world of investigation and research and the piece that makes you the
A/R expert! In this course, we will address the final steps in this process, including the following:
- Discussing and understanding fundamental A/R terms
- Cash posting - why it is integral to the collection process
- Collecting new A/R by payer type
- The Medicare appeals process
- How to devise an A/R action plan for older balances
- Managing and monitoring A/R collections
CS 103 GRIEF: IT'S IMPACT ON YOUR CUSTOMERS AND YOU
Suggested Time to Complete Course & Test: 1 3/4 hours
Continuing Education Units: .2
Grief is the human reaction of sudden loss. It not only accompanies the loss of life, it is also a partner to those suffering a traumatic injury or those with a debilitating disease, both have
to accept a change in plans and dreams. Grief affects our patients, their caregivers, and you, the service provider.
HME 202 DISABILITIES & DISEASES - PEDIATRIC ONSET
Suggested Time to Complete Course & Test: 2 hours
Continuing Education Units: .2 (RESNA Accepted)
This course provides a brief overview of diseases and disabilities that most often have their onset in young children.
It describes general causes and symptoms, and common treatments and equipment considerations. In addition, consideration is given to the emotional needs and concerns of such patients and the importance of their relationship with the providers of home medical equipment products and services.
HME 203 DISABILITIES & DISEASES - EARLY ADULT (20-50) ONSET
Suggested Time to Complete Course & Test: 1 hour
Continuing Education Units: .1 (RESNA Accepted)
This course provides a brief overview of diseases and disabilities that most often have their onset in young adults (aged 20 - 50).
It describes general causes and symptoms, and common treatments and equipment considerations. In addition, consideration is given to the emotional needs and concerns of patients and their caregivers, with a special emphasis on the role of the providers of home medical equipment products and services.
HME 204 DISABILITIES & DISEASES - LATER ADULT (50+) ONSET
Suggested Time to Complete Course & Test: 1.5 hours
Continuing Education Units: .2 (RESNA Accepted)
This course provides a brief overview of diseases and disabilities that most often have their onset in older adults over the age of 50. It describes general causes and symptoms, and common treatments
and equipment considerations. In addition, consideration is given to the emotional needs and concerns of such patients and their caregivers and the importance of their relationship with the providers of home
medical equipment products and services.
HME 205 DISABILITIES & DISEASES - SUDDEN ONSET
Suggested Time to Complete Course & Test: 1 hour
Continuing Education Units: .1 (RESNA Accepted)>
This course provides a brief overview of the disabilities that are unexpected and sudden.
The course describes the causes of sudden onset disabilities and describes some of the symptoms. Common treatments and equipment considerations are discussed.
HME 206 DISABLITIES & DISEASES - RESPIRATORY
Suggested Time to Complete Course & Test: 2 hours
Continuing Education Units: .2
This course provides a brief overview common respiratory diseases and disabilities. The course describes the causes of respiratory diseases and disabilities and describes some of the symptoms. Common
treatments and equipment considerations are discussed.
MED University and RESNA are not affiliated. Please check with RESNA to make sure the MED University courses your choose are approved for your RESNA credentialing.
Included in MED University Subscription
$799.00 for Non-MED Members
Please call (800) 825-5633 for additional pricing information.
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