** Please Note: Purchase and viewing of this webinar is for information purposes only and does NOT qualify for ASHA CEUs**
Recording Only: Medicare and Medicaid Knowledge Series - Part One: Payer Sources, Payment Systems, and Supervision Policies
Medicare is a federal government healthcare program managed by the Centers for Medicare and Medicaid Services (CMS). The program provides national standards for healthcare benefits, establishes the minimum requirements for clinical supervision and documentation, and significantly influences coding and payment policies that also affect Medicaid and commercial payers. Participants will receive a brief summary on the creation of the Medicare and Medicaid programs.The heart of this lecture defines and differentiates Medicare Parts A, B, & C, Medicaid, Medicaid Advantage, and commercial insurance carriers in terms of payer sources, payment systems, clinical supervision requirements, and payment for telepractice services. Clinical scenarios will be presented to enhance understanding and application of information.
Learning Objectives
- Describe two major distinctions between Medicare and Medicaid programs.
- Explain the difference between a prospective payment system and fee-for-service.
- Name two program features that distinguish Original Medicare (Medicare Part B) from Medicare Advantage (Medicare Part C).
Webinar Cost
| CAPCSD Member | $40.00 |
| CAPCSD Affiliate Member | $60.00 |
| CAPCSD Non-Member | $60.00 |
** Please Note: Purchase and viewing of this webinar is for information purposes only and does NOT qualify for ASHA CEUs**
Time Ordered Agenda
4 minutes Introductions
5 minutes History of Medicare and Medicaid
24 minutes Exploration of Payer Sources
4 minutes Coverage of Telepractice Services
19 minutes 2 Major Payment Systems
10 minutes SLP Clinical Supervision requirements
18 minutes Question and Answers
Speaker
Dee Adams Nikjeh, Ph.D., CCC-SLP, ASHA Fellow
Dee Adams Nikjeh, Ph.D., CCC-SLP, ASHA Fellow, is an expert in health care code sets, compliance requirements, and billing practices for speech-language pathology (SLP). She co-chairs ASHA's Health Care Economics Committee and is the SLP advisor on the American Medical Association's Relative Value Update Committee/Health Care Professionals Advisory Committee. Dr. Nikjeh's professional career in the communication sciences and disorders spans four decades as a clinician, researcher, educator, expert witness for the US Department of Justice Civil Division, coding and claims consultant, and an advocate for the profession. She has served on ASHA's Legislative Council and the Executive Board of the Council of State Association Presidents. She is a past president of the Florida Association of Speech-Language Pathologists and Audiologists.Disclosures:
Financial: Dee is receiving an honorarium from CAPCSD for presenting this webinar
Non-Financial: SLP Advisor and member of American Medical Association’s Relative Value Update Committee Healthcare Professional Advisory Committee Review Board