Medicare Process Training

This in-depth training for PACE organizations provides an overview of key processes, reports, and required monitoring initiatives within Medicare. Generally, this service is provided after the Capstone revenue cycle gap analysis (RCGA) to focus on specific work plan development goals, new employee training, and to gain a greater understanding of the complex CMS requirements.
Medicare Process Training objectives will include:

  • Review of CMS systems and their intent/usage.
  • Focused review of all the various reports that are used by CMS (MMR, MOR, RAPs, Eligibility, etc), including a review the internal processes necessary for successfully updating key fields.
  • Discuss how to monitor and review 3rd party activities.
  • Learn how to incorporate processes and tools into monthly workflow to ensure all CMS compliance requirements are met.

Since this service is customized to the specific needs of your organization, topics will be added or adjusted to provide the best results.