Medicare Interactive Pro
Are you interested in helping your staff become more knowledgeable about the complexity of Medicare, how it impacts patients, and the service level that your healthcare facility provides? The Hospital Acquired Conditions Reduction Program created by the Affordable Care Act, has had a substantial impact on the bottom-line of hospitals across the country. With 10,000 Americans aging into Medicare eligibility daily, there is a strong likelihood that Medicare reimbursement will become the largest payor group at your facility.
Elite Healthcare has partnered with the Medicare Rights Center to provide ANCC-accredited continuing education courses that can help your staff become more knowledgeable about the business of healthcare so that they can help patients understand their rights while improving the quality of care your facility provides.
Educate your staff on the Medicare system with Medicare Interactive Pro
Staff can earn up to 30 continuing education contact hours.
Extend staff knowledge to optimize patient care as they consider their Medicare options
Help staff better relate to Medicare eligible patients
Help to improve your hospital’s Medicare reimbursement rate
The Medicare Rights Center is a national, non-profit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs and public policy initiatives. Since 1989, Medicare Rights has been helping people with Medicare understand their rights and benefits, navigate the Medicare system, and secure the quality health care they deserve.
Level 1: Medicare Basics (6 contact hours)
This level provides a gateway to understanding Medicare. Students will learn common insurance and healthcare terms, gain an understanding of Medicare eligibility requirements, and receive a broad overview of the fundamental components of Medicare. Includes 24 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific courses include:
- Course 1.1: Health Insurance Terms
- Course 1.2: Medicare Overview
- Course 1.3: Medicare Options
- Course 1.4: Enrollment Periods
Level 2: Medicare Coverage Rules (8 contact hours)
This level expands on baseline Medicare knowledge and elaborates on specific coverage rules for Medicare Parts A, B, C, and D. Students will develop a better understanding of Medicare enrollment periods and Medicare coverage rules and learn important differences between Original Medicare and Medicare Advantage Plans. Includes 35 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific courses include:
- Course 2.1: Medicare Part A (Hospital Insurance)
- Course 2.2: Medicare Part B (Medical Insurance)
- Course 2.3: Medicare Part D (Prescription Drug Benefit)
- Course 2.4: Medigaps
- Course 2.5: Medicare Advantage Plans
Level 3: Appeals and Penalties (9 contact hours)
This level offers learners more familiar with Medicare the information and skills needed to assist Medicare beneficiaries in appealing denials of coverage and navigating issues related to Medicare premium penalties. Throughout four courses, students will learn more about the different types of Medicare appeals and the steps necessary to successfully navigate the appeals process. Includes 21 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific courses include:
- Course 3.1: Original Medicare Appeals
- Course 3.2: Medicare Advantage Appeals
- Course 3.3: Medicare Part D Appeals
- Course 3.4: Medicare Late Enrollment Penalties and IRMAA
Level 4 Other Insurance and Assistance Programs (7 contact hours)
This level provides advanced learners with in-depth information on how Medicare works with other types of insurances, and how to navigate enrollment into low-income assistance programs. Students will learn about Medicare coordination of benefits and how to screen Medicare beneficiaries for low-income assistance programs. Includes 18 Supplemental Fact Sheets that provide important information and can be downloaded and kept as a reference. Topic-specific courses include:
- Course 4.1: Medicare and Employer Insurance
- Course 4.2: Medicare and Other Insurance
- Course 4.3: Medicare and Medicaid
- Course 4.4: Medicare Assistance Programs
Elite is accredited as a provider of nursing continuing education by the American Nurses Credentialing Center's Commission on Accreditation.