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Apr 17

Maximizing Medicare Billing: Understanding Provider Eligibility & Reimbursement Strategies

Virtual location

You will receive a confirmation email with a URL.

Apr 17, 2025 10:00am ET - Apr 17, 2025 11:00am ET

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Register by April 14

Free

Who Should Attend:

Behavioral healthcare providers enrolled with Medicare: licensed clinical social workers, independent licensed providers, nurse practitioners, physicians


Description:

This essential one-hour session will provide a comprehensive guide to maximizing Medicare billing while ensuring compliance with provider eligibility rules. Gain clarity on how Medicare differs from Medicaid in terms of approved providers, billing structures, and supervision requirements. Learn how to streamline workflows, optimize claims submissions, and capture all allowable reimbursements under Medicare’s guidelines.

Join us and make sure you’re billing Medicare to its fullest potential!


Key Takeaways:

  1. Medicare Eligibility Clarity: Know which providers and services are Medicare-approved.
  2. Maximized Reimbursement: Learn strategies to increase Medicare revenue while staying compliant.
  3. Clear Medicare vs. Medicaid Differences: Understand how billing, supervision, and credentialing vary.
  4. Audit-Ready Documentation: Ensure compliance with Medicare’s strict documentation standards.
  5. Efficient Workflow Adjustments: Improve billing efficiency to reduce claim rejections and underbilling.


Learning Objectives:

At the end of this session, participants will:

  1. Understand which independently licensed providers can bill Medicare and what services are covered.
  2. Differentiate between Medicare and Medicaid billing structures and provider requirements.
  3. Implement billing strategies to maximize Medicare reimbursement while ensuring compliance.



Continuing Education Units: Pending

Sonda J. Kunzi, CPC COC CPB CRC CPCO CPMA CPPM CPC-I

CEO - Coding Advantage, LLC


With more than 30 years of experience in healthcare, Sonda’s expertise includes comprehensive knowledge of ICD10 and CPT coding concepts, documentation and training, compliance, and healthcare reimbursement methodology. Her experience comes from working in a variety of positions both as an outside consultant and as a professional within hospital-owned and private medical practices. She has experience with review and correct application of various healthcare regulations specifically relating to her work with functional medicine groups as well as other alternative healthcare models. Sonda holds many nationally recognized certifications in coding, billing, auditing, and compliance.