CMS Training - Coordination of Benefits

CMS Training - Coordination of Benefits 

This is the CMS Coordination of Benefits training module brought to you by Relias Learning. This Coordination of Benefits training module explains how the coordination of benefits works when people have Medicare and certain other types of health coverage. The material is designed for information givers/trainers who are familiar with the Medicare program and would like to have prepared information for their presentations. Module 5, Coordination of Benefits, explains the rules that govern the payers’ responsibility when people have Medicare and certain other types of health and/or prescription drug coverage. This training module was developed and approved by the Centers for Medicare & Medicaid Services (CMS), the federal agency that administers Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Federally-facilitated Health Insurance Marketplace. This module is designed for presentation to trainers and other information givers. It can be easily adapted for presentations to groups of beneficiaries.

$19.95

Hours: 2.00
REL-PI-0-P43

Certificates

Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PI-0-P43
Hours: 2
Type: Online Course
Content Expiration Date: 2/28/2022
Learning Objectives:
Explain health and drug coverage coordination.
Determine who pays first.
Identify where to get more information.

Outline:
Section 1: Introduction A. Disclaimer B. About This Course C. Learning Objectives Section 2: Coordination of Benefits Overview A. Raul’s Medicare Mishap B. Coordination of Benefits Overview C. When Does Medicare Pay? D. When Medicare Is the Primary Payer E. Medicare Secondary Payer F. Benefits Coordination & Recovery Center G. Review H. Summary Section 3: Health Coverage Coordination A. Medicare and the Marketplace B. Medicare and Marketplace Coordination C. Important Retiree Coverage Considerations D. Possible Health Claims Payers E. Employer Group Health Plans F. Employer Group Health Plans (EGHP) (Continued) G. Non-Group Health Plans H. No-Fault Insurance I. Liability Insurance J. Workers’ Compensation K. Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) L. Federal Black Lung Benefits Program M. Consolidated Omnibus Budget Reconciliation Act (COBRA) N. Consolidated Omnibus Budget Reconciliation Act (COBRA) Coverage O. Veterans Affairs (VA) Coverage P. TRICARE for Life (TFL) Coverage Q. Review R. Summary Section 4: Medicare Part D Coordination of Benefits A. Coordination of Prescription Drug Benefits B. Possible Drug Coverage Payers C. Important Retiree Drug Coverage Considerations Contents D. Coordination of Benefits Resource Guide E. Review F. Summary Section 5: Conclusion A. Summary B. Course Contributor C. Resources D. References E. Acronyms F. Congratulations!

Instructor: Centers for Medicare & Medicaid Services National Training Program
The core components of this training module were developed and approved by the Centers for Medicare & Medicaid Services National Training Program (NTP). The original CMS content was enhanced with the addition of interactive vignettes, brought to you by Relias Learning. Disclosure: Centers for Medicare & Medicaid Services National Training Program has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
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