$49.99
This course offers a comprehensive examination of the new CMS regulations addressing billing anomalies in the Medicare Shared Savings Program. Learn to identify suspect billing activities, understand regulatory adjustments, and implement necessary compliance strategies to ensure accurate financial performance assessments for ACOs. Gain insights into how these changes impact financial calculations and shared savings eligibility.
In this course you will learn the following:
* Understand the purpose and scope of the final rule.
* Identify key requirements and actionable steps for compliance.
* Recognize the consequences of non-compliance with the new regulations.
* Implement strategies to adjust financial calculations in response to suspect billing activities.
NOTE: Unless otherwise indicated, all course purchases are for access to the course for a period of 1-year. At the end of the one year term, the course will be set to “inactive”.
Why This Course is Important
Without this course, learners risk misunderstandings of new CMS regulations, leading to potential compliance issues and financial penalties for ACOs.
Course Details
This is a self-paced eLearning course based on the Federal Register Document titled Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023.
Key regulatory references include:
Course SKU
FR-24-209-1
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Federal Register Title
This benchmark will help determine your readiness for: Federal Register Document titled Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction. Document Number: 2026-04797
Buy this Course
FR-26-1798-1
Why This Course is Important
Without this course, you risk missed reimbursement opportunities, non-compliance penalties, and operational setbacks as new Medicare regulations take effect in 2028.
Course Details
This is a self-paced eLearning course based on the Federal Register Document titled Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction.
Key regulatory references include:
Course SKU
FR-26-1798-1
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