Provider Training Course Catalog
Xerox and the Department of Health and Social Services are pleased to offer free introductory and in-depth Alaska Medical Assistance provider training.
Check the Training Schedule in the menu above (under Training, Schedule) for the latest class dates and times.
Feel free to contact Xerox and request a class if it is not already scheduled!
Classes:
270/271 Eligibility Inquiry Transactions
1.5 hours
This class is designed as a separate session to address changes related to the 270/271 Eligibility Inquiry transactions.
837D Dental Claim Transactions
1.5 hours
This session will cover changes to the 837D Dental Claim format and 835 Claim Payment/Advice transactions. It will also include information about the new 999 transaction and a high-level overview about the Companion Guides that contain Alaska Medicaid specific transaction requirements.
837I Institutional Claim Transactions
1.5 hours
This class will cover changes to the 837I Institutional Claim format and 835 Claim Payment/Advice transactions. It will also include information about the new 999 transaction as well as a high-level overview about the Companion Guides that contain Alaska Medicaid specific transaction requirements.
837P Professional Claim Transactions
1.5 hours
This session will cover changes to the 837P Professional Claim format and 835 Claim Payment/Advice transactions. It will also include information about the new 999 transaction and a high-level overview about the Companion Guides that contain Alaska Medicaid specific transaction requirements.
Adjustments & Voids
1 hour
Introductory course discussing the basics of the adjustment and void processes for paid Alaska Medical Assistance claims. This course outlines the procedure for requesting and completing adjustments and voids for paid claims. Appropriate for beginning level staff and staff involved in billing Alaska Medical Assistance.
Ambulatory Surgical Center
1 hour
Review of program rules and procedures specific to billing for Ambulatory Surgical Center Services.
Appeals
1 hour
Introductory course discussing the basics of the appeals process and the various levels of appeals for denied or reduced payment of claims, denied or reduced service authorizations, recoupment of payments, covered services, and disputed admissions and continued stays. The course includes discussion of when to appeal, where to send appeals, and the documentation requirements (i.e., medical justification, proof of timely filing). Appropriate for beginning level staff and staff involved in billing and completing appeals to Alaska Medical Assistance.
Behavioral Health Services
1 hour
Review of program rules and procedures specific to billing for Behavioral Health, Community Mental Health Clinic, and Substance Abuse services.
Care Management Program
1 hour
Introductory course discussing the basic components of the Care Management Program. The course includes the purpose of the program, information on referring recipients into the Care Management Program, and the eligibility coupon. Appropriate for beginning level staff and staff involved in billing and verifying recipient eligibility.
Chiropractic Services
1 hour
Review of program rules and procedures specific to billing for Chiropractic Services.
Claims Management
1.5 hours
Introductory course discussing Remittance Advices, Resubmission Turnaround Documents, and claim edits and claim resolution including duplicate claim denials. The course includes an overview of the information provided in Remittance Advices and responding to Resubmission Turnaround Documents. Additionally, course will cover common denial edits and the resolution of pended and denied claims. Appropriate for beginning level staff and staff involved in billing claims and reconciling Remittance Advices from Alaska Medical Assistance.
Companion Guides and Testing Requirements
1.5 hours
This class reviews changes to the information contained in the Alaska Medical Assistance Companion Guides and will also review testing requirements for submitting 5010 compliant electronic transactions.
Completing Claim Forms: CMS-1500
1 hour
Introductory course covering the basics of completing the CMS-1500 claim form. Includes claim field specific information. Appropriate for beginning level staff and staff involved in billing professional claims to Alaska Medical Assistance.
Completing Claim Forms: UB-04
1.5 hours
Introductory course covering the basics of completing the UB04 claim form. Includes claim field specific information. Appropriate for beginning level staff and staff involved in billing institutional claims to Alaska Medical Assistance.
Day Treatment Services
1 hour
Review of program rules and procedures specific to billing for Day Treatment services.
Dental Services
2 hours
The class presents in-depth specialized information for dental providers including working Remittance Advices and Resubmission Turnaround Documents, the process for obtaining Service Authorizations and how they affect your claims. Also discussed are the Dental Fee Schedule, how to complete the ADA Dental Claim form, and how to avoid the most common error codes.
Direct Entry Midwife Services
1 hour
Review of program rules and procedures specific to billing for Direct Entry Midwives.
Durable Medical Equipment
1 hour
Review of program rules and procedures specific to billing for Durable Medical Equipment, Medical Supplies, Respiratory Therapy Assessment Visits, Prosthetics, Orthotics, and Home Infusion Therapy.
Electronic Transactions
1 hour
Basic overview of electronic transactions and related topics. Discussion will include a brief review of HIPAA regulations and requirements. Does not include claim field specific information. Appropriate for beginning level staff and staff involved in billing Alaska Medical Assistance.
EPSDT Services
1 hour
Review of program rules and procedures specific to billing for Early and Periodic Screening, Diagnosis, and Treatment services.
Family Planning Services
1 hour
Review of program rules and procedures specific to billing for Family Planning services.
FQHC/RHC
1 hour
Review of program rules and procedures specific to billing for Federally Qualified Health Center/Rural Health Clinic providers.
Guidelines for Record Keeping and Potential Audits
1 hour
Introductory course discussing the basic requirements of Alaska Medical Assistance record keeping and records request requirements. Includes basic information on audits and the procedures and agencies involved in Medicaid audits. Appropriate for beginning level staff and staff involved in record keeping duties. Disclaimer: The course a tool to assist providers and is not intended to be all-inclusive, to grant rights, or impose obligations, or alleviate potential audit sanctions placed on providers.
HCB Waiver Services
1 hour
Review of program rules and procedures specific to billing for Medicaid Waiver Services (Care Coordination, Home and Community-based Agency, Environmental Modifications, and Residential Supported Living/Assisted Living Homes). Overview of Specialized Medical Equipment (SME) as it relates to Waiver Providers.
Hearing Services
1 hour
Review of program rules and procedures specific to billing for Audiologists and Hearing Aid providers.
Home Health Services
1 hour
Review of program rules and procedures specific to billing for Home Health services.
Home Infusion Therapy
1.5 hours
Review of program rules and procedures specific to billing for Home Infusion Therapy Services.
Hospice Services
1 hour
Review of program rules and procedures specific to billing for Hospice Services.
Inpatient Psychiatric Services
1 hour
Review of program rules and procedures specific to billing for Inpatient Psychiatric services.
Inpatient/Outpatient Hospital Services
1 hour
Review of program rules and procedures specific to billing for Inpatient Hospitals and Outpatient Hospitals. Also includes information on laboratory and X-ray services performed at a hospital. Note: This class does not include information on Inpatient Psychiatric Hospitals.
Introduction to Alaska Medicaid
1.5 hours
Introduction to Medicaid programs, the entities involved, billing manuals, and Medicaid procedure and billing basics. Appropriate for beginning level staff, new to Alaska Medical Assistance.
Long Term Care Services
1 hour
Review of program rules and procedures specific to billing for Long Term Care providers. Also includes information on Swing Beds, Administrative Wait Beds and Skilled Nursing Facilities/Intermediate Care Facilities (SNF/ICF).
Mental Health Physician Clinic Services
1 hour
Review of program rules and procedures specific to billing for Mental Health Physician Clinic services.
Nutrition Services
1 hour
Review of program rules and procedures specific to billing for Nutrition Services.
Outpatient Therapies
2 hours
Review of program rules and procedures specific to billing for Occupational Therapy, Physical Therapy, Speech Therapy, and Speech Language Pathology providers.
Personal Care Agencies: Change in Personal Care Assistants Requirements and Bill
2 hours
Covers new 2011 requirements for PCA enrollment and billing.
Personal Care Agency Services
1 hour
Review of program rules and procedures specific to billing for Personal Care Agency and Consumer Directed Personal Care Agency Providers.
Personal Care Agency Services: New Regulations Reviewed
1 hour
New Regulations (2/2011) for Personal Care Agency Services.
Pharmacy
2 hours
Review of program rules and procedures specific to billing for Pharmacy services. Instruction on completing the Pharmacy claim form.
Physician/Osteopath/ANP Services
1.5 hours
Review of program rules and procedures specific to billing for Physician, Osteopath, Advanced Nurse Practitioner, and Nurse Midwife services. Also includes information on direct entry midwife, laboratory and X-ray services.
Podiatry Services
1 hour
Review of program rules and procedures specific to billing for Podiatry services.
Private Duty Nursing Services
1 hour
Review of program rules and procedures specific to billing for Private Duty Nursing services.
Psychologist Services
1 hour
Review of program rules and procedures specific to billing for Psychologist services.
Recipient Eligibility
1 hour
Introduction to Medicaid recipient eligibility, including proof of eligibility (EVS, coupons/cards, etc.), retroactive eligibility, and eligibility codes. Additional discussion on Medicaid-specific program eligibility (i.e. CAMA, Denali KidCare, and Waiver recipients). Appropriate for beginning level staff and staff involved in verifying eligibility.
Rochester Optical
2 hours
Representatives from Rochester Optical will present information for ordering lenses and frames.
School-Based Services
1 hour
Review of program rules and procedures specific to billing for services provided to students with IEPs (Individualized Education Plan).
Service Authorizations (SAs)
1 hour
Introductory course covering the basic procedures to obtain service authorization for Medicaid services. Appropriate for beginning level staff and staff involved in obtaining Service Authorizations and billing with SAs.
Site-Specific Training/Provider Request
1.5 hours
Provider requests for training and site specific issues
Targeted Case Management/Infant Learning Program
1 hour
This class describes the covered services in the Targeted Case Management/Infant Learning Program. Provider enrollment, recipient eligibility, and covered services are discussed.
Third Party Liability
1 hour
The basics of billing with third party liability, acceptable EOBs, and how to report TPL payments on claims.
TPL Avoidance
1 hour
Discussion of what TPL avoidance is, various TPL waivers, how and when to request TPL avoidance.
Transportation & Accommodation
1 hour
Introduction to the basics of Medicaid Travel and Accommodation procedures. Review of the service authorization process, claim form completion, and coverage. Designed primarily for transportation and accommodation providers, but also contains information for travel arrangers, and billers.
Tribal Billing Manual Overview
2 hours
Overview of IHS/Tribal Services Manual.
Tribal CHAP Services
1 hour
This course covers tribal-specific issues regarding clinics, CHAP and DHA services.
Tribal Clinics Services
1 hour
This course covers tribal-specific issues regarding clinics.
Tribal DHA Services
1 hour
This class covers tribal-specific information regarding DHA services.
Tribal TPL Specific
1 hour
The basics of billing with third party liability, acceptable EOBs, and how to report TPL payment on claims.
Vision
1 hour
Review of program rules and procedures specific to billing for Vision providers (optometrists, opticians, or ophthalmologists). Note: 212: Eyewear from Rochester Optical is also related to vision services.
Waiver Services: Single Date of Service
1 hour
Training regarding the single DOS billing requirement for Waiver Services, effective 2/1/2011.