New to Medicare: Who Are the Cooks in the Kitchen скачать в хорошем качестве

New to Medicare: Who Are the Cooks in the Kitchen

This is a recording of an event held February 10, 2026. Medicare uses many different contractors, federal agencies, and others to handle specific items. This may be confusing for those that are new to Medicare. This training will help eliminate that confusion. This training: • Introduces the federal entities involved with Medicare • Explains the contractors and their functions • Shows you patient resources and their contacts This training is intended for those who are new to Medicare or those with under 6 months of Medicare experience. Give your feedback about this course: https://cmsmacfedramp.gov1.qualtrics.... Resources U.S. Department of Health and Human Services (HHS) website: https://www.hhs.gov/ CMS provider website: https://www.cms.gov/ CMS beneficiary website: https://www.medicare.gov/ Social Security Administration (SSA) website: https://www.ssa.gov/ Railroad Retirement Board (RRB) website: https://rrb.gov/ United States Courts website: https://www.uscourts.gov/ Federal Bureau of Investigation (FBI) website: https://www.fbi.gov/ Office of the Inspector General (OIG) website: https://oig.hhs.gov/ CMS Fee-for-service (FFS) Medicare Administrative Contractor (MAC) web page: https://www.cms.gov/medicare/coding-b... CMS Who Are the MACs – DME web page: https://www.cms.gov/medicare/coding-b... CMS Who are the MACs – A/B MACs and HH&H Areas: https://www.cms.gov/medicare/coding-b... Railroad Medicare web page: https://rrb.gov/Benefits/Medicare CMS Non-Group Health Plan Recovery web page: https://www.cms.gov/medicare/coordina... CMS Group Health Plan Recovery web page: https://www.cms.gov/medicare/coordina... CMS Medical Review and Education web page: https://www.cms.gov/data-research/mon... WPS Medical Review Guides and Resources web page: https://www.wpsgha.com/topics/medical... CMS CERT web page: https://www.cms.gov/data-research/mon... CMS SMRC web page: https://www.cms.gov/data-research/mon... CMS RAC web page: https://www.cms.gov/data-research/mon... CMS Second Leve of Appeal web page: https://www.cms.gov/medicare/appeals-... CMS Review Contractors Directory - UPIC: https://www.cms.gov/data-research/mon... OIG Hotline: https://oig.hhs.gov/fraud/report-fraud/ OIG About the Work Plan web page: https://oig.hhs.gov/reports/work-plan... Medicare provider descriptions web page: https://www.medicare.gov/care-compare... CMS BFCC-QIO web page: https://www.cms.gov/medicare/quality/... SHIP website: https://www.shiphelp.org/ Medicare Understanding Medicare Advantage Plans booklet: https://www.medicare.gov/publications... Medicare What is Medicare Supplement Insurance (Medigap)? web page: https://www.medicare.gov/health-drug-... Medicare Learning Network: https://www.cms.gov/training-educatio... WPS Training Center: https://www.wpsgha.com/training Medicare.gov Publications web page: https://www.medicare.gov/publications Chapters 00:00 Opening 03:40 Federal Agencies 15:57 Contractors 16:00 Claims Processing Contractors 23:18 Medical Review Contractors 32:28 Fraud and Abuse Contractors 35:50 Providers 36:41 Others 45:33 Learn More 51:48 Closing