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Self Study - Medicare New

Course Description

Course Title:

Course Approval Number :

Course Description

This course will introduce basic concepts for understanding Medicare coverage in its two parts: hospital insurance and medical insurance. A brief history of the program and a discussion of the role of private insurance companies is followed by eligibility requirements, exclusions, and claims payments. Peer Review Organizations and Service Provider Certification are also discussed.


  • Understand the purpose and background of Medicare
  • Recognize the role of private insurance companies
  • Identify the two parts of Medicare, and what each covers
  • Be familiar with enrollment, exclusions, and eligibility requirements
  • Understand the role of Peer Review Organizations (PROs)
  • Be knowledgeable of the Medicare claims payment process.


    • Introduction
    • LESSON 1: History, Administration and Role of Private Insurance Companies in Medicare
    • LESSON 2: Components of Medicare Coverage
    • LESSON 3: Medicare Eligibility
    • LESSON 4: Enrollment
    • LESSON 5: Medicare Exclusions
    • LESSON 6: Service Providers
    • LESSON 7: Peer Review Organizations (PROs)
    • LESSON 8: Claims Settlement

    Please see the state/regulatory requirement from the course catalog page.

    This course has been approved for 3 hours.


    Quizzes – You will be required to pass the quizzes with a 70% in order to receive course credit.

    Your certificate will be mailed to you within 20 days of course completion.

  • State Requirements

    Check Texas’ state requirements prior to enrolling (http://www.tdi.texas.gov/). Provider Name: 360training, inc. – Provider Number: 32933.



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