Medicare & Medicaid Essentials: A Provider's Complete Guide to Compliance

Course Description

This comprehensive overview demystifies Medicare and Medicaid compliance for healthcare providers across all disciplines. Drawing from real-world experience and current regulations, this training breaks down complex compliance requirements into practical, actionable guidance that any healthcare professional can implement.

The webinar focuses on essential compliance areas that impact all providers, including documentation requirements, billing integrity, and safe harbor regulations. Participants will gain a clear understanding of how to maintain compliant practices while avoiding common pitfalls that can trigger audits or investigations. Through practical examples and case studies, providers will learn how to integrate compliance best practices into their daily operations.

Special emphasis is placed on fraud prevention strategies, proper documentation techniques, and understanding the key differences between Medicare and Medicaid requirements. The presentation provides clear guidelines for maintaining compliance while delivering quality patient care.

Learning Objectives

Understand fundamental Medicare/ Medicaid compliance requirements
Master key documentation standards
Learn basic billing compliance requirements
Identify potential risk areas in daily practice
Develop effective compliance protocols
Understand audit triggers and prevention
Implement proper record-keeping practices

Areas Covered in the Session

Medicare vs. Medicaid requirements overview
Essential documentation standards
Basic compliance requirements for both programs
Common billing errors to avoid
Documentation retention requirements
Time-based service documentation
Required elements for compliant notes
Live Q&A Session

Suggested Attendees

Mental Health Providers
Healthcare Providers of all Disciplines
Practice Administrators
Medical Office Managers
Billing Specialists
Healthcare Compliance Officers
Clinical Support Staff
New Healthcare Providers
Group Practice Owners

About the Presenter

Gabrielle is a Medicare/ Medicaid billing expert with over a decade of hands-on experience in health practice management and compliance. As the founder of GJV Consulting and Training, she brings extensive expertise from building, managing, and successfully selling a group practice of 15 therapists, primarily serving Medicare and Medicaid clients. During the practice transition, she developed and implemented comprehensive Medicare and Medicaid training programs to ensure continuity of care and compliance. Most recently, Gabrielle has demonstrated her expertise at scale by helping a major mental health technology company expand their Medicaid services across multiple states. Under her guidance, the company successfully launched in three additional states, increasing their Medicaid coverage to over 12 million lives. Her strategic implementation led to remarkable growth, including a 92% quarter over-quarter increase in Medicaid bookings and exceeding client acquisition goals by serving over 16,000 Medicaid clients. Her documentation trainings have been featured on Person Centered Tech, Spruce Health, Be Your Own Biller, continued, and Bill Like A Boss. Known for her approachable and compassionate teaching style, Gabrielle transforms complex Medicare and Medicaid requirements into clear, actionable steps. She is passionate about helping health professionals implement effective compliance strategies while avoiding costly billing mistakes, enabling them to build sustainable, compliant practices with confidence.

Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: [email protected]

Address:- 651 N. Broad Street, Suite 206, Middletown, DE 19709

Testimonials:

"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"

Melissa Preston, Health Information Management Staff
"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"

Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great"

Tina Duffy, Compliance Officer

All tickets include recording of the event.