Medicare and Medicaid Essentials: A Provider’s Guide

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Description
  • Type: Live Webinar 
  • Speaker: Gabrielle Juliano-Villani
  • Date: June 30th, 2025
  • Time: 01:00 PM EST
  • Duration: 60 Minutes 

Course Overview

This informative session offers a clear and practical breakdown of Medicare and Medicaid compliance tailored for healthcare professionals in all specialties. Built on real-world scenarios and current regulatory frameworks, this training simplifies complicated rules into manageable, real-life steps that providers can use to stay compliant and avoid risk.

Attendees will explore key compliance topics that affect day-to-day clinical operations, such as documentation accuracy, billing ethics, and federal safe harbor laws. The session highlights proven strategies to prevent fraud, improve clinical documentation, and distinguish the unique compliance demands of Medicare versus Medicaid. The training is designed to help professionals maintain regulatory compliance while continuing to provide high-quality care.


Learning Goals

  • Gain a foundational understanding of Medicare and Medicaid compliance standards

  • Strengthen skills in clinical documentation best practices

  • Review basic billing protocols to support ethical revenue cycle management

  • Identify routine activities that may pose compliance risks

  • Create internal compliance policies to support daily operations

  • Recognize triggers that may lead to audits or investigations

  • Establish effective records management and retention systems


Topics to Be Covered

  • Comparison of Medicare and Medicaid compliance criteria

  • Core documentation standards for clinical and billing practices

  • Regulatory expectations for billing and coding

  • Frequent billing mistakes and how to avoid them

  • Required documentation retention timelines

  • Guidelines for time-based services and proper note-taking

  • Key elements of a legally sound and audit-ready medical note


Why You Should Attend

This session provides practical insights into maintaining compliance and protecting your organization from potential penalties. Through examples, case studies, and clear explanations, you’ll learn how to weave strong compliance habits into your daily routine—reducing risk while maintaining efficient operations and excellent patient care.


Ideal Audience

This program is well-suited for professionals who are involved in compliance, billing, or direct patient care, including:

  • Behavioral and mental health clinicians

  • Multidisciplinary healthcare providers

  • Medical and clinic administrators

  • Front and back office managers

  • Billing and coding professionals

  • Compliance officers

  • Clinical and support staff

  • Group practice leaders

  • New or early-career healthcare providers

Additional information
Session Type

Live

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Recording

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Transcript

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Live + Recording

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Transcript + Recording

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Live + Transcript

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