CMS ITU Training Event
IHS Partnership Virtual Trainings | (September 28 – October 6, 2020)
In partnership with Indian Health Service, the Centers for Medicare & Medicaid Services (CMS) is committed to helping the Indian Health Service (IHS), Tribal Health Programs, and Urban Indian Programs to maximize their ability to access third party resources. To meet this objective, CMS, in partnership with the States, the Veterans Administration, the Social Security Administration, and the IHS, provides training to patient benefits advocates on the programs and benefits available through Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Health Insurance Marketplace.
The Centers for Medicare & Medicaid Services (CMS) Division of Tribal Affairs (DTA) in conjunction with the Indian Health Service (IHS) invite you to the 2020 CMS Outreach & Education Event.
The event was held virtually from Monday, September 28th to Thursday, October 6th, 2020.
- Business Office Staff
- Benefits Coordinators
- Patient Registration Staff
- Health Information Management staff
- Purchased/Referred Care staff
Topics at a Glance
- CMS Tribal Affairs Updates
- Medicare, Medicaid, CHIP and the Health Insurance Marketplace
- State-Administered Programs
- Clinical Documentation Improvement
- Revenue Cycle overview
- Social Security, Veterans Affairs and much more…
Continuing Education Units (CEUs)
You will receive 1 CEU from AAPC (American Academy of Professional Coders) for each webinar you attend within the virtual training series.
PLEASE NOTE: You will need to participate in the full webinar and not log off early to receive the CEU certificate. You will be sent an online evaluation form to complete. And your feedback is important to help us improve. Only after completing the evaluation, you will receive your CEU(s) within ten (10) business days.
Division of Tribal Affairs and Medicaid 201
MONDAY, SEPTEMBER 28, 2020 (11:30 AM — 1:00 PM ET)
Rachel Ryan Pedersen – CMS Division of Tribal Affairs
Lane Terwilliger – CMS Division of Tribal Affairs
Dentrix Billing through RPMS
MONDAY, SEPTEMBER 28, 2020 (2:30 PM — 4:00 PM ET)
Sherilynn Allison – Phoenix Indian Medical Center (PIMC)
Cheryle Lynn King – Phoenix Indian Medical Center (PIMC)
Telehealth during COVID-19: Medicaid and Medicare
TUESDAY, SEPTEMBER 29, 2020 (11:30 AM — 1:00 PM ET)
Chris Chavis – National Indian Health Board
Sheri Gaskins – Center for Medicaid and CHIP Services
Emily Yoder – CMS Center for Medicare
Outreach and Education
TUESDAY, SEPTEMBER 29, 2020 (2:30 PM — 4:00 PM ET)
Kristen Bitsuie – National Indian Health Board
Novitas 201: Billing and Coding; COVID Codes and Modifiers
WEDNESDAY, SEPTEMBER 30, 2020 (11:30 AM — 1:00 PM ET)
Gail Atnip – Novitas Solutions, Inc.
Kim Robinson – Novitas Solutions, Inc.
FQHC Billing with NGS
WEDNESDAY, SEPTEMBER 30, 2020 (2:30 PM — 4:00 PM ET)
Mimi Vier – National Government Services (NGS)
NIHB Data Response to COVID
THURSDAY, OCTOBER 1, 2020 (11:30 AM — 1:00 PM ET)
Ed Fox, PhD – National Indian Health Board Tribal Data Project
Recent Trends in Third-Party Billing at Urban Indian Organizations
THURSDAY, OCTOBER 1, 2020 (2:30 PM — 4:00 PM ET)
Andrew Kalweit, MPH – National Council of Urban Indian Health
Sunny Stevenson, JD – National Council of Urban Indian Health
Sexual Orientation and Gender Identity (SOGI)
MONDAY, OCTOBER 5, 2020 (11:30 AM — 1:00 PM ET)
Jennifer Farris – Indian Health Service
Leslie Reece – Indian Health Service
David Taylor – Indian Health Service
Gail Townsend – Indian Health Service
Continuity of Revenue Generation Cycle: Best Practices during Emergency Response (COVID-19/Shut-down)
MONDAY, OCTOBER 5, 2020 (2:30 PM — 4:00 PM ET)
Alex Arobba – Indian Health Service
Carol Chicharello – Indian Health Service
John Rael – Indian Health Service
Alison Sanders – Indian Health Service
Medicare/Medicaid Fraud and Compliance, Office of Inspector General
TUESDAY, OCTOBER 6, 2020 (11:30 AM — 1:00 PM ET)
Special Agent Mike Oberlin – Office of the Inspector General
Senior Counsel James Ortmann – Office of the Inspector General
Billing updates and changes due to the Public Health Emergency (COVID-19) (to include coding)
TUESDAY, OCTOBER 6, 2020 (2:30 PM — 4:00 PM ET)
Cynthia Larsen – Indian Health Service
Adrian Lujan – Indian Health Service
The webinar is structured with an introduction, presentations, and an audience Q&A session. Please submit questions or comments through the WebEx chat feature. The session moderator will verbally relay all audience questions to the presenter. Please note, we will answer as many questions as time permits. Unanswered questions will be addressed in a follow-up email after the webinar.
If there are any issues or problems during the webinar, you can contact staff/moderator using the onscreen chat feature or by emailing Octane at cmsitutrainings@
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Rachel Ryan Pedersen
CMS Division of Tribal Affairs/CAHPG/CMCS
Indian Health Service
Click here to download/view meeting materials.
Centers for Medicare & Medicaid Services Important website links to American Indian and Alaska Native Resources
The CMS Division of Tribal Affairs serves as the point of contact on Indian health issues and provides ongoing support to CMS components regarding Indian health implications and Tribal perspectives. CMS Tribal Affairs serves as a liaison to external partners such as federal agencies in HHS, including IHS, Tribes, Tribal organizations, urban Indian health programs, and national Indian organizations.
CMS Tribal Affairs website is a resource for American Indians and Alaska Natives (AI/AN), Tribal organizations, and other Federal agencies on Tribal Consultation, the Affordable Care Act, All Tribes’ Calls, the Children’s Health Insurance Program (CHIP), Long Term Services & Supports Technical Assistance Center, Outreach & Education resources, StateTribal Relations, Trainings, and How to Order Tribal Products.
- CMS TRIBAL AFFAIRS NATIVE AMERICAN CONTACT LIST
CMS has funded a number of initiatives to improve healthcare services to American Indian and Alaskan Native individuals who are eligible for CMS programs. This site provides background, practical tools, and evidence-based strategies for AI/AN communities to navigate through federal and state requirements to provide for healthcare services. For more information about CMS initiatives in Indian Country, contact TribalAffairs@cms.hhs.gov or visit your CMS Native American Contact (NAC) (PDF).
- THE ROLE OF CMS IN INDIAN HEALTH CARE
CMS developed a video on The Role of CMS in Indian Health Care that highlights the history of Indian Health Care, CMS Tribal Consultation, and the significant impact that CMS programs have in Indian Country.
- CMS TRIBAL AFFAIRS SPOTLIGHT PAGE
CMS Tribal Affairs posts important information like Save the Date notices for webinars and All Tribes’ Calls, new fact sheets and brochures, grant opportunities, or updates on CMS Indian health policies.
- CMS TRIBAL AFFAIRS OUTREACH & EDUCATION RESOURCES
CMS Tribal Affairs produces outreach and education resources to increase awareness and understanding of new health insurance benefits available to AI/ANs, as well as special provisions available to Tribal members and their families because of the permanent reauthorization of the Indian Health Care Improvement Act and other provisions of the Affordable Care Act. The resources include video & radio products, brochures, posters, training materials, and webinars. Many of these materials were developed in collaboration with HHS, IHS, CMS Tribal Technical Advisory Group, and national Indian organizations. Resources can be downloaded from this page or ordered from the CMS warehouse on the Tribal Products Ordering Page.
- HOW TO ORDER TRIBAL PRODUCTS and PRODUCT LISTING
CMS Tribal Affairs produces outreach and education resources that are available for download from the website or ordered for free from the CMS warehouse on the Tribal Products Ordering Page. This link takes you to instructions on how to order CMS Tribal Affairs products.
- CMS PSA YouTube PLAYLIST
Each month CMS produces newspaper articles and corresponding public service announcements (PSA) that feature a different topic or message. The articles and messages are featured in Tribal newspapers and on Tribal radio stations. The radio PSAs are translated into five native languages: English, Navajo, Lakota, Ojibwe, Yupik, and Zuni. This link takes you to the YouTube page with all the radio PSAs. To view the monthly drop-in ‘news ads,” visit CMS Tribal Affairs Outreach and Education Resources page.
- ITU TRAININGS and WEBINARS
CMS Tribal Affairs partners with IHS, the Office of the Inspector General, the Social Security Administration, the Veteran’s Health Administration, and State Medicaid Agencies to conduct face to face trainings to provide AI/AN beneficiary advocates, benefits coordinators, providers, beneficiaries, and Tribal leaders with information about CMS programs including eligibility and benefits. This link takes you to the CMS ITU training webpage where you can register for trainings online. CMS also holds webinars to present information from subject matter experts on CMS related issues relevant to IHS, Tribes, urban programs, and AI/AN beneficiaries.
- LONG TERM SERVICES AND SUPPORTS (LTSS) WEBINARS
CMS, IHS, and the Administration for Community Living (ACL) have a joint technical assistance effort to support the development of LTSS in Indian Country. The purpose of this effort is to share knowledge and promising practices and build an ongoing dialogue among tribal, IHS, and Urban Indian health programs engaged in LTSS delivery for AI/ANs.
This is the Marketplace website with information for assisters and outreach partners.
- SPECIAL MARKETPLACE PROTECTIONS & BENEFITS FOR AI/ANs
This link takes you directly to the healthcare.gov website page that contains specific information for AI/ANs who have certain protections in the Health Insurance Marketplace, such as reduced cost-sharing, special enrollment periods, and exemptions from the tax penalty.
- CHILDREN’S HEALTH INSURANCE PROGRAM
The Children’s Health Insurance Program (CHIP) is a State-Federal program offering free or low-cost health coverage for eligible children and other family members. There are special protections for AI/ANs enrolled in CHIP. For more information, visit, HealthCare.gov.
Medicaid is a State-Federal program that offers health insurance to eligible individuals. There are special protections for AI/ANs enrolled in Medicaid, such as no cost-sharing. Visit the Indian Health & Medicaid webpage for more information about the special protections for AI/ANs enrolled in Medicaid or CHIP.
- MEDICARE LEARNING NETWORK
The Medicare Learning Network offers several learning opportunities, some of which can be taken for credit. This site has links to all the different Medicare Learning Products.
- NOVITAS “ASK THE CONTRACTOR” CALLS
Novitas “Ask the Contractor” calls are available for any facility billing for Medicare services. Participants must visit the Novitas website and set up an account on their Learning Website to receive information about the calls.
- MACRA and the Quality Payment Program
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is bipartisan federal legislation signed into law on April 16, 2015, establishes a new way to pay physicians for caring for Medicare beneficiaries. For more information on the Quality Payment Program (QPP) visit: www.qpp.cms.gov
- NEW MEDICARE CARD
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires the removal of Social Security Numbers (SSNs) from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions like billing, eligibility status, and claim status.
IHS/TRIBAL ORGANIZATIONS OUTREACH PARTNERS
- TRIBAL SELF GOVERNANCE UPCOMING WEBINARS
Tribal Self Governance (SGCE) is a Tribally-based Communication & Education Consortium that focuses on what Self-Governance means to Tribes, defining and exploring relationships, and the key policy provisions and intent of the Self-Governance statutes.
OTHER FEDERAL PARTNERS
- U.S. Department of Health and Human Services (HHS), Office of Intergovernmental and External Affairs
- Administration for Children and Families (ACF), Administration for Native Americans (ANA)
- Administration for Community Living (ACL), Administration on Aging (AOA), Office for American Indian, Alaska Natives and Native Hawaiian Programs
- Centers for Disease Control and Prevention (CDC)
- Health Resources and Services Administration (HRSA)
- Substance Abuse and Mental Health Services Administration (SAMSHA)
- National Institutes of Health (NIH), Tribal Consultation Advisory Committee
- Social Security Administration (SSA), American Indians and Alaska Natives
- U.S. Department of Veterans Affairs (VA), Office of Tribal Government Relations
- Internal Revenue Service (IRS), Indian Tribal Governments
We pledge to put patients first in all of our programs – Medicaid, Medicare, and the Health Insurance Exchanges. To do this, we must empower patients to work with their doctors and make health care decisions that are best for them.