Medicare Reimbursement University
Practical Reimbursement Scenario Labs
Work through incomplete, de-identified billing situations using documentation review, HCPCS and modifier research, policy verification, denial-risk analysis, and corrective actions.
intermediateCross-specialty
Modifier Selection Error
A claim edit suggests a modifier conflict.
beginnerCross-specialty
Missing Order Denial
A claim returns a missing-information denial.
intermediateCross-specialty
Same or Similar Equipment Denial
A claim returns a same-or-similar equipment signal.
intermediateDiabetic Supplies & CGM
CGM Recurring Supply Claim
A beneficiary is due for recurring CGM supplies.
intermediateHospital Beds
Hospital Bed Medical Necessity
A beneficiary needs positioning support at home.
advancedOxygen Equipment
Oxygen Qualification Documentation
A beneficiary has an oxygen order.
advancedMobility Equipment
Power Wheelchair Repair
A power wheelchair requires repair.
intermediateMobility Equipment
Mobility Battery Replacement
A beneficiary reports a failing mobility battery.
intermediateCPAP / PAP Supplies
CPAP Replacement Supplies
A beneficiary requests recurring PAP supplies.
beginnerCPAP / PAP Supplies
Initial CPAP Setup
A beneficiary is preparing for an initial PAP setup.