Course Code: REL-ACU-0-UMMB
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Describe coverage, eligibility, and enrollment for the most common Medicare plans.
Differentiate concepts of other Medicare payment plans and notices.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Medicare Plans, Premiums, and Participation
What is Medicaid?
What is Medicare?
Medicare Part A
Medicare Part B
What Is Not Covered by Medicare Parts A and B?
Medicare Part C
Medicare Part C and ESRD
Medicare Part D
Premiums
High Income Beneficiaries
Section 3: Medicare Eligibility and Enrollment
Eligibility Overview
Enrollment Overview
Medicare Part A
Medicare Part B
MA Plans
Medicare Part D
Section 4: Supplemental Plans and Medicare Notices
Medicare Supplemental Insurance
Medicare Savings Program (MSP)
Outlier Payments
Other Types of Medicare Plans
Conditions for Coverage (CfCs) and Conditions of Participation (CoPs)
Medicare Notices
Section 5: Clinical Vignette
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Writer: Cathryn Ayers, RN
Cathryn Ayers, RN, MSN has nearly 10 years of critical care experience. She was active in multiple committees to improve patient safety, executed staff education activities, and managed the new graduate orientation program for those entering intensive care units. Cathryn obtained a license for massage and bodywork therapy in 2012 and graduated from the University of North Carolina at Greensboro in 2016 with a Master of Science in Nursing Education. She has provided telephonic case management services and developed program materials to facilitate positive outcomes for people with rare conditions across the United States. Cathryn has a passion for teaching and helping others to be their best.
Subject Matter Expert: Shalla Newton, MSN, RN, NE-BC
Shalla is a subject matter expert (SME)/writer for Relias. She completed her BSN and two undergraduate degrees with top honors from the University of Wisconsin-Madison. Shalla earned her dual MSN degrees from Johns Hopkins University with top honors. She also maintains her post-baccalaureate nurse educator certificate (NE-BC). Shalla’s tenure spans over 20 years of cross-functional leadership and direct clinical roles in healthcare, biopharma/biotech, government affairs, managed care/market access, nonprofit patient advocacy, and research. Her subject matter expertise is in rare, orphan, and complex diseases. Her sub-expertise is in immune-mediated diseases (rheumatology and immunology), genetics, neurology, hematology/oncology, several pediatric diseases, population/public health, and larger systemic healthcare affairs. Shalla is a published author with leading rare disease experts and a global speaker. She also sits on scientific, advocacy, and legislative advisory boards. She has led national advocacy and disease awareness campaigns, including speaking before congress, leading to the first-in-class rare disease biologic approval and investigative treatment protocols.
Target Audience:
The target audience for this course is: Nurses; Social Workers; in the following settings: Acute Care Facility.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.