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Healthcare Professional and Provider Training
Presbyterian Health Plan, Inc. and Presbyterian Insurance Company, Inc. (Presbyterian) are pleased to offer our network practitioners, providers, and nurse practitioners educational opportunities to become even more culturally competent while earning up to nine hours of free Continuing Education Units (CEU). As you know, being culturally sensitive and competent is extremely important in healthcare – and especially in the state of New Mexico.
- A Physician’s Practical Guide to Culturally Competent Care
- Culturally Competent Nursing Care: A Cornerstone of Caring
When submitting claims, Presbyterian requests that ALL practitioners and providers for all lines of business supply the 11-digit National Drug Code (NDC) when billing for injections and other drug items on the CMS1500 and UB04 claim forms as well as on the 837 electronic transactions. Please see the updated NDC Procedure Manual (.pdf) for reference.
- R2109CP (CMS Manual System, Pub 100-04 Medicare Claims Processing, Transmittal 2109) (pdf)
- MM7079 (MLN Matters® Number: MM7079 Revised) (.pdf)
The Office of Inspector General (OIG) has several short video and audio presentations on its website discussing compliance topics that are important to healthcare providers. The videos from the Health Care Fraud Prevention and Enforcement Action Team (HEAT) webcast are designed to guide healthcare providers in further enhancing their compliance efforts to help prevent fraud, waste, and abuse.
- Click on the "Web Based Training (WBT) Courses" link under "Related Links Inside CMS”
- For the CMS 1500 course, click on the "CMS Form 1500 (08/05) (July 2008)" link
- For the UB-04 course, click on the "Uniform Billing (UB)-04 - (July 2008)" link
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