Overview
Partner Jamie Gelfman will speak at AHLA’s Fundamentals of Health Law Conference 2024 on the topic of, “Fundamentals of Medicare Parts A through D and Enrollment.”
The presentation covers:
- The difference between Medicare Parts A – D, including how the programs work for beneficiaries and providers/suppliers, and what coverage and reimbursement is available for items/services.
- A discussion of essential terminology (e.g., NPI, provider vs. supplier, enrollment vs. credentialing, conditions of participation vs. conditions of coverage, opt-out vs. non-participating vs. out-of-network, etc.), as well as a brief overview of the CMS-1500 claim form and ADA Claim Form
- Medicare initial enrollment requirements and continuing reporting obligations for various provider/supplier types
- Medicare Advantage, Prescription Drug Plans, and the role of eligibility, benefit design, provider and pharmacy networks, and financing in Parts C and D
- Hot Topics in Medicare Parts A through D, including the impact of the Inflation Reduction Act of 2022
