Provider Training and Education

Provider Training Days

Provider Training Days were held on April 27 and April 28, 2016. Over 300 providers attended the training sessions.  If you missed the event, most presentation slides are posted in the sections below.  If you are unable to find the one you are looking for, contact deborah.meiklejohn@hpe.com.

Healthcare Portal  

The Healthcare Portal is used to access business functions for RI Medicaid. Providers must enroll as a Trading Partner electronically through the Healthcare Portal. Once enrolled, Trading Partners are required to register to use the Healthcare Portal.  

User Guides and Quick Reference Guides are available on the Healthcare Portal page of this website.

Provider E-Learning Center

Welcome to the Provider E-Learning Center.  This section will be updated with new training modules as they become available.  

Self-Paced E-Learning
This presentation helps familiarize providers with key RI Medicaid information and processes.

Welcome New Provider   

Billing 101

RI Medicaid provides resources for providers seeking information on billing Medicaid claims.

Part 1 -The Basics  
To view presentation slides, click here:  Billing 101 Part 1 

Part 2 - Understanding Remittance Advice
To view presentation slides, click here:  Billing 101 Part 2  

Part 3 - Adjustments, Recoupments and Refunds
To view presentation slides, click here: Billing 101 Part 3    

 Provider Specific Training

Nursing Home - Helpful Hints for Billing   

Hospice Providers - Payment Methodology Changes  

Adult Day Care Services         Adult Day Care - Q&A     

Billing Tips for Dental Providers  

Billing Tips for Federally Qualified Health Centers  

Billing Tips for Home Care Providers  
Submitting Claims through the Healthcare Portal - For Home Care Providers  

Integrated Eligibility System

Webinar sessions were held in September to introduce providers to the new RIBridges system and MID conversion.  
Click here to view presentation slides  

PERM Provider Education Series

Click here for details  

Program Integrity

Click the links below for helpful resources from CMS.

CMS Toolkits - Continuing Education Podcasts
CMS Medicare Learning Network

 



 


 

 

 

 

 

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