Patient Beneficiary Notification Training

The following Patient Beneficiary Notification Training course is designed to educate healthcare providers (HCPs) on federal requirements and best practices for issuing beneficiary notifications under Medicare and Medicaid. This course focuses on empowering patients through informed decision-making, ensuring compliance with CMS regulations, and promoting transparency in healthcare delivery.

What you will learn:

• Introduction to patient beneficiary notifications

• Legal framework under the Comprehensive Care for Joint Replacement (CJR) model

• Notification requirements: content, timing, and documentation

• Beneficiary rights under Medicare and Medicaid

• CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)

• Use of APIs for data sharing and care coordination

• Types of beneficiary notifications: ABN, NOMNC, SNF ABN, and HINNs

• Case study analysis of real-world notification scenarios

• Civil Monetary Penalties (CMPs) and enforcement for non-compliance

• Best practices for regulatory adherence and quality patient communication

Once completed, you will receive a certificate of completion. Course length: 45 minutes; CME: 0.75.

American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians. Our Continuing Medical Education (CME) program is committed to enhancing the knowledge, skills, and professional performance of healthcare providers to improve patient care outcomes. Through high-quality educational activities, we aim to address the identified educational gaps and to support the continuous professional development of our medical community. American Medical Compliance designates this activity for a maximum of 0.75 AMA PRA Category 1 Credits. Physicians should only claim this credit for their complete participation in this activity.

The information contained in these trainings was derived from publications of CMS, eCFR, Medicare.gov, NIH, and HHS (Government Sourced Material). None of the planners, authors or instructors for this activity have any relevant financial relationships to disclose. The Government Sourced Material used by AMC is available for no charge on their associated websites. The use of the Government Sourced Material by AMC does not imply endorsement or recommendation by CMS, eCFR, Medicare.gov, NIH, HHS, or by the United States Government, of AMC, its enterprise, its facility, its services or its products. © 2025 American Medical Compliance, no copyright claimed in Government Sourced Material. If you are not completely satisfied with this course within 30 days you will receive a full refund.