Medicare Learning Network (MLN) Guided Pathways (GP) to Medicare Resources

Medicare Learning Network® (MLN) Guided Pathways (GP) to Medicare Resources

The Medicare Learning Network® (MLN) Educational Web Guides MLN Guided Pathways to Medicare Resources page helps providers and contractors gain knowledge on resources and products related to Medicare and the Centers for Medicare & Medicaid Services (CMS) website.

The “Guided Pathways” curricula contain brief descriptions and links to many CMS resources. These products are designed to allow users to quickly and easily scan or search the resources and click on topics of interest. They are also designed so you can move directly to a specific section by using bookmarks or the Table of Contents.

What is the difference between the MLN Suite of Products and the MLN Guided Pathways to Medicare Resources?

The MLN Suite of Products provides you with a listing of all relevant MLN provider educational materials (except MLN Matters.) The suite is a great place to start if you are looking for materials designed for providers.

The MLN Guided Pathways to Medicare Resources provides additional resources beyond the MLN products, including relevant CMS manuals and web pages. Below are wonderful resources for those new to Medicare, advancing from Basic to Provider Specific with the level of detail as follows:

1.      MLN Guided Pathways to Medicare Resources - Provider Specific includes multiple specialty pathways designed for Medicare FFS Physicians, Other Enrolled Health Care Professionals, Suppliers, Providers, and Hospitals.

Resources Include:

• Enrollment;
• Accreditation Standards/Survey and Certification;
• Coverage;
• Billing;
• Claims Processing and Reimbursement;
• Beneficiary Notices; and
• Quality.

2.   MLN Guided Pathways to Medicare Resources – Basic Curriculum for Health Care Professionals, Suppliers, and Providers is designed for all Medicare Fee-For-Service (FFS) Health Care Professionals, Suppliers, and Providers.

Resources Include:

• Information about the Centers for Medicare & Medicaid Services (CMS);
• Basics of the Medicare program;
• Becoming a Medicare provider;
• Billing and coding;
• Medicare Reimbursement; and
• Protecting the Medicare Trust Fund.

3.   MLN Guided Pathways to Medicare Resources - Intermediate Curriculum for Health Care Providers (Part A) is designed for Medicare FFS Health Care Providers who enroll in Medicare using the 855 A form. 

Resources Include:

• Medicare Institutional Requirements such as Survey/Certification/Accreditation and Participating Agreements; and
• Medicare Reimbursement and Coverage specific to Institutional Providers such as cost reports and Prospective Payment Systems.

4.   MLN Guided Pathways to Medicare Resources - Intermediate Curriculum for Health Care Professionals and Suppliers (Part B) is designed for FFS Health Care Professionals and Suppliers who enroll in Medicare using the 855 B, I, or S forms.

Resources Include:

• Medicare Professional/Practitioner/Supplier Requirements;
• Medicare Coverage and Reimbursement (General Intermediate Level);
• Medicare Coverage and Reimbursement (By Type of Service);
• Coding;
• Billing; and
• Quality.

If you would like to contact the MLN, please e-mail us at MLN@cms.hhs.gov.