Medicare Fundamentals: A Ten-Session On-Demand Workshop

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Medicare Fundamentals, a ten-part on-demand workshop, is designed to provide the new nurse assessment coordinator (NAC) or interdisciplinary team (IDT) member with a strong foundation of knowledge of the basics of Medicare coverage in the skilled nursing facility (SNF). AAPACN nurse expert, Jennifer LaBay, will guide you through understanding the Medicare benefit period, the key technical and skilled care requirements of Medicare Part A coverage, consolidated billing practices, and the requirements of beneficiary notices to ensure compliance and avoid potential penalty. Gain an understanding of the medical review process, including responding to medical reviews and appeals. 

 

Following this workshop, you will be able to:

  • Understand the technical requirements of Medicare Part A coverage in the SNF including the qualifying hospital stay, 30-day transfer rule, benefit period, and the physician certification and recertification process
  • Recognize the clinical requirements of Medicare Part A coverage in the SNF including direct skilled nursing, indirect skilled nursing, direct skilled rehabilitation, and the administrative presumption of coverage
  • Explain the documentation requirements of Medicare Part A services
  • Understand the implications of noncompliance with Medicare regulations and how to avoid noncompliance
  • Apply the basics of consolidated billing
  • Identify the key components of Medicare meetings
  • Recognize the required beneficiary notices for Medicare Part A and when and how to fill out the notices and administer them Describe the medical review process, including types of review, possible outcomes, and the appeals process