Upon completion of Introduction to Medicare Part A, the participant will be able to:
- Identify the criteria necessary for the beneficiary to qualify for skilled nursing facility (SNF) benefits
- Discuss the facility's responsibilities when a resident is denied Part A coverage and the resident's right to a demand bill
- Explain how to make the decision about whether or not to cover a resident on Part A
- Delineate administrative presumption of skilled level of care
- Describe the documentation that the SNF must complete to comply as a Medicare provider
- Describe the additional documentation request (ADR) process
The course was written by Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA.
5.40 contact hours will be awarded for this continuing nursing education activity. Learners must complete the entire education activity and associated evaluation to receive the contact hours. No partial credit will be awarded. Contact hours will be awarded for this activity until October 2, 2026.
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