Upon completion of the Medical Reviews and Oversight in a Skilled Nursing Facility for the Advanced Medicare Specialist course, the participant will be able to:
- Describe the Medicare claim review process, including types of review, overpayment risk areas, and possible outcomes
- Discuss Additional Documentation Requests (ADRs) and best practices for responding to reduce error rates
- Understand provider appeal rights and the Medicare appeals process
- Explain operational strategies to improve claim compliance and preparedness for success under Medicare medical review
The course was written by Judy Wilhide Brandt, RN, BA, CPC, RAC-MT, RAC-MTA.
3.49 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 January 4, 2026.
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