Course: Audits, Reviews, Beneficiary Notices and Compliance for SNF Therapy Professionals

•  Cost:
  • Individual Member: $99
  • Facility Member: Contact Us
  • This Course is included [FREE] in our Rehab Manager Training Program
  • Click for information about all Membership Levels
• Contact Hours:  Contact Hours 1.5  |   .15 CEU’s
•  Description: Chart audits, issuing beneficiary notices and the appeals process are a major part of the SNF Rehab Manager and/or MDS Coordinator’s day. Lack of compliance with Medicare directives, including not issuing the “right form at the right time” can cost a facility a huge chunk of change. In this presentation, we will review the process for issuing all required documentation to the resident, including the Medicare Notice of Non-Coverage, Detailed Explanation of Non-Coverage, Advanced Beneficiary Notice for Part A, and Advanced Beneficiary Notice for Part B. The learner will be provided with each form, form instructions and a chart to guide issuing forms for each scenario encountered in the SNF. Each form can be downloaded and customized for your SNF. The learner will also receive the newly updated CMS-R-131 ABN form for Medicare Part B with required use by 8/31/20. The presentation will also cover the Medicare appeals process, both from the resident appeal and facility appeal perspectives. Key concepts for documentation to assist with overturning facility claim appeals are provided. The role of the SNF therapist is tied to the information throughout the presentation.
  • Course Outline:
    • • • What are Beneficiary Notices and Why are they required
          • NOMNC
          • DENC
          • SNF ABN
          • ABN for Medicare Part B
        • Understand the penalties for not issuing the correct forms timely
        • Review of the Beneficiary Appeals Process
        • Review of the Facility Appeals Process
        • The role of the SNF therapist as it relates to Beneficiary Notices, Appeals and Compliance
  • Audience: This course is appropriate for Rehab Directors, PT, PTA, OT, COTA, SLP, MDS Coordinators and Admins.
  • Includes:
    • Video Presentation
    • Presentation Handouts to Print and/or Download
    • Supplemental Materials to Print and/or Download
      • • Beneficiary Notice Chart: Outlines all forms and when to issue each
        • WORD Documents to customize for your SNF:
          • CMS NOMNC (Medicare Part A & B)
          • CMS DENC (Medicare Part A & B)
          • CMS SNF ABN (Medicare Part A)
          • CMS ABN CMS-R-131 (Medicare Part B)
        • Directions to complete each form above
• Level: (x) Entry Level   ( x) Intermediate (x )Advanced
• Type: Audio and Video. Participant has the ability to remotely interact with presenter to ask questions.
• Author: Dolores Montero, PT, DPT, RAC-CT, RAC-CTA  About the presenter

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