Written by AANAC's foremost Medicare experts, this training program will help you control your Medicare caseload and consistently ensure that you're earning the reimbursement you deserve to drive high-quality outcomes within your facility and to provide the kinds of services and resources your residents deserve.
Available Medicare University Courses:
Skilled Nursing Facility Consolidated Billing - (1.25 CEUs)
- Introduce elements of the UB-04 that clinicians should be aware of.
- Examine the concept of consolidated billing in an SNF.
- Recognize the major categories of consolidated billing.
- Know how to determine whether a service is included or excluded from consolidated billing.
- Identify strategies for ensuring that the SNF staff pay what is owed and do not pay if the service is excluded from consolidated billing.
Medicare Documentation in a Skilled Nursing Facility - (2.25 CEU)
- Explain the most common problems with SNF documentation upon Medical Review.
- Describe technical problems with submitted records.
- Review qualitative documentation errors in nursing and therapy charting.
- Discuss critical thinking in the documentation process.
- Examine & discuss strengths and weaknesses in examples of SNF documentation.
- Describe supportive documentation by other members of the Interdisciplinary Team.
Medicare in a Skilled Nursing Facility - (1 CEUs)
- Define the four parts of the U.S. Medicare benefit and the eligibility requirements of each.
- Explain the difference between original Medicare and Medicare Advantage plans.
- Examine technical eligibility for SNF coverage.
- Explain the requirements for SNF level of care.
- Discuss the “daily skilled need” for skilled nursing and therapy services.
The Beneficiary Notice Initiative in a Skilled Nursing Facility - (1 CEU)
- Understand the SNF Beneficiary Notification Initiative.
- Understand the two principal types of notice and appeals processes.
- Review the steps required for each of the notification processes.
- Review the forms required for each notification process.
- Understand what notice(s) must be issued in various situations.
Medical Review in a Skilled Nursing Facility - (.75 CEU)
- Describe the Medicare claim review process, including types of review and outcomes.
- Discuss Additional Development Requests and how to respond.
- Outline provider appeal rights and the Medicare appeals process.
- Explain strategies for successfully responding to any type of records request to suport an SNF.
The Prospective Payment System for Skilled Nursing Facilities - (1 CEU)
- Examine the concept of SNF "bundeled services" in the daily PPS rate.
- Describe the components of the daily SNF PPS rate.
- Understand the PPS assessment schedule and payment periods for each type of assessment.
- Undestand the importance of optimal PPS ARD scheduling.
- Select the correct HIPPS code for the UB-04 for each PPS payment level.
- Understand how MDS corrections affect PPS billing.
Part B Therapy in a Skilled Nursing Facility - (.75 CEU)
- Define what constitutes qualified therapy under Medicare Part B.
- Defne what the documentation requirements are for Part B therapy.
- Develop an understanding of how to incorporate Part B therapy to affect resident outcomes and enhance reimbursement.
- Provide a basic understanding of Part B therapy billing and how it differs from Part A.
- Develop a basic understanding of therapy caps.
Medicare University is not a certification; there are no final exams associated with this program as it is strictly informational.
We also offer live Medicare University workshops. Click below to find one in your area.