Description
How to complete your registration?
Once you’ve completed your purchase in the Proactive Shop, you will receive a confirmation email from Proactive. Prior to the webinar event(s) you will receive an email directly from GoTo™ Webinar with log in instructions. Please white list customercare@gotowebinar.com with your email service to reduce webinar emails going to spam. Webinar handouts are posted on the GoTo™ webinar toolbar during the live training event. Contact us if you have any questions or issues with your registration. Registration is good for one individual to attend the live workshop and receive CEUs through the Kentucky Board of Nursing.
Course Description
A strong foundation in the Medicare Basics is essential to compliance with SNF Medicare program requirements and accurate reimbursement for each Medicare resident’s Part A stay. The course will provide an overview of the Medicare benefit period rules, the technical and skilled coverage criteria, the beneficiary notice requirements, and documentation requirements to support coverage and reimbursement under the Patient Driven Payment Model. PDPM was implemented in October 2019 to improve reimbursement for Medicare Part A beneficiaries in a SNF based on patient characteristics instead of the volume of services provided. The course will also detail documentation requirements to support key components of the payment model including accurate assignment of ICD 10 diagnosis codes, functional status as coded in section GG and the other key sections of the MDS the impact payment. An overview of the medical review process will be provided including strategies to validate compliance and avoid payment denials.
Learning Objectives
- Identify the technical and skilled coverage criteria required for a Medicare beneficiary to utilize their Part A benefit during a SNF stay
- Clarify the correct use of the NOMNC and the SNF ABN when services are deemed to be no longer covered under Medicare
- Describe the documentation requirements to support Medicare coverage and avoid denial under medical review
- Recognize the criteria for classification with each of the key components of PDPM
- Clarify the process for assigning the primary diagnosis for the SNF stay and how to utilize the PDPM clinical mapping
- Identify the documentation necessary to support the coding of key MDS items that impact PDPM classification
Target Audience
Administrators, DON/ADON, MDS, business office managers
Contact Hours
Up to 6 hours Nursing CE hours through Kentucky Board of Nursing. Proactive Medical Review & Consultants, LLC is an approved provider of continuing education by the Kentucky Board of Nursing, #5-0065. To receive contact hours, you must complete the entire program. Certificates may be printed once the program evaluation is submitted. Disclaimer Statement: The Kentucky Board of Nursing approval of an individual continuing education provider does not constitute endorsement of program content.
Cancellations
Cancellations must be made in writing and emailed to info@proactivemedicalreview.com. Cancellations by phone will not be accepted. Cancellations received no later than 24 hours before the webinar start time will receive a full refund. Registrants who do not attend or who do not complete the full seminar will not receive a refund unless prior written notice is given to the Proactive Medical Review office. Attendance for the full workshop required to receive certificate of attendance at close of the event. Partial attendance may be granted based on time actually attended.
