Medicare Part A Admissions: Best Practices for Your Skilled Nursing Facility - On-Demand
Janet Potter, CPA, MAS
Medicare Part A admissions involve gathering a lot of critical information about the resident in a short period of time; if some of this information is missing, it can lead to technical denials and provider liability. In this 90-minute on-demand webcast, experts Janet Potter, CPA, MAS, and Melissa Korey provide a step-by-step process to navigate Medicare Part A admissions, helping you determine a patient’s eligibility and requirements. Potter and Korey will also cover facility best practices while emphasizing the importance of completing admissions paperwork prior to admission.
At the end of the program, you will be able to:
- Identify the eligibility criteria for a SNF Part A admission
- List the technical criteria for a SNF Part A admission
- Complete required admissions paperwork
- Determine facility best practices for SNF Part A admissions
- Recognize the importance of completing admissions paperwork prior to admission
1. Medicare eligibility
a. Determining whether the patient has Part A, Part B, Medicare Advantage, or other coverage
b. Helping inform the family/resident of what their benefit coverage is
2. Technical criteria for coverage in a SNF Part A stay
a. Educate on three-day hospital stay prior to SNF admission
b. What is a SNF benefit period
c. Jimmo v. Sebelius and the Medicare Improvement Standard
3. Basics of skilled criteria
a. What skilled criteria needs to be covered under Medicare
4. Required forms and best practice forms
a. Notices for Part A
Part A admissions checklist
National QIO contact chart
MEET THE SPEAKERS
Janet Potter, CPA, MAS, is a senior manager in the healthcare research team at Marcum LLP. Potter joined Marcum through the firm´s 2015 merger with Frost, Ruttenberg, & Rothblatt PC (FR&R Healthcare Consulting, Inc.). She delves into numerous aspects of the healthcare industry, including HIPAA, the Medicare Prescription Drug Program (Part D), and research into ongoing regulations and various healthcare topics pertaining to Medicare and Illinois Medicaid. She is instrumental in writing and preparing client bulletins, speaker presentations, and seminar materials, as well as monitoring industry websites for regulatory and compliance changes, informing clients and colleagues of the changes, and assisting in interpretation of new regulations and guidance. Potter is a member of the Advisory Board for HCPro's Billers' Association for Long-Term Care and is a frequent contributor to PPS Alert for Long-Term Care and other HCPro publications.
Melissa Korey is a supervisor at Marcum LLP and has become an integral part of the Medicaid managed care team. She joined Marcum through the firm´s 2015 merger with Frost, Ruttenberg, & Rothblatt PC. She provides education internally at Marcum as well as to clients on contracting, quality, and other administrative challenges business leaders face in implementing new managed care programs. In addition, Korey works with clients to help them optimize their operational performance by assessing staffing needs, compliance, and internal controls through education, interviewing, and reporting. Aside from operations, she also contributes to the cost report preparation team, client bulletins, and educational resources for Marcum’s staff. Korey authored “Utilizing PEPPER to jump start triple check and compliance programs for skilled nursing facilities” and “Business office refresher: Five steps for tracking a SNF leave of absence,” which appeared in HCPro’s Billing Alert for Long-Term Care.
Webcast system requirements and program materials:
To fully benefit from the webcast experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webcast, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
Couldn't listen live?
No problem. The On-Demand version is now available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value!
Participation in the webcast is just $199 per site. All materials must be retrieved from the Internet.
Call your customer service representative toll-free 800-650-6787 or email email@example.com if you have questions.