This class is designed for those without prior knowledge of SNF Medicare or for those who would like a more comprehensive understanding of the program requirements. The course includes learning about Medicare regulatory requirements as well as best practices for successful management of the Medicare program in a SNF. The following topics are included in the class.

Medicare Program requirements

• The Medicare Program and its parts
• Technical and clinical eligibility
• Medicare Benefit Periods
• SNF Level of Care Criteria
• Documentation of certification and beneficiary notices

Medicare PPS Reimbursement system

• Patient Driven Payment Model (PDPM)
• MDS related to PDPM
• Diagnosis management related to PDPM
• Value Based Purchasing
• SNF Quality Reporting Program

Medicare Advantage Plans

• Understanding contract requirements
• Case management

The IDT Process

• Suggested discipline-specific documentation content
• Care plans
• The Medicare Meeting

Alternative Payment Programs

• CMS Objectives
• Examples of current programs
• The future of Medicare payment

Downloadable Medicare Reimbursement Resource Manual included.