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Pathway Health

Medicare Program for the Skilled Nursing Facility (SNF)


Medicare Program for the Skilled Nursing Facility (SNF)

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Product Description

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.

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