Strategies for SNF Beneficiary Notification Success
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: Medicare Boot Camp® - Long-Term Care Version
presented on March 17, 2010
Ensure compliance and avoid financial risks with the SNF beneficiary notification requirements
Beneficiary notifications are an ongoing challenge for SNFs, mainly due to the confusing requirements of the notification process. This 90-minute program covers the different types of beneficiary notifications, when and how to issue a notice, and best practices to ensure compliance and avoid financial risks.
At the conclusion of this program, participants will be able to:
- Explain the differences between Advance Beneficiary Notices (ABN), Expedited Determination Notices (EDN), Notice of Exclusion of Medicare Benefits (NEMB), and Notice of Non-coverage
- Describe when and how each notice should be issued, and who is responsible for what at the SNF
- Review the residents’ rights process associated with each notice
- Identify the compliance regulations and potential ramifications for improper beneficiary notice use
TAKE A LOOK AT OUR AGENDA
- The essentials of beneficiary notices
- Current beneficiary notices
- Notices no longer in use
- Making sense of the ABN
- Function of the ABN (Advance Beneficiary Notice)
- When to issue
- Who should issue
- Residents’ rights
- New ABN release update
- Function of the notice of non-coverage
- How to use the EDN and NEMB
- Function of the EDN (Expedited Determination Notice)
- When to issue
- Who should issue
- Residents’ rights
- Function of the NEMB (Notice of Exclusion of Medicare Benefits)
- NEMB and the therapy cap
- Pitfalls and potential ramifications
- Common misconceptions
- Ensuring regulatory compliance
- Operational and financial impact on SNFs
- Q&A
MEET THE SPEAKERS
Elizabeth Malzahn, is the Health and Wellness Finance Manager for Covenant Retirement Communities (CRC). CRC includes a group of 13 continuing care retirement communities across the country. Elizabeth has been with CRC since August of 2009. Prior to joining CRC, Elizabeth worked for 10 years at a mid-size accounting firm as a Manager in the Health Care Consulting Group, specializing in skilled nursing facility (SNF) operations, reimbursement and receivables.
Claudia Reingruber, CPA is the managing shareholder of Reingruber & Company, P.A., a certified public accounting and healthcare consulting firm founded in 1991 and based in St. Petersburg, Florida. Reingruber began her career in the audit/reimbursement department for a multi-state Medicare intermediary, with management responsibility for an audit team of ten staff. Her intermediary experience included audits of all types of hospitals, home health agencies, and nursing homes, rate setting, appeals, and related activities. She has been a frequent speaker for a variety of trade associations, including the Florida Health Care Association, Texas Health Care Association, and Tennessee Health Care Association.
BONUS MATERIALS INCLUDED IN YOUR MATERIALS PACKET!
In addition to the expertise and information presented during this audio conference, you'll also receive these helpful “take-aways” provided within your materials pack:
- Responsibility checklist
- Sample forms and related instructions
These materials are provided with PDF links.
WHO SHOULD LISTEN?
Administrators, billers, MDS coordinators, DONs, clinical reimbursement specialists, nurses, social services, admissions, and therapy professionals
Purchase a CD or an audio on-demand of the audio conference and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
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