Medicare: The Ins & Outs Of Skilling
New Location, See Below
March 10, 2010
Holiday Inn
COLUMBUS N - I-270 WORTHINGTON
7007 NORTH HIGH ST.
WORTHINGTON, OH 43085
614-436-0700
Program Description:
The biggest challenge the SNF team faces is knowing when skilled coverage is proper and how to document all the efforts made by the SNF staff to assure timely reimbursement and future audit success. The program will review Medicare technical eligibility requirements, the Skilled Medicare criteria and the documentation requirements for skilled services. Definitions commonly used but often misunderstood will also be reviewed, such as spell of illness or benefit period. The specific components of the MDS 3.0 and RUG IV groupers that control Medicare reimbursement will be covered.
Program agenda:
8:30 a.m. Check In & Coffee
9:00 a.m. Introduction to Medicare in a Skilled Nursing Facility
Different types of Medicare Benefits
Understanding SNF Benefit Period
Technical Eligibility requirements
Skilled Coverage requirements
Ensuring Regulatory Compliance with meeting the daily skilled need
Common Definitions
Spell of Illness
Benefit Period
12:00 noon Lunch (included)
12:45 p.m. Managing the Documentation Process
Facility best practices
Resource guides
Charting guidelines
Tips/tools for auditing
2:00 p.m. Break
2:15 p.m. MDS 3.0 and RUG IV Groupers
3:30 p.m. Adjourn
Program Instructors:
Maureen Wern has been in the long term Industry for over 30 years. During that time she has served in several capacities including executive director of a 150 bed SNF with an adjacent 75 bed ALF. She is the President of Wern & Associates, a long term care consulting firm and has been a member of OHCA since the early eighties. Currently, Mrs. Wern serves as a Board member of the OHCA. She is the Co-chair of the MDS Task Force and the Chair of the Education Committee for OHCA. She has served on both the DAVE task force and the STRIVE committee at CMS. Maureen has been a Master instructor for 7 years with the NASPAC MDS certification program. She also served on the NASPAC Board of Directors for 6 years.
Continuing Education Credits:
This program has been approved for 5 hours of continuing education credit for nursing home administrators, Accountants, nurses and Social Workers.
Fees:
Members:
Before February 24: $145
February 24 and after: $180
Non-Members:
Before February 24: $255
February 24 and after: $315