- This event has passed.
Join Marc Zimmet and Alicia Cantinieri for a FREE Webinar hosted by Zimmet Healthcare and Simple Netsmart. CMS Reviews coming in June: What SNFS need to know NOW
May 15, 2023 at 2:30 pm - 3:30 pm EDT
Attention SNFs! On May 4, CMS issued Pub 100-20 Transmittal 12015 mandating Medicare Area Contractors to conduct a 5-Claim Probe and Educate Review for all SNFs in their jurisdiction in response to the CERT program’s 15.1% improper payment rate in 2022. The primary cause? MISSING DOCUMENTATION. The MACs will begin reviews in June and continue on a rolling basis, starting with the top 20% of providers with the highest data-driven risk-profile. Do you know where your facility stands? Will your documentation stand up to a Probe Review? Join us to learn about: – Details of the memorandum and the reason CMS is mandating these reviews – Timing and workflow implications for providers – How to quantify your facility’s risk-profile, including the most frequent reasons for claim denial – Step-by-step procedures to prepare for this critical initiative!