Upcoming Events

SNFs are required to deliver Medicare denial letters to beneficiaries upon termination of a coverage period.  However, the rules governing denial letter structure differ for Medicare Part A and B, as do the scenarios in which they must be issued.  Adding to the confusion are the incongruent scenarios in which  denial letters are not required.  This session will focus on regulatory guidelines covering denial notices, and will include case-studies to enhance the learning process.

SNF managed care admissions have increased dramatically as Medicare Advantage penetration now exceeds one-third of all beneficiaries nationally.   This population comes with onerous administrative and documentation requirements that ultimately determine pre- and continued authorization for SNF care.  This session will provide strategies to organize facility responses, improve the authorization process (including contract exclusion capture) and accurately communicate the need for skilled care to the MCO.