Medicare Basic Training for the NAC and IDT
Ten-Course Bundle – Members: $352 | Non-members: $703
Individual Courses – Members: $37 | Non-members: $74
Continuing Education: 7.0 CE hours for all ten courses
Duration: Ten courses, between 30 and 60 minutes each
Speaker: Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC
Understand How to Maintain Medicare Compliance and Avoid Financial Penalty Seamlessly
Medicare Part A reimbursement requirements do not stop just because there is a new team member who is unfamiliar with the requirements of the Medicare program. “I didn’t know” is not an excuse for not following Medicare requirements. A requirement of participation in the Medicare program is that the facility ensures all the regulatory requirements are met before billing for services, and there are a lot.
Every member of the interdisciplinary team (IDT) needs to understand the basics of Medicare Part A to ensure compliance with requirements. Failure to comply results in penalties to the facility, which may impact reimbursement or, perhaps, even the ability to participate in the Medicare program. This entry-level workshop provides step-by-step training for staff not familiar with Medicare Part A to gain a foundational understanding of Medicare Part A management to prevent inadvertent noncompliance.
Medicare Basic Training (formerly called Medicare Fundamentals), a ten-part on-demand workshop, is designed to provide the new nurse assessment coordinator (NAC) or IDT member not familiar with Medicare with a strong foundation of knowledge of the basics of Medicare Part A coverage in the skilled nursing facility (SNF). AAPACN nurse expert, Jennifer LaBay, will guide you through the understanding of day-to-day requirements to avoid penalties, including the Medicare benefit period, the key technical and skilled care requirements of Medicare Part A coverage, consolidated billing practices, and the requirements of beneficiary notices to ensure compliance and avoid potential penalties. You will gain an understanding of the medical review process, including responding to medical reviews and appeals.
Following this workshop, you will be able to:
- Avoid Medicare noncompliance and penalties seamlessly even when there is staff turnover
- Understand the technical requirements of Medicare Part A coverage in the SNF, including the qualifying hospital stay, 30-day transfer rule, benefit period, and the physician certification and recertification process
- Recognize the clinical requirements of Medicare Part A coverage in the SNF including direct skilled nursing, indirect skilled nursing, direct skilled rehabilitation, and the administrative presumption of coverage
- Explain the documentation requirements of Medicare Part A services
- Apply the basics of consolidated billing
- Identify the key components of Medicare meetings
- Recognize the required beneficiary notices for Medicare Part A and when and how to fill out the notices and administer them
- Describe the medical review process, including types of review, possible outcomes, and the appeals process
Program Curriculum and Format
This on-demand workshop includes ten parts covering the following curriculum (updated Jan. 31, 2023):
Part 1: Medicare Basics for the New NAC and IDT Members – Avoiding Penalty – 1.0 CE
Part 2: Medical Appropriateness Exception and Administrative Presumption of Care – 0.5 CE
Part 3: Benefit Period – 0.5 CE
Part 4: Physician Certification and Recertification – 0.5 CE
Part 5: Skilled Nursing Requirements – 0.5 CE
Part 6: Skilled Rehabilitation – 0.75 CE
Part 7: Skilled Medicare Documentation – 0.75 CE
Part 8: Consolidated Billing and Essential Medicare Meetings – 1.0 CE
Part 9: Beneficiary Notices Initiative – 1.0 CE
Part 10: Medical Review and Appeals – 0.5 CE
Jennifer LaBay has no conflicts of interest to disclose.
There is no exam or certification associated with this program. It is intended to provide knowledge needed to perform NAC and IDT Medicare-related job duties skillfully and with confidence. Courses may be purchased individually or save 5% by purchasing as a bundle.