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Data Speaks: CMS 5 Claim TPE and Industry Audit Trends

Members and Non-members: Free
Date: Dec. 6, 2023
Time: 2 pm ET, 1 pm CT, noon MT, 11 am PT
Duration: 60 minutes
Speakers: Dr. Kendall Brune, PhD, CHP, MBA, LNHA, FACHCA, Robert W. Lane, CNHA, FACHCA, Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, and Sherri Robbins, RN, BSN, CLNC, RAC-CTA, LNHA

On May 4, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a change request that Medicare Administrative Contractors (MACs) will perform a 5-claim probe and educate medical review on every skilled nursing facility (SNF) in their jurisdiction.  The stated purpose of this widespread review was to lower the SNF improper payment rate. During this 60-minute webinar, the speakers will provide insight regarding industry trends, program integrity requirements, and methods for promoting community success upon audit and review.

After participating in this webinar, learners will be able to:

  • Explain the intent of CMS 5 Claim Review
  • Identify key areas of the MDS which communities should complete proactive review
  • Utilize best practices for interdisciplinary team engagement in post review education

Data Speaks webinar series with American College of Health Care Administrators and Broad River Rehab.