A Competent Harmony Healthcare Medicare Professional (CHHI-MP) is an interdisciplinary team member who successfully completes this 2Day intensive, clinically founded training, geared towards providing and documenting outstanding patient care while understanding regulatory requirements and reimbursement related to Medicare in a Skilled Nursing Facility (SNF) setting. This program is interactive with a focus on practical application for the clinical staff and interdisciplinary team.
The HHI Medicare SNF Professional 2 day course offers participants a comprehensive understanding of Medicare in the context of:
Medicare Entitlement Medicare: Day 1
Medicare Eligibility and Spell of Illness Medicare: Day 1
Value-Based Purchasing Medicare: Day 2
Final Rule Medicare: Day 2
Recommended Audience
Administrators, Nursing Management, Nursing Staff, Therapy Management, Occupational Therapists, Physical Therapists, Speech Pathologists, Marketing Management, Social Workers, Admissions Directors, Business Office Managers and Hospital Discharge Planners.Goals
This program will enable healthcare providers to provide quality healthcare through an understanding of the Medicare Reimbursement system in a skilled nursing facility.
Learning Outcomes
- The learner will be able to identify 2 factors that impact Medicare Eligibility.
- The learner will be able to identify how a beneficiary Breaks a Spell of Illness.
- The learner will be able to identify 3 Skilled Qualifiers for Medicare Part A Coverage.
- The learner will be able to identify the four pillars of skilled nursing.
- The learner will be able to apply the elements of skilled coverage in the nursing documentation using one of the following:
- Four Pillars
- Core Components
- Assessments
Day 1 Agenda
8:30 a.m. to 11:45 a.m.
8:30 a.m. – 10:30 a.m.
- Medicare Entitlement
- Medicare Eligibility and Spell of Illness
10:30 a.m. – 10:45 a.m.
Break
10:45 a.m. – 11:45 a.m.
- Coverage Criterion, Skilled Nursing Documentation and Core Component
11:45 a.m. – 12:15 p.m.
Break
Day 1 Agenda
12:15 p. m. to 5:45 p.m.
12:15 p.m. – 2:15 p.m.
- Skilled Therapy Documentation
- Medicare Waivers, NOMN, ABN
2:15 p.m. – 2:30 p.m.
Break
2:30 p.m. – 4:30 p.m.
- Consolidated Billing
- Open Enrollment
4:30 p.m. – 4:45 p.m.
Break
4:45 p.m. – 5:45 p.m.
- Nursing Home Compare
Day 2 Agenda
8:30 a.m. to 11:45 a.m.
8:30 a.m. – 10:30 a.m.
- Value-Based Purchasing
- Final Rule
10:30 a.m. – 10:45 a.m.
Break
10:45 a.m. – 11:45 a.m.
- Triple Check
11:45 a.m. – 12:15 p.m.
Break
Day 2 Agenda
12:15 p. m. to 5:45 p.m.
12:15 p.m. – 2:15 p.m.
- CPT Codes
- Wage Index
2:15 p.m. – 2:30 p.m.
Break
2:30 p.m. – 4:30 p.m.
- CMI’s
- MMPR
4:30 p.m. – 4:45 p.m.
Break
4:45 p.m. – 5:45 p.m.
- Medicare Certifications
Contact Hours
NAB: 16
ANCC: 16